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["……始终给予慰藉”。全科医生与日常慰藉]

["...always giving comfort". General practitioners and the everyday consolation].

作者信息

Mattsson Bengt, Andersson Sven-Olof, Magda Jagiello

机构信息

Avdelningen för allmänmedicin, institutionen för samhällsmedicin, Göteborgs universitet, samt Kungshöjds vårdcentral, Göteborg.

出版信息

Lakartidningen. 2004 Dec 2;101(49):4016, 4019-21.

Abstract

Since the time of Hippocrates" ... to always comfort" has been regarded as a part of every physician's profession. However, this daily phenomenon of medical practice has not been studied very much so far. Consolation is sometimes emphasized when care is more prominent than cure, as in palliative or intensive care or when seeing family members during these circumstances. Six general practitioners in a focus-group interview presented narratives about their experience of consolation in the consultation. They also described the last time they managed to comfort a patient. The narratives were analysed by an empirical psychological phenomenological method. Four themes emerged that gave a meaning to consolation: "presence", "be in contact", "confirmation" and "restoration". The consultations were characterized by acceptance, freedom, respect and absence of demand. However, consolation could also be associated with negative features such as instrumental and ritual behaviour and a "top-down" attitude that inhibited the healing process. Consolation as an important element of medical practice needs to be further studied.

摘要

自希波克拉底时代起,“始终给予慰藉”就被视为每位医生职业的一部分。然而,迄今为止,这种日常的医疗实践现象尚未得到充分研究。当关怀比治愈更为突出时,如在姑息治疗或重症监护中,或者在这些情况下看望患者家属时,慰藉有时会被强调。在一次焦点小组访谈中,六位全科医生讲述了他们在诊疗过程中给予慰藉的经历。他们还描述了最近一次成功安慰患者的情形。这些叙述通过实证心理学现象学方法进行了分析。出现了四个赋予慰藉意义的主题:“在场”“建立联系”“确认”和“恢复”。诊疗过程的特点是接纳、自由、尊重且无要求。然而,慰藉也可能与一些负面特征相关联,比如工具性和仪式性行为以及抑制治疗过程的“自上而下”的态度。慰藉作为医疗实践的一个重要元素需要进一步研究。

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