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癌症筛查是一场对话,而非一份清单:通过叙事医学加强专业癌症教育。

Cancer Screening as a Conversation, Not a Checklist: Enhancing Professional Cancer Education Through Narrative Medicine.

作者信息

Jerjes Waseem, Williams Sarah

机构信息

Faculty of Medicine, Imperial College London, London, UK.

Cancer Survivor Advocate, London, UK.

出版信息

J Cancer Educ. 2025 Aug 6. doi: 10.1007/s13187-025-02695-y.

Abstract

Cancer screening guidelines aim for early detection but frequently face low patient adherence. This issue arises primarily from patient-provider interactions overly focused on procedural checklists, neglecting emotional and personal concerns. Effective screening discussions necessitate deeper communication, empathy, reflective listening, and narrative medicine-skills often missing in traditional clinical education. Integrating narrative approaches helps uncover patient anxieties, empowers decision-making, and enhances screening uptake. Additionally, shifting practice-level structures to prioritise meaningful conversations and employing technology thoughtfully can significantly improve patient engagement. Transforming cancer screening dialogues from checklist-driven interactions into emotionally intelligent conversations fosters trust, personal agency, and improved health outcomes.

摘要

癌症筛查指南旨在早期发现,但患者的依从性往往较低。这个问题主要源于医患互动过于关注程序清单,而忽视了情感和个人担忧。有效的筛查讨论需要更深入的沟通、同理心、反思性倾听以及叙事医学技能,而这些在传统临床教育中往往缺失。整合叙事方法有助于发现患者的焦虑情绪,增强决策能力,并提高筛查的接受度。此外,改变实践层面的结构以优先进行有意义的对话,并巧妙运用技术,可以显著提高患者的参与度。将癌症筛查对话从清单驱动的互动转变为具有情感智慧的对话,能够促进信任、个人能动性,并改善健康结果。

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