本文選題：醫(yī)患敘事　切入點(diǎn)：語言溝通　出處：《醫(yī)學(xué)與哲學(xué)(B)》2017年05期

【摘要】：通過婦產(chǎn)科臨床工作中不同場(chǎng)景及時(shí)序的語言溝通調(diào)查,進(jìn)行語用學(xué)層面的醫(yī)患敘事溝通剖析,從規(guī)范臨床用語的途徑探索建構(gòu)醫(yī)患雙主體互信模式。采用"當(dāng)下醫(yī)患溝通中的語言困局及其破解之策"課題組調(diào)查問卷調(diào)查,并通過頭腦風(fēng)暴收集語料。以基于語料庫的語用分析,列出醫(yī)患溝通用語分類(暖語、禁語)及警示分級(jí)(A/B/C/D/E/F)。婦產(chǎn)科醫(yī)患敘事語言溝通有其特定專業(yè)性及服務(wù)性特征;醫(yī)生應(yīng)主動(dòng)采用開放式和封閉式交互的提問技巧,避免語言過于簡(jiǎn)單、直白、制式化和命令式,溝通語境中著重回應(yīng)患者敘事以表達(dá)關(guān)愛、尊重和禮貌。
[Abstract]:Through the language communication investigation of different scenes and time series in the clinical work of gynecology and obstetrics, this paper analyzes the doctor-patient narrative communication at the pragmatic level, and explores the construction of the mode of trust between doctors and patients from the way of standardizing clinical terms.A questionnaire survey was conducted by the research group "the language dilemma in current doctor-patient communication and its solution", and the corpus was collected through brainstorming.Based on corpus-based pragmatic analysis, this paper lists the classification of doctor-patient communication language (warm language, forbidden language) and warning classification A / B / C / D / E / F / F.The narrative language communication between doctors and patients in obstetrics and gynaecology has its specific professional and service characteristics. Doctors should take the initiative to adopt open and closed interactive questioning techniques to avoid language being too simple, straightforward, standardized and imperative.In the context of communication, emphasis is placed on responding to patient narratives to express love, respect and politeness.
【作者單位】： 廈門市婦幼保健院;華中科技大學(xué)同濟(jì)醫(yī)學(xué)院;
【基金】：2015年福建省醫(yī)學(xué)創(chuàng)新課題軟科學(xué)課題項(xiàng)目(2015-CXB-R2)
【分類號(hào)】：H136;R197.3
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本文編號(hào)：1709304