患者被全科医生触摸的经验:一种定性研究
Louise Devillers1,2, Amélie Subts3, David De Bandt3
1Department of General Medicine, Versailles Saint-Quentin-en-Yvelines University, Montigny-Le-Bretonneux, France louise.devillers@universite-paris-saclay.fr.
BMJ open
|July 31, 2023
概括
患者在体检期间感知到全科医生的触摸是建立角色并提供关怀体验的仪式. 这种触摸具有关系和情感价值,尽管其非明确的维度可能会被误解.
科学领域:
- 医学社会学 医学社会学
- 质量健康研究 质量健康研究
- 患者与医生的关系研究 患者与医生的关系研究
背景情况:
- 在一般医院的触摸实践是体检的一个基本方面.
- 了解患者对触摸的感知对于有效的临床接触和治疗联盟至关重要.
研究的目的:
- 探索患者在医疗预约期间的体验和一般医生对触摸的感知.
- 在一般实践咨询的背景下,研究触摸的多方面的作用.
主要方法:
- 一个使用基础理论方法的定性研究.
- 在伊利德法兰西地区,对21名年龄在19-88岁之间的患者进行了个人采访.
- 数据收集和分析涉及代过程和不断比较以确定主题.
主要成果:
- 患者将体检接触视为一种仪式,巩固了医生和患者的角色,并证明了医生的能力.
- 触摸作为医生的授权权力的媒介,并为关怀的体验做出了贡献,具有关系和情感价值.
- 患者经常内化体检触摸,使其毫无疑问,并且可能无法完全认识到其潜在的关系维度.
结论:
- 身体检查触摸是根深蒂固的,但如果它偏离了检查的范围或被认为是不同的,它的适当性可能会受到质疑.
- 触摸在临床环境中的关系和情感意义,患者并不总是有意识地认识到.
- 关于触摸的使用和目的的明确沟通对于增强信任和加强患者与医生的关系至关重要.
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