摘要
目的应用社会学定性研究方法描述中医医患交流的过程,明确中医诊疗过程中不可量化的相关因素对患者的影响。方法使用半结构式访谈提纲对25位寻求中医治疗的患者进行个体深入访谈;采用主题分析的方法进行定性资料分析。结果分析浮现出的主题有就医选择、医患关系、依从性。就医初衷、就医途径、渴求理想的中医生、渴求接受理想的中医治疗影响患者选择就医;患者受益于良好的医患关系和由此所建立的医患信任是医患关系形成的重要因素;医生建议、疗效、家庭支持和各种困难是影响患者依从性的主要因素。结论患者注重中医药的疗效,疗效决定了医患关系和依从性。患者希望接受医德医术双馨的中医生的诊治,重视医生的态度和医疗服务质量,希望建立医患良好、有效和充分的沟通。患者就医过程中很多环节可能影响患者对治疗的依从性。
Objective To deeply describe the process of TCM physician-patient communication by applying the sociology qualitative methods and to determine the influences of relevant non-numerical factors on patients during the diagnosis and treatment process.Methods The individual depth interview was carried out in 25 patients,who were seeking for TCM treatment,by applying semi-structured interview guideline.The theme analysis was used in material qualitative study.Results The themes emerged after the analysis included medical choices,physician-patient relationship and treatment adherence.The factors influencing patients＇ choices included original intention and way for seeing physicians,and desire for ideal TCM physicians and ideal TCM treatment.Good physician-patient relationship from which the patients were benefited and trust between physician and patient were the important factors for the formation of physician-patient relationship.Physicians＇ suggestions,curative effect,family support and various difficulties were main factors influencing patients＇ treatment adherence.Conclusion Patients value the curative effect of Chinese medicine,and the curative effect decides the physician-patient relationship and treatment adherence.Patients prefer to be treated by the physicians with higher therapeutic skills and noble ethic and put more emphasis on physician＇s attitude and medical care quality.They hope a good physician-patient relationship and effective communication.Many links in the course of seeking medical care by patients may influence the treatment adherence.
出处
《北京中医药大学学报》
CAS
CSCD
北大核心
2010年第11期732-736,共5页
Journal of Beijing University of Traditional Chinese Medicine
基金
国家重点基础研究发展计划(973计划)资助项目(No.2006CB504602)
科技部国际科技合作项目(No.2009DFA31460)
国家公派专项研究生奖学金项目
关键词
中医治疗
医患交流
医患关系
定性研究
TCM treatment
physician-patient communication
physician-patient relationship
qualitative study
