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以叙事导向的医患沟通促进糖尿病患者管理的临床实践

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糖尿病已经成为我国医疗健康体系面临的重大挑战,对糖尿病患者的诊疗进入了全程生理-心理-社会健康管理模式.叙事医学是在疾病诊疗中纳入倾听、感知患者疾病故事过程的医学模式,在医疗中注入情感元素.文章将叙事性的医患沟通模式纳入糖尿病患者的综合管理过程中,介绍叙事医学在糖尿病患者对疾病的认知、糖尿病患者的饮食控制、患者对治疗方案的依从性以及体质量管理几方面发挥的重要作用.本研究阐述了叙事医学在糖尿病患者的诊疗过程中发挥的重要作用,以叙事导向的医患沟通能够提高患者对疾病的认知水平,增强其自我管理能力;增强医务人员与患者的共情能力,帮助医生做出更有利于患者的诊疗决策,是医学人文关怀在医疗实践中的重要体现.
Narrative-Oriented Doctor-Patient Communication Promotes Clinical Practice of the Management of Diabetic Patients
Diabetes has become a major challenge for China's healthcare system.The physiological-psycho-social medicine model has been integrated throughout the diagnosis and treatment of diabetic patients.Narrative medicine is a medical model that incorporates the process of listening to and perceiving patients'disease stories in disease diagnosis and treatment and infuses emotional elements into medical treatment.This paper incorporates the narrative doctor-patient communication model into the comprehensive management of diabetic patients,and the important role of narrative medicine in the cognition of diabetic patients to the disease,the diet control of diabetic patients,the compliance of diabetic patients to the treatment plan and the weight management is introduced.This paper expounds the important role of narrative medicine in the diagnosis and treatment of diabetic patients.Narration-oriented doctor-patient communication can improve patients'awareness of diseases and enhance their self-management ability.It is an important embodiment of medical humanistic care in medical practice to enhance the empathic ability of medical staff and patients and help doctors make more favorable diagnosis and treatment decisions.

diabetes mellitusnarrative medicinehealth managementmedical modeldoctor-patient communicationtreatment compliance

程莹、钟大鹏、任丽

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中国人民解放军西部战区总医院内分泌科,四川 成都 610083

糖尿病 叙事医学 健康管理 医学模式 医患沟通 治疗依从性

西南医科大学2022年高等教育教学研究与改革项目

JG2022189

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(3)
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