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相关概念视频

Psychosurgery01:30

Psychosurgery

54
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
54

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脊椎外科医生面临第二意见:一个定性研究.

Bertrand Debono1, Guillaume Lonjon2, Antoine Guillain3

  • 1Paris-Versailles Spine Center (Centre Francilien du Dos), Paris, France; Ramsay Santé-Hôpital Privé de Versailles, Versailles, France.

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概括

脊椎外科医生经常对患者的第二次意见有负面看法,认为这是对信任的破坏. 改变这种观点可以增强医生和病人之间的关系和共同决策.

关键词:
决策方式 决策方式医生和病人之间的关系.一个有根据的理论.定性研究是一种定性研究.转介 转介 转介 转介 转介 转介第二份意见是第二份意见.脊柱外科手术 脊柱外科手术手术咨询 手术咨询

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科学领域:

  • 整形外科 整形外科 整形外科
  • 神经外科 神经外科
  • 医学社会学 医学社会学

背景情况:

  • 传统的医生-病人双元被现代社会和技术变革打破了.
  • 患者发起的第二意见可能会造成相互信任的紧张,这种动态从外科医生的角度来看很少被研究.

研究的目的:

  • 探索脊椎外科医生对寻求第二意见的患者的观点.
  • 了解第二意见如何影响外科医生与患者的关系和信任.

主要方法:

  • 使用接地理论和感应方法学的定性研究.
  • 与24名脊椎外科医生 (骨科医生和神经外科医生) 进行半结构面试,直到数据和.
  • 主题分析由人类学家,精神科医生和神经外科医生三角化.

主要成果:

  • 五个主题出现了:患者的动机,受损的信任/不忠,外科医生自我/权威,管理第二意见和避免策略.
  • 外科医生认为第二意见是违反了忠诚和信任,影响了他们的自我.
  • 在咨询中,外科医生和患者都在权力,控制,忠诚和自主方面进行导航.

结论:

  • 脊椎外科医生经常对第二意见的看法是负面的,将其与不忠诚和自我伤害联系在一起.
  • 需要一个范式的转变来重新构建第二意见,作为一个有价值的工具来增强医生和患者之间的关系.
  • 优化共享的手术决策可以通过对第二意见的更积极的看法来促进.