哪里是沟通中断的地方? 在怀孕中肥胖的临床体验中叙述的紧张关系
Rachel Dadouch1,2,3, Sarenna Lalani2,4, Rory Windrim2
1Institute of Medical Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
怀孕期间与肥胖的沟通是具有挑战性的,因为五个关键的叙事紧张局势. 了解这些紧张关系可以改善医疗保健提供者与患者之间的互动,以及在怀孕期间治疗肥胖的临床实践.
科学领域:
- 医学社会学 医学社会学
- 卫生沟通健康沟通
- 生殖健康 生殖健康
背景情况:
- 怀孕期间的肥胖症带来了重大的生物医学和心理社会挑战.
- 这些挑战往往会在医疗保健提供者 (HCP) 和患者之间造成沟通障碍.
- 耻辱理论为理解这些沟通困难提供了一个框架.
研究的目的:
- 为了探索涉及怀孕期间肥胖的临床遭遇中的沟通故障.
- 了解患者和医务人员如何在这些遭遇中叙述他们的经历.
- 确定医疗保健专家与患者沟通中的特定漏洞.
主要方法:
- 采用了一个叙事研究设计.
- 对16名患者和19名医疗保健工作者进行了深入的半结构面试.
- 使用叙事分析来识别沟通紧张关系.
主要成果:
- 确定了五种叙事紧张关系:健康损害与生物变异,个人选择与无法控制的情况,常规与高风险怀孕,无问题与困难的遭遇,以及讨论身体质量指数 (BMI) 与回避这个话题.
- 关于肥胖的社会话语影响了这些紧张局势.
- 过去的临床经验及其解释塑造了当前的相互作用.
结论:
- 鉴定到的叙事紧张局势突出了在怀孕中肥胖遭遇期间沟通的特定脆弱性.
- 了解这些紧张关系对于改善临床实践和教育至关重要.
- 解决这些沟通复杂性可以增强患者和提供者体验.
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