看还是不看：一项关于患者对自身诊断影像看法的定性访谈研究
To see or not to see: a qualitative interview study of patients' views on their own diagnostic images.
作者信息
Carlin Leslie E, Smith Helen E, Henwood Flis
机构信息
Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada.
Brighton and Sussex Medical School, Brighton, UK.
出版信息
BMJ Open. 2014 Jul 31;4(7):e004999. doi: 10.1136/bmjopen-2014-004999.
OBJECTIVES
To ascertain what meaning individuals attach to perceiving images of their own interior body and how the images and their meanings affect the clinical consultation.
DESIGN
Face-to-face semistructured interviews.
PARTICIPANTS
25 adult patients in southern England who, within the preceding 12 months, had been referred for diagnostic imaging.
SETTING
Community.
RESULTS
For patients, being shown their own X-rays, MRIs or CT images creates a variety of effects: (1) a sense of better understanding of the diagnosis; (2) validation of their sensory and emotional response to the illness or injury and (3) an alteration to the tenor and nature of the clinical encounter between patient and physician. In addition to meanings attached to these images, patients also impute meaning to the physician's decision not to share an image with them. The desire to see their image was greater in those patients with a skeletal injury; patients are less keen on viewing abdominal or other soft tissue images.
CONCLUSIONS
Viewing images of one's interior, invisible body is powerful and resonant in a number of ways. The experience of not seeing, whether through the patient's or the physician's choice, is also fraught with meaning.
目的
确定个体对于感知自身内部身体图像赋予了何种意义，以及这些图像及其意义如何影响临床会诊。
设计
面对面的半结构化访谈。
参与者
英格兰南部的25名成年患者，他们在过去12个月内被转诊进行诊断成像检查。
地点
社区。
结果
对于患者而言，向他们展示自己的X光片、核磁共振成像（MRI）或计算机断层扫描（CT）图像会产生多种影响：（1）对诊断有更好的理解；（2）对其对疾病或损伤的感官和情感反应的确认；（3）改变患者与医生之间临床接触的基调与性质。除了赋予这些图像的意义外，患者还会对医生不与他们分享图像的决定赋予意义。骨骼受伤的患者更希望看到自己的图像；患者对查看腹部或其他软组织图像的兴趣较低。
结论
查看自己内部不可见身体的图像在许多方面具有强大的影响力和共鸣。无论是通过患者还是医生的选择而看不到图像的经历，也充满了意义。
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