对持续的身体症状/功能障碍的临床咨询中的耻辱化:最适合的框架综合
Hõbe Treufeldt1, Chris Burton1, Brodie McGhie Fraser2
1Primary Care Research, University of Sheffield, United Kingdom.
本研究引入了一个新的框架,以了解和解决持续的身体症状 (PPS) 和功能障碍 (FD) 的医疗咨询中的耻辱感. 该框架有助于临床医生和患者应对污名化,旨在改善咨询体验.
科学领域:
- 社会心理学 社会心理学
- 临床医学 临床医学
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 耻辱是医疗保健中常见的障碍,特别是在患有持续性身体症状 (PPS) 和功能障碍 (FD) 的患者中.
- 耻辱感涉及到导致歧视和增加社会距离的社会属性.
- 了解和减轻咨询中的耻辱感对于患者护理至关重要.
研究的目的:
- 制定一个可操作的框架,以了解关于PPS/FD的咨询中的耻辱化.
- 通过解决污名化问题,改善PPS/FD患者的咨询体验.
主要方法:
- 利用基于功能障碍中耻辱的范围审查数据的最佳适合框架方法.
- 涉及选择初始框架,绘制定性数据,并代地改进框架.
- 最终的框架通过重新绘制所有报价数据来验证.
主要成果:
- 该框架确定了偏见,刻板印象 (条件,患者或行为),以及增加社会距离的行为 (他人,否认,不解释,最小化,违反规范,心理化).
- 从定性研究中引用的253个引文为框架的组成部分提供了信息.
- 该框架将耻辱划分为患者和临床医生都可以理解的元素.
结论:
- 已经开发了一个新的框架来分析PPS/FD临床咨询中的耻辱感.
- 该框架是研究医疗保健环境中的耻辱感的一个有价值的工具.
- 它提供了一种结构化的方法来理解和潜在地干预污名化的咨询动态.
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