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临床医生在医院的代孕决策过程中使用"担心"陈述
Kristen E Pecanac1, Blair P Golden2
1School of Nursing, University of Wisconsin-Madison, Madison, USA.
Patient education and counseling
|April 19, 2025
概括
临床医生使用"担心"的说法来表明预后不佳,并建议限制治疗. 代理人经常抵制这些陈述,因为他们认为这些陈述限制了他们的决策权.
科学领域:
- 医学沟通 医学沟通
- 临床伦理学 临床伦理学
- 谈话分析对话分析
背景情况:
- 目前的指导建议在预后披露时使用"令人担忧"的陈述.
- 这些陈述在临床实践中的实际用途和功能仍然不清楚.
研究的目的:
- 分析临床医生与代理医生的决策对话中"担心"陈述的功能.
- 了解这些陈述如何影响与生死关联的讨论.
主要方法:
- 27次临床医生与代孕妇对话的录音.
- 使用对话分析技术进行定性分析.
- 检查临床医生使用"担心"陈述及其互动功能.
主要成果:
- "担心"的陈述被用来传达一个糟糕的预后,通常是关于限制治疗的讨论之前.
- 这些陈述似乎是为了说服人们反对治疗,从而导致代孕抵抗.
- 当"担心"陈述被认为限制了他们的决策权威时,代理人会抵抗.
结论:
- 临床医生的医疗权威和代孕妇的决策权威需要进一步探索.
- 替代性耐药性可能源于限制治疗的说服意图,而不是陈述本身.
- 需要进一步的研究来确定治疗讨论的最佳语言.
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