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在中国的癌症护理中,医生与病人之间的沟通:定性探索
Lei Wu1, Heather Buchanan2, Aimee Aubeeluck3
1Academy of Psychology and Behavior, Key Research Base of Humanities and Social Sciences of the Ministry of Education, Tianjin Normal University, Tianjin, China.
Psychology, health & medicine
|March 9, 2026
概括
在中国,家庭沟通和文化禁忌极大地影响了以患者为中心的癌症护理. 需要进行干预措施,以改善医生与患者之间的沟通,并支持患有癌症和死亡的患者.
科学领域:
- 在瘤学瘤学.
- 医学社会学 医学社会学
- 跨文化沟通 跨文化沟通
背景情况:
- 在包括中国在内的发展中国家,以患者为中心的护理 (PCC) 尚未得到充分认可.
- 在癌症治疗中,有效的沟通至关重要,但中国的文化细微差别带来了独特的挑战.
研究的目的:
- 在中国的癌症背景下,对医生与患者以及家庭之间的沟通进行质量探索.
- 评估在这种环境中实施以患者为中心的护理 (PCC) 的可行性.
主要方法:
- 在中国一家主要的癌症医院与瘤学家进行了10次深入的半结构面试.
- 利用感应性主题分析来解释数据,确定关键的沟通主题.
主要成果:
- 确定了四个主要主题和五个子主题.
- 关键因素包括家庭对信息的保护,围绕癌症和死亡的文化禁忌的影响,提供PCC的复杂性以及医生具有挑战性的角色.
- 沟通在很大程度上受到文化规范和家庭动态的影响,往往会将信息过到患者身上.
结论:
- 需要文化敏感的干预措施来解决与癌症有关的禁忌,并提高公共卫生素养.
- 对于困难的对话和终身护理的沟通技巧培训可以改善患者的治疗结果.
- 人工智能可能在未来为加强中国的癌症传播提供支持.
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