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[临终关怀中的文化敏感沟通:以对穆斯林患者的关怀为例]

[Culturally sensitive communication in end-of-life care: the care for Muslim patients as an example].

作者信息

de Graeff N, Savelkoul C, Köse A, Ghaly M, Hoffer C B M, Tjan D H T

机构信息

Ziekenhuis Gelderse Vallei, afd. Intensive Care, Ede.

出版信息

Ned Tijdschr Geneeskd. 2017;161:D1410.

PMID:28745252
Abstract

Suffering and death are an inevitable part of life. In our increasingly multicultural society, healthcare professionals are frequently confronted with ideas on suffering and death that are different from their own. As Muslims are the largest migrant group in the Netherlands, this article focuses specifically on their perspective, illustrated by a clinical case. The different experience of these phenomena, influenced by culture and religion, can lead to confusion and frustration for patients, their relatives, and healthcare professionals alike. It is essential that healthcare professionals are aware of both their own views and those of the patient, and have some knowledge of other cultures and religions. Healthcare professionals can use cultural (self-)reflection and culturally sensitive communication, examples of which are provided in this article, to build mutual trust and understanding. This may improve the patient-physician relationship and may make end-of-life communication, complex as it will ever be, a little more comprehensive.

摘要

苦难与死亡是生命中不可避免的一部分。在我们这个日益多元文化的社会中,医疗保健专业人员经常会遇到与他们自己不同的关于苦难和死亡的观念。由于穆斯林是荷兰最大的移民群体,本文特别关注他们的观点,并通过一个临床案例加以说明。这些受文化和宗教影响的对这些现象的不同体验,可能会给患者、他们的亲属以及医疗保健专业人员带来困惑和沮丧。医疗保健专业人员必须了解自己的观点以及患者的观点,并对其他文化和宗教有所了解。医疗保健专业人员可以利用文化(自我)反思和具有文化敏感性的沟通方式(本文提供了相关示例)来建立相互信任和理解。这可能会改善医患关系,并可能使临终沟通(尽管它永远都很复杂)变得更加全面一些。

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