健康,心痛和幽默:在严重疾病中接近幽默的实用框架
Melissa Rizzolo1, Nathan A Gray1
1Section of Palliative Medicine, Division of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Journal of palliative medicine
|July 25, 2025
概括
幽默可以成为严重疾病沟通的宝贵工具,帮助患者表达价值观并应对困难的话题. 临床医生必须在床边使用幽默的风险和好处.
科学领域:
- 医学沟通 医学沟通
- 心理学 心理学 心理学
- 抚慰性护理是一种缓解性护理.
背景情况:
- 患者在严重疾病期间经常使用幽默来传达价值观,实现心理缓解,并间接地解决敏感主题.
- 虽然患者在使用幽默方面有很大的自由,但临床医生在将幽默纳入患者互动时面临重大风险,特别是在重症监护机构.
研究的目的:
- 探索幽默在临床相互作用中的多方面的影响.
- 审查与医学背景相关的幽默的历史分类.
- 提出一个实用的框架来指导临床医生在床边有效和道德地使用幽默.
主要方法:
- 在临床环境中关于幽默的文献综述.
- 分析涉及幽默的患者沟通策略.
- 为临床医生自我意识和对幽默使用的洞察力制定框架.
主要成果:
- 幽默对患者有多种功能,包括价值表达和情绪调节.
- 临床医生与幽默的接触带有固有的风险,需要仔细考虑.
- 提出了一个框架,以提高临床医生的洞察力和自我意识,在严重疾病期间导航幽默.
结论:
- 幽默是严重疾病沟通中不可或缺的,尽管复杂的组成部分.
- 临床医生需要指导,以安全有效地将幽默融入患者护理中.
- 培养洞察力和自我意识对于临床医生在敏感的医学对话中管理幽默至关重要.
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