通过疾病叙述了解社会痛苦:可能性和挑战
Young-Gyung Paik1, Jidong Sung2
1Department of Sociology, College of Humanities, Jeju National University, Jeju, Republic of Korea.
BMC medical education
|July 2, 2025
概括
医学学生通过叙事医学了解患者的痛苦,但很难理解健康的社会决定因素. 需要修改课程,以更好地理解社会痛苦及其对疾病的影响.
科学领域:
- 医学教育 医学教育
- 定性研究是指质量研究.
- 健康的社会决定因素
背景情况:
- 整体医疗强调了解健康的社会决定因素.
- 对患者痛苦的同情心是医疗保健专业人员的核心能力.
- 叙事医学教育可以增强同情反应,但它在教导"社会痛苦"方面的作用尚未得到充分研究.
研究的目的:
- 定性地分析医学学生如何概念化患者的痛苦,并参与疾病的社会层面,以叙事医学为基础的课程后.
- 探索患者疾病叙述在教授社会痛苦概念方面的有效性.
主要方法:
- 在叙事医学课后对40名第二年医学学生的论文进行定性分析.
- 学生们分析了一份患有高血压的患者成绩单,详细描述了疾病经历.
- 代编码 (诱导和演) 确定了对痛苦和社会维度的概念化模式.
主要成果:
- 三个主题出现了:对痛苦的分类框架,对叙事复杂性的认识,以及对结构性社会痛苦的有限参与.
- 学生们发现了身体和心理的痛苦,但表现出了表面层面的参与社会层面.
- 在超越个人主义框架,认识到在韩国社会塑造疾病的社会,文化和制度因素方面,观察到挑战.
结论:
- 叙事医学培养了对痛苦复杂性的认识和同情心.
- 学生对社会痛苦的参与有限,这表明需要提高课程.
- 提出了一个螺旋式课程,以加深对健康的社会决定因素的理解,整合定性研究,并解决社会文化背景,以改善临床实践.
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