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无法解释的躯体症状患者的医患关系研究

Research on Doctor-patient Relationship of Patients with Medically Unexplained Syndrome

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【作者】 吴珩沈楠黄东雅陈维珺仇剑崟魏镜张岚杨建中赵旭东Kurt Fritzsche

【Author】 WU Heng;SHEN Nan;HUANG Dong-ya;Tongji Hospital of Tongji University;

【机构】 同济大学附属同济医院上海市东方医院上海市精神卫生中心北京协和医院四川华西医院云南省红十字会医院弗莱堡大学医学中心

【摘要】 无法解释的躯体症状(MUS)这个术语来源于西方,目前也成为我国临床各科门诊常见就诊原因。MUS患者的躯体症状体验真实,但是找不到任何器质性异常,导致患者反复就医。其与接诊医生的医患关系成为研究的热点。本研究分别从医患两个视角出发,通过横断面研究发现门诊MUS患者医患双方对医患关系的评价较低,MUS成为一个重要的变量影响了门诊医生对医患关系的评价。借鉴中医理论和方法避免身心分离对治疗MUS患者有重要意义。

【Abstract】 The term of " medically unexplained syndromes(MUS)" came from western countries,which has also become a common complaint in the outpatient department.Patients with MUS experience real physical symptoms,but there isn’t any structural abnormality to be found.It leads to recurrent medical examinations and treatment of patients.The doctorpatient relationship becomes a research hotspot.In this study,respectively,from the perspective of both doctors and patients,it was found that doctor-patient relationship of patients with MUS was worse than medically explained syndromes(MES).Moreover,MUS become an important variable affecting the assessment of doctor-patient relationship.The results suggested that it might be meaningful to learn from traditional Chinese medicine theory and methods and to avoid the bodymind separation in the diagnosis and treatment of patients with MUS.

【基金】 中德科学中心项目,项目编号:GZ690
  • 【文献出处】 医学与哲学(B) ,Medicine & Philosophy , 编辑部邮箱 ,2014年03期
  • 【分类号】R749
  • 【被引频次】7
  • 【下载频次】142
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