叙事医学在男科疾病中的应用前景
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摘要
随着社会的发展、生活节奏的加快以及生活方式的转变,慢性前列腺炎(CP)、勃起功能障碍(ED)等男科疾病的发病率正呈逐年上升的趋势,伴随而来的男性患者心理障碍愈发受到人们的关注。叙事医学的诞生使得以往单纯将医生作为主体的医疗模式过渡到现代医学"时空-生理-心理-社会"的模式。以患者为主体,加强医患沟通,是推进医学人文的有效手段。将叙事医学应用到男科疾病中,有助于医生更好地了解患者的病情,走进患者的内心,构建良好的医患关系,促进医患融合,从而提高临床的诊疗效率,有助患者早日康复。
With the development of society,the acceleration of the pace of life,and the change of lifestyle,the incidence of male diseases such as chronic prostatitis( CP) and erectile dysfunction( ED) is on the rise year by year. At the same time,patients' psychological disorders that accompany the disease are increasingly attracting people's attention. The birth of narrative medicine has made the medical model that used to be a doctor as the main body to transition to the modern medical "Time and space-Physiology-Psychology-Society"model. Taking patients as the main body to strengthen communication between doctors and patients is an effective means to advance medical humanities. Applying narrative medicine to male diseases will help doctors to understand the patient's condition better,walk into the patient's heart,build a good doctor-patient relationship,and promote the integration of doctors and patients.This will increase the clinical diagnosis and treatment rate and help patients recover sooner.
With the development of society,the acceleration of the pace of life,and the change of lifestyle,the incidence of male diseases such as chronic prostatitis( CP) and erectile dysfunction( ED) is on the rise year by year. At the same time,patients' psychological disorders that accompany the disease are increasingly attracting people's attention. The birth of narrative medicine has made the medical model that used to be a doctor as the main body to transition to the modern medical "Time and space-Physiology-Psychology-Society"model. Taking patients as the main body to strengthen communication between doctors and patients is an effective means to advance medical humanities. Applying narrative medicine to male diseases will help doctors to understand the patient's condition better,walk into the patient's heart,build a good doctor-patient relationship,and promote the integration of doctors and patients.This will increase the clinical diagnosis and treatment rate and help patients recover sooner.
引文
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[4]袁亦铭,方冬,张志超,等.男科门诊常见疾病患者抑郁焦虑患病特点的单中心大样本调查研究[J].临床泌尿外科杂志,2016,31(4):303-307.
[5]郝宗耀,梁朝朝,武立新.慢性前列腺炎对生活质量的影响[J].中华泌尿外科杂志,2005,26(6):367-370.
[6]邱建忠,李晓铭,文博,等.慢性前列腺炎患者的心理障碍调查分析[J].中国实用医药,2010,5(6):59-61.
[7]马健雄,王彬,党进,等.男性不育症患者勃起功能状况与精神心理状态的相关性研究[J].中华男科学杂志,2017,23(7):609-614.
[8]巩亚男,杜渐,李志荣,等.中医疾病观视角下的叙事医学[J].现代中医临床,2016,23(3):17-19,22.
[9]杨秋莉,王永炎.叙事医学的平行病历与中医学的医案医话[J].现代中医临床,2015,22(3):1-4.
[10]李莉,杨西国.郁证中医辨证探析[J].辽宁中医杂志,2010,37(S1):45-46.
[11]王玲,马俊,甘代军.叙事医学对提高患者依从性的影响[J].医学与哲学(B),2016,37(3):71-73.
[12]刘书敏,杜渐,王昊,等.叙事医学与中医学人文关怀视角下的抑郁症治疗[J].现代中医临床,2017,24(4):1-4.
[13]牛磊磊.叙事医学:医学生人文素质培育的新探索[J].辽宁医学院学报,2015,13(3):39-41.
[14]耿峰,董毅.精神疾病患者病耻感研究进展[J].精神医学杂志,2010,23(2):151-154.
[15]张芳,李晓萍,曾庆枝,等.病耻感量表现状[J].医学综述,2015,21(2):286-288.
[16]王磊,蒋晓莲.叙事研究-护理质性研究的新方法[J].中华护理杂志,2005,40(4):353.
[2]CHARONR.Narrative medicine:honoring the stories of illness[M].New York:Oxford University Press,2006:288.
[3]王一方.临床医学人文:困境与出路-兼谈叙事医学对于临床医学人文的意义[J].医学与哲学,2013,34(9A):14-18.
[4]袁亦铭,方冬,张志超,等.男科门诊常见疾病患者抑郁焦虑患病特点的单中心大样本调查研究[J].临床泌尿外科杂志,2016,31(4):303-307.
[5]郝宗耀,梁朝朝,武立新.慢性前列腺炎对生活质量的影响[J].中华泌尿外科杂志,2005,26(6):367-370.
[6]邱建忠,李晓铭,文博,等.慢性前列腺炎患者的心理障碍调查分析[J].中国实用医药,2010,5(6):59-61.
[7]马健雄,王彬,党进,等.男性不育症患者勃起功能状况与精神心理状态的相关性研究[J].中华男科学杂志,2017,23(7):609-614.
[8]巩亚男,杜渐,李志荣,等.中医疾病观视角下的叙事医学[J].现代中医临床,2016,23(3):17-19,22.
[9]杨秋莉,王永炎.叙事医学的平行病历与中医学的医案医话[J].现代中医临床,2015,22(3):1-4.
[10]李莉,杨西国.郁证中医辨证探析[J].辽宁中医杂志,2010,37(S1):45-46.
[11]王玲,马俊,甘代军.叙事医学对提高患者依从性的影响[J].医学与哲学(B),2016,37(3):71-73.
[12]刘书敏,杜渐,王昊,等.叙事医学与中医学人文关怀视角下的抑郁症治疗[J].现代中医临床,2017,24(4):1-4.
[13]牛磊磊.叙事医学:医学生人文素质培育的新探索[J].辽宁医学院学报,2015,13(3):39-41.
[14]耿峰,董毅.精神疾病患者病耻感研究进展[J].精神医学杂志,2010,23(2):151-154.
[15]张芳,李晓萍,曾庆枝,等.病耻感量表现状[J].医学综述,2015,21(2):286-288.
[16]王磊,蒋晓莲.叙事研究-护理质性研究的新方法[J].中华护理杂志,2005,40(4):353.