摘要
目的探讨基于叙事医学的医患沟通对消化内科患者健康的影响,并重点探索叙事医学的临床介入路径。方法将50例腹泻型肠易激综合征合并功能性消化不良患者随机分为研究组和对照组,各25例。对照组行常规诊疗,研究组在此基础上开展基于叙事医学的医患沟通干预。比较干预前、后两组患者的胃肠激素指标水平,并总结叙事医学的临床介入路径。结果干预前,两组生长抑素和胃动素水平比较,差异无统计学意义(P>0.05);干预后3个月,研究组生长抑素水平显著高于干预前及对照组,胃动素显著低于干预前及对照组,差异均具有统计学意义(P<0.05)。结论基于叙事医学的医患沟通有助于调节患者胃肠激素水平,促进患者健康。医务人员应重视医患沟通,完善基于叙事医学的医患沟通介入路径,将其在临床中推广。
Objective To explore the effect of doctor-patient communication based on narrative medicine on the health of patients in gastroenterology department, and to explore the clinical intervention pathway of narrative medicine. Methods Fifty patients with diarrhea irritable bowel syndrome complicated with functional dyspepsia were randomly divided into study group and control group, with 25 cases in each group. The control group received routine diagnosis and treatment, and the study group carried out doctor-patient communication intervention based on narrative medicine on this basis. The levels of gastrointestinal hormones in the two groups before and after intervention were compared, and the clinical interventional pathways of narrative medicine were summarized. Results Before intervention, there were no significant differences in the levels of somatostatin and motilin between the two groups(P>0.05). At 3 months after intervention, the level of somatostatin in the study group was significantly higher than that before intervention and in the control group, and the level of motilin was significantly lower than that before intervention and in the control group(P <0.05). Conclusion Doctor-patient communication based on narrative medicine can help to regulate the levels of gastrointestinal hormones and promote the health of patients. Medical staff should pay attention to doctor-patient communication, improve the interventional pathways of doctor-patient communication based on narrative medicine, and promote it in clinical practice.
作者
陈向凡
张印
杨柠溪
CHEN Xiang-fan;ZHANG Yin;YANG Ning-xi(School of Pharmacy, Nantong University, Nantong 226001;Gastroenterology Department, Huiyang Sanhe Hospital, Huizhou 516211;School of Health Science, Wuhan University, Wuhan 430071, China)
出处
《临床医学研究与实践》
2019年第6期26-28,共3页
Clinical Research and Practice
关键词
医患沟通
叙事医学
消化内科
腹泻型肠易激综合征
功能性消化不良
doctor-patient communication
narrative medicine
gastroenterology department
diarrhea irritable bowel syndrome
functional dyspepsia
