Malterud K
Department of Public Health and Primary Health Care, University of Bergen, Norway.
Fam Pract. 1992 Sep;9(3):299-303. doi: 10.1093/fampra/9.3.299.
Patients presenting illness without disease are common in general practice. A clinical communicative method was developed in order to clarify women's 'undefined' disorders. Outcomes from this approach registered from 122 audiotaped consultations were qualitatively analysed, in order to explore potential conditions and premises constituting the phenomena labelled as undefined. Knowledge produced by female patients was applied for transformation of the undefined nature of the problem into various levels of medical understanding. Gender-specific illness-promotive mechanisms were identified, as well as certain communicative dilemmas distorting symptom presentation into undefinedness. Relevant medical management was also suggested.
在全科医疗中,表现出患病症状却无疾病的患者很常见。为了厘清女性的“不明”病症,开发了一种临床沟通方法。对122次录音会诊的结果进行了定性分析,以探究构成被标记为不明现象的潜在状况和前提条件。女性患者所提供的信息被用于将问题的不明性质转化为不同层次的医学理解。确定了特定性别的致病促进机制,以及某些将症状表现扭曲为不明状态的沟通困境。还提出了相关的医疗管理建议。