导航权力和沉默:沟通剥夺在更年期医疗保健沟通中的权利
Callie Tolman1, Valerie Rubinsky2, Angela Cooke-Jackson3
1Intimate Communication Lab, Mississippi University for Women, Columbus, Mississippi, USA.
Journal of women & aging
|December 9, 2025
概括
经历更年期的女性经常面临与医疗保健提供者沟通障碍,导致被剥夺权利的感觉. 这项研究强调了在更年期护理中需要更有效的沟通和患者自我倡导的需要.
科学领域:
- 卫生沟通健康沟通
- 卫生社会学 卫生社会学
- 妇女健康 妇女健康
背景情况:
- 更年期是一个重要的生命过渡,经常伴随着复杂的健康需求.
- 患者和医疗保健提供者之间的沟通动态对于有效的护理至关重要.
- 沟通剥夺权 (TCD) 理论为分析沟通中的权力不平衡提供了一个框架.
研究的目的:
- 探索更年期妇女与她们的医疗保健提供者之间的沟通模式.
- 检查沟通剥夺 (TCD) 理论如何适用于与更年期相关的医疗互动.
- 确定以患者为中心的沟通策略,以改善更年期护理.
主要方法:
- 使用对32名经历更年期的女性进行深入采访的定性研究.
- 专题分析和解释方法来分析采访数据.
- 作为一个分析镜头的沟通剥夺 (TCD) 理论的应用.
主要成果:
- 出现了三个关键主题:验证谈话,剥夺权利/不证实沟通,以及患者自我倡导.
- 由于医疗不确定性,耻辱和主观症状,患者与提供者关系中的权力不平衡在更年期被放大.
- 妇女报告了无效症状的经历,以及需要更多的验证和响应性护理的需求.
结论:
- 沟通性剥夺权利 (TCD) 理论有效地解释了医疗保健差异如何在像更年期这样的污名化健康环境中传播.
- 更年期期间的患者提供者沟通的特点是验证谈话,剥夺沟通权益和患者自我倡导.
- 需要进行改革,以加强对更年期妇女的验证,信息提供和专业,响应性护理.
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