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醫(yī)患之間積極取向的言語交互行為及患者滿意度研究

發(fā)布時間:2021-05-09 19:51
  醫(yī)患言語交互是醫(yī)療過程中的主要組成部分。近年來,醫(yī)患之間的交互行為正吸引著越來越多的來自語言學(xué)界、心理學(xué)界以及醫(yī)療界的學(xué)者的關(guān)注。雖然醫(yī)患言語交互行為已成為一個熱門話題,但是相關(guān)的研究還是比較零散,而且缺乏可靠的理論支撐。通過對現(xiàn)有有關(guān)醫(yī)患言語交互行為文獻(xiàn)的整理,借助積極心理學(xué)理論的新發(fā)展,并采用定量分析的方法,本論文對醫(yī)患之間積極取向的言語交互行為以及其對患者滿意度的影響進(jìn)行了探索性研究,驗證了作者所提出的“醫(yī)療價值鏈”的第一部分。本文對醫(yī)生在問診過程中積極取向的言語表達(dá)的數(shù)量,患者滿意度問卷的評分,以及問診時間的長短進(jìn)行了詳細(xì)的分析,從而證明了醫(yī)患之間積極取向的言語交互行為與患者滿意度之間存在的強度正相關(guān),并指出醫(yī)生在問診過程中應(yīng)主動向患者施加積極心理干預(yù)進(jìn)而滿足患者的心理需求。另外,本文的研究結(jié)果也間接證明了醫(yī)療從生物.醫(yī)學(xué)模式向生物-心理-社會模式轉(zhuǎn)變的必要性。旨在呼吁醫(yī)生重視自己在問診過程中的言語交際技巧從而提高問診的治療潛力,進(jìn)而促進(jìn)患者滿意度以及醫(yī)療質(zhì)量的提高。本文共包括六章。第一章是對整篇文章的一個簡要介紹。第二章綜述了現(xiàn)有的有關(guān)醫(yī)患交互行為的研究,其中包括當(dāng)今醫(yī)患交互... 

【文章來源】:西南大學(xué)重慶市 211工程院校 教育部直屬院校

【文章頁數(shù)】:80 頁

【學(xué)位級別】:碩士

【文章目錄】:
Acknowledgements
Abstract
內(nèi)容摘要
Chapter One Introduction
    1.1 Background to the Study
    1.2 Purpose of the Study
    1.3 Significance of the Study
    1.4 Organization of the Thesis
Chapter Two Literature Review
    2.1 Different Perspectives of Study on Doctor-Patient Interaction
        2.1.1 Sociological Perspective
        2.1.2 Psychological Perspective
        2.1.3 Linguistic Perspective
    2.2 Different Approaches of Doctor-Patient Interaction
        2.2.1 Doctor-centered Approach
        2.2.2 Patient-centered Approach
        2.2.3 Integration of These Two Approaches
    2.3 Different Purposes of Doctor-Patient Interaction
        2.3.1 Creating a Good Interpersonal Relationship (Communicative Purpose)
        2.3.2 The Exchange of Information (Informative and Diagnostic Purpose)
        2.3.3 Improving Treatment Results (Therapeutic Purpose)
Chapter Three Theoretical Foundation:Positive Psychology
    3.1 The Rise of Positive Psychology
    3.2 The Definition of Positive Psychology
    3.3 The Main Standpoints of Positive Psychology
        3.3.1 The Realization of a Balanced Psychological Science
        3.3.2 The Emphasis on Positive Strengths and Virtues
        3.3.3 The Advocacy of Positive Explanations to Problems
    3.4 Implications for Mental and Physical Health
Chapter Four Research Methodology
    4.1 Participants
    4.2 Data Collection
        4.2.1 Source of Data Collection
        4.2.2 Process of Data Collection
    4.3 Transcript Conventions
    4.4 Questionnaire for Assessing Patient Satisfaction
    4.5 Research Design and Method
        4.5.1 Research Design
        4.5.2 Data Analysis Method
Chapter Five Results and Discussion
    5.1 Results
        5.1.1 The Amount of Doctor's Positively-oriented Expressions
        5.1.2 The Score of Patient Satisfaction Questionnaire
        5.1.3 The Duration of the Medical Consultation
        5.1.4 The Correlation Between Doctor's Positively-oriented Expression and Patient Satisfaction
    5.2 Discussion
Chapter Six Conclusion
    6.1 Major Findings of the Study
    6.2 Implications of the Study
    6.3 Limitations and Prospects for Further Research
References
Appendix 1 Patient Satisfaction Questionnaire門診患者問診滿意度調(diào)查問卷
Appendix 2 Sample Transcript


【參考文獻(xiàn)】:
期刊論文
[1]中國當(dāng)代醫(yī)患會話研究綜述[J]. 劉興兵,劉琴,邵艷.  中國社會醫(yī)學(xué)雜志. 2008(01)
[2]醫(yī)患對話中委婉語的禮貌功能[J]. 梁雪清.  華夏醫(yī)學(xué). 2007(05)
[3]使用會話分析研究中國醫(yī)患會話[J]. 劉興兵,劉琴,邵艷.  醫(yī)院管理論壇. 2007(06)
[4]構(gòu)建醫(yī)患會話的合作原則[J]. 劉興兵,劉琴,邵艷,廖美珍.  醫(yī)學(xué)與哲學(xué)(人文社會醫(yī)學(xué)版). 2007(03)



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