窗下的整个人:在手术室中对以人为中心的哲学反思
1Student Research Committee, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Islamic Republic of Iran. Aminior@nm.mui.ac.ir.
Philosophy, ethics, and humanities in medicine : PEHM
|November 5, 2025
概括
手术患者可能会因为麻醉而被忽视. 整合人文心理学通过认识到麻醉患者的道德存在和脆弱性来增强伦理护理,促进以人为中心的尊严.
科学领域:
- 生物伦理学生物伦理学
- 医学哲学 医学哲学
- 手术护理 手术护理
背景情况:
- 手术室 (OR) 环境可能导致患者的客观化,称为"体验缺席"和"本体缺席".
- 麻醉使患者的主观性沉默,并可能侵蚀他们作为具有内在价值的人的认可.
- 临床分离,虽然有助于外科专注,但也引发了关于患者尊严的重大伦理问题.
研究的目的:
- 哲学地检查医学的笛卡尔二元论的非个性化效应.
- 探讨卡尔·罗杰斯的人文主义心理学如何重新构建伦理外科护理.
- 提出一个框架,以提高患者的尊严和在OR的道德存在.
主要方法:
- 用雷内·笛卡尔和卡尔·罗杰斯的初级文本进行哲学反思.
- 对笛卡儿二元论对生物医学非个性化影响的分析.
- 罗杰斯的原则 (同情心,真实性,无条件的积极考虑) 应用到外科伦理上.
主要成果:
- 在必要的临床客观性和有害的脱离之间建立区别.
- 被麻醉的患者被重新构想为道德上的存在,脆弱性增加了关怀的责任.
- 手术团队被重新定义为一种治疗环境,通过人际尊重影响患者的尊严.
结论:
- 整合人文心理学可以提高外科手术的精度,并带来道德的清晰度.
- 承认麻醉患者的体验和本体存在使技术技能与道德责任保持一致.
- 这种方法将以患者为中心的护理推向以人为中心的伦理,将手术视为道德上的遭遇.
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