Cole-Kelly K
Department of Family Practice, Metro Health Medical Center, Cleveland, OH 44109.
Fam Med. 1992 Jan;24(1):45-8.
The importance of stories has been receiving great attention in the family and family medicine literature. Less emphasized is the presence of multiple listeners to patients' illness stories in the clinical context. This paper affirms the importance of patients' sharing their illness stories with the various members of the health care system. Through clinical examples and discussion, the paper seeks to sensitize primary care residents and teachers to the community of listeners a patient encounters in an individual clinic visit. Factors influencing patients' selective disclosure of their illness stories are identified. Methods of enhancing greater communication among the recipients of patients' illness stories are proposed.
故事的重要性在家庭及家庭医学文献中一直备受关注。在临床环境中，患者疾病故事存在多个倾听者这一点较少被强调。本文肯定了患者与医疗保健系统各成员分享其疾病故事的重要性。通过临床实例和讨论，本文旨在使初级保健住院医师和教师对患者在一次门诊就诊中所遇到的倾听者群体保持敏感。确定了影响患者选择性披露其疾病故事的因素。提出了加强患者疾病故事接收者之间更多沟通的方法。
