医疗护理中的叙述。精神病学叙事医学的若干方面

P. Zurzycka, K. Wojtas
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引用次数: 1

摘要

叙事在医疗实践中是一种探索疾病本质的方式,面对患者的独特性和个性,无论诊断的是什么障碍或疾病。叙述方法为患者提供了自己的故事,展示了治疗团队的兴趣,并始终与患者当前的健康和生活状况有关,与最高水平的医疗保健提供建立了积极的关系。叙述性医学的使用在与患者建立关系或当专业工作成为倦怠和缺乏感知满足感的来源时很重要。该研究的目的是提出与医疗护理中叙事实践相关的选定问题,包括精神障碍患者的护理。对选定的33篇原创论文进行了全面分析。所有作品都是在2011-2020年期间完成的,可以是示范性或研究性论文和案例研究。使用了Medline、PubMed、SAGE和其他数据库。文献分析证实了叙事医学的存在,包括在精神病学领域。研究人员强调叙述在与患者建立关系,塑造他们的活动和参与以及与治疗团队成员的关系方面的重要性。在实践中,叙述涉及专业人员表达同理心,使用叙述技巧,并在与发现自我的患者互动时负责任。叙述在各种疾病(包括精神疾病)患者护理中的重要性,在提供符合患者期望和需求的护理方面具有重要意义。
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Narration in medical care. Selected aspects of narrative medicine in psychiatry
Narrative in medical practice is a way to explore the nature of the disease in the face of the patient’s uniqueness and individuality, regardless of the diagnosed disorder or disease. The narrative approach provides patients with a representation of their own story, a demonstration of interest on the part of their treatment team, and a positive relationship with the highest level of health care provision, always in relation to the patient’s current health and life situation. The use of narrative medicine is important in forming relationships with patients or when professional work becomes a source of burnout and lack of perceived satisfaction. Aim of the study was to present selected issues related to the practice of narrative in medical care, including the care of patients with mental disorders. Thirty-three selected original papers were thoroughly analysed. All works were written in the period 2011-2020 and could be characterized as demonstrative or research papers and case studies. Medline, PubMed, SAGE, and other databases were used. Literature analysis confirms the presence of narrative medicine, including in the field of psychiatry. Researchers emphasize the importance of narrative in creating relationships with patients, shaping both their activity and involvement, as well as with members of the therapeutic team. In practice, narrative involves professionals expressing empa-thy, using narrative techniques, and being accountable when interacting with patients who discover themselves. The importance of narrative in the care of patients with various disorders, including mental disorders, is significant in providing care that is consistent with patients’ expectations and needs.
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