在医疗遭遇中复杂化的客观化:COVID-19期间在ICU中的体现经验
Allan Køster1,2, Anthony Vincent Fernandez3,4, Lars Peter Kloster Andersen5,6
1The Danish National Center for Grief, Amagerbrogade 150, 2300, Copenhagen, Denmark. allankoester@gmail.com.
疾病期间对身体的客观化是复杂的,影响了重症监护机构的患者和临床医生. 这项研究揭示了除了简单的临床医生-患者动态之外的多方面的客观化经验,受到大流行环境的影响.
科学领域:
- 现象学的现象学
- 医学社会学 医学社会学
- 化身研究 化身研究
背景情况:
- 疾病和伤害经常涉及身体对象化.
- 医疗干预可以通过将身体视为生物医学对象来加强对象化.
- 现有的现象学文献往往简化了临床环境中的客观化.
研究的目的:
- 在COVID-19大流行期间,探索重症监护室 (ICU) 身体对象化的复杂性.
- 通过体现现象学的镜头重新审视患者和护士经验的定性数据.
- 挑战对象化的传统观点,将其视为单方面临床医生与患者的互动.
主要方法:
- 定性研究重新分析.
- 现象学框架 (胡塞尔,梅罗 - 庞蒂,萨特,莱维纳斯).
- 专注于第一波COVID-19期间ICU的护士和患者的经验.
主要成果:
- 患者和临床医生都报告了各种各样的客观化经历.
- 客观化受到人际交互和ICU环境的影响.
- 全球流行病背景显著塑造了这些经验.
- 客观化不仅仅是临床医生与患者之间的现象.
结论:
- 在疾病和医学中对身体的客观化比在现象学中通常理解的要复杂得多.
- 互动,临床环境和更广泛的社会事件 (如流行病) 都有助于客观化.
- 在复杂的医疗遭遇中,对体现的细微理解至关重要.
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