临床实践中的治疗性交流

Stanislava Pavlova
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摘要

在提供医疗服务的过程中,与病人的沟通不仅仅是语言。它是通过运用不同的方法和策略来实现的。医疗保健中的患者沟通是医疗专业人员与患者之间多方面的互动过程。它被定义为治疗性沟通(TC)。它是一种面向病人整体护理的综合方法。通过治疗沟通进行社会互动,确定病人对具体护理的需求,控制和解决问题,寻求和提供信息等。治疗性交流是专业交流的一种。医护人员在与病人及其亲属的工作中使用治疗性沟通。医务人员有效的沟通技巧可以激发病人谈论自己的问题。这些技巧还可用于病人教育,以改善健康状况等。表现出对病人的兴趣和关心是所谓 "以支持为目的的谈话 "的一个组成部分。医护人员在与病人进行谈话时采用不同的方法--对有些人来说,谈话的社交方面最重要,而对其他人来说,社交关系最重要。治疗性谈话能与病人建立有效的沟通,提高治疗效果。这样,治疗性对话就有了两个基本组成部分--情感和信息。
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THERAPEUTIC COMMUNICATION IN CLINICAL PRACTICE
Communication with the patient in the process of providing health care is more than speech. It is carried out by applying different methods and strategies. Patient communication in health care is a multifaceted process of interaction between medical professionals and the patient. It is defined as therapeutic communication (TC). It is a holistic approach oriented towards the overall care of the patient. Social interaction takes place through TC, the patient's needs for specific care are determined, problems are controlled and solved, information is sought and given, etc. Therapeutic communication is a type of professional communication. TC is used by medical professionals in their work with patients and their relatives. Effective communication skills of medical professionals stimulate the patient to talk about his problem. They are also used in patient education to improve health outcomes, etc. Showing interest and concern for the patient is a component of the so-called "conversation for the purpose of support". Health care professionals use different approaches when conducting a conversation with the patient - for some, the social side of the conversation is most important, for others – social relationships. The therapeutic conversation builds effective communication with the patient and improves the therapeutic impact. In this way, two essential components are distinguished in TC - emotional and informational.
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