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羞耻,健康素养和同意
Barry Lyons1,2, Luna Dolezal3
1School of Medicine, Trinity College Dublin, Dublin, Ireland.
Clinical ethics
|May 23, 2024
概括
与低健康素养相关的羞耻感可能会对医疗保健的同意产生负面影响,阻碍患者的自主权. 解决这种"健康素养耻辱"对于有效的决策和保护患者权利至关重要.
科学领域:
- 医学伦理 医学伦理
- 卫生沟通健康沟通
- 心理学 心理学 心理学
背景情况:
- 情绪显著影响决策过程.
- 医疗保健中的同意过程往往忽视了情感问题.
- 羞耻感,特别是与健康素养相关的羞耻感,会影响患者的选择.
研究的目的:
- 探索羞耻的作用,特别是"健康素养羞耻",在医疗保健同意过程中.
- 分析健康素养下降和相关的羞耻感如何影响患者的自主权.
- 倡导在同意程序中纳入情感考虑.
主要方法:
- 对羞耻和健康素养的概念分析.
- 检查情绪对医疗保健决策的影响.
- 关于同意,自主和健康沟通的文献综述.
主要成果:
- 与健康素养相关的羞耻感阻碍了有效的沟通,扩大了临床医生和患者之间的知识差距.
- 这种羞耻感阻止了人们承认沟通障碍,使得同意的效果变得不那么好.
- 没有解决健康素养羞耻问题,就会损害患者的自主权和身体完整性.
结论:
- 医疗保健同意过程必须包括对羞耻等情绪的探索.
- 解决"健康素养耻辱"对于确保知情同意和保护患者自主性至关重要.
- 承认和减轻羞耻感可以改善患者对医疗保健决策的控制.
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