一例临床沟通受碍病例引发的深思

Reflections on a Case of Impaired Clinical Communication

摘要: 医学的本质属性是社会性和人文性，医学的终极价值是医学人文价值。然而，随着高新技术的突飞猛进及其向医学的广泛渗透，特别是在偏重经济效益，医疗技术至上的背景下，医疗实践中“去人性化”的现象并不罕见。即不重视甚至忽略病人的情感需要、心理因素和社会属性，从而导致医患沟通不良。而叙事医学注重训练医生从认识、共情患者疾苦的视角，用讲故事的方式，即叙事的实践方式，贯穿整个诊疗过程。只有关注病患本身，加强医学人文，才能使得医患交流更畅通，从而改善医患关系。

Abstract: The essential attribute of medicine is sociality and humanity, and the ultimate value of medicine is medical humanity value. However, with the rapid development of high and new technology and its extensive penetration into medicine, especially in the background of attaching importance to eco-nomic benefits and medical technology first, the phenomenon of “dehumanization” in medical prac-tice is not rare. That is to say, patients’ emotional needs, psychological factors and social attributes are ignored, which leads to poor communication between doctors and patients. However, narrative medicine focuses on training doctors from the perspective of understanding and empathizing with patients’ suffering, and uses storytelling, namely narrative practice, throughout the whole process of diagnosis and treatment. Only by paying attention to patients themselves and strengthening medical humanities can doctor-patient communication be smoother and doctor-patient relationship be improved.