美国赫蒙族患者与临床医生之间的疼痛沟通中的解释不准确性:一项基于对话分析的研究
Binh Ta1, Mai Nhia Yang2, Alice Hu2
1Monash University, Faculty of Medicine Nursing and Health Sciences, Australia.
Social science & medicine (1982)
|August 27, 2025
概括
解释者经常通过总结故事和错过声音线索, 这影响了疼痛管理和临床医生的同情心,强调了对文化沟通细微差别的翻译培训的需要.
科学领域:
- 医疗沟通
- 语言人类学
- 社会语言学
背景情况:
- 有效的患者-提供者沟通对于疼痛管理至关重要.
- 由于对口译员的依赖,英语水平有限的患者在疼痛沟通方面面临挑战.
- 之前的研究表明这些患者的疼痛管理结果较差.
研究的目的:
- 探索导致解释不准确的疼痛沟通的交互特征.
- 分析涉及赫蒙族患者,口译员和临床医生的咨询.
- 确定影响疼痛评估和管理的特定沟通挑战.
主要方法:
- 基于对话分析的方法.
- 分析了27次初级医疗咨询的录音.
- 包括27名赫蒙族患者,4名翻译和20名临床医生.
主要成果:
- 族患者通过讲故事来表达痛苦,
- 患者用来表达疼痛严重程度和情绪的声音特征 (延长,强度,重复) 往往被误解.
- 解释不准确导致临床医生错过了表现出同情心和解决患者担忧的机会.
结论:
- 解释者难以准确地传达赫蒙族患者的疼痛叙述和声音表达,
- 解释者培训对于解决疼痛故事的上下文构建和声音特征的细微含义至关重要.
- 提高翻译能力可以提高患者提供者沟通,同情心和疼痛护理的有限英语能力人口.
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