摘要
随着和谐医患关系的重要性日益凸显,寻找有效的沟通方式以增强双方互动质量成为迫切的需求,探索多模态沟通的应用及其在促进和谐医患关系构建中的作用,通过整合语言、非言语行为、视觉辅助及数字工具等多种沟通模式,探析提高医患沟通的全面性和有效性。通过对某市3家三甲医院的访谈调研发现,多模态沟通能显著增强信息传递的清晰度和患者理解,促进情感表达激励患者主动参与治疗过程,从而有效提升医患互动的和谐性。多模态沟通在加强医患关系中也具有关键效用,主要表现在有利于建立相互信任的医患关系、促进共情的多种沟通策略、提升多渠道信息交流途径、调解医患关系危机与冲突等,基于此,提出了通过多模态沟通提升和谐医患关系的策略:搭建差异适应的多模态桥梁,完善医患沟通策略实践机制;培训医生的多模态沟通能力,增强情感与信息的有效传递;实施多模态评估与反馈机制,建立即时和长期的评估系统;激励患者参与的多模态策略,提升患者医疗互动的主动性。未来的医疗实践与政策制定应重视多模态沟通策略的系统化培训和实施,以充分发挥其在医患关系中的潜在价值。
As the significance of the doctor-patient relationship has become increasingly prominent,seeking effective communication methods to enhance the quality of interaction between the two sides has become an urgent need.This paper aimed to explore the application of multimodal communication and its role in promoting the doctor-patient relationship,as well as to analyze and improve the comprehensiveness and effectiveness of doctor-patient communication by integrating various communication modes such as language,non-verbal behavior,visual aids,and digital tools.Through interviews and investigations conducted at three tertiary A hospitals in M city,it was found that multimodal communication can significantly enhance the clarity of information transmission and patients’understanding,promote emotional expression,and encourage patients to actively participate in the treatment process,thereby effectively improving the harmony of doctor-patient interaction.Multimodal communication also played a crucial role in strengthening the doctor-patient relationship,mainly in terms of being conducive to building a mutually trusting doctor-patient relationship,facilitating various communication strategies for empathy,enhancing multi-channel information exchange approaches,mediating crises and conflicts in the doctor-patient relationship,and other aspects.Therefore,this paper proposed strategies for enhancing a harmonious doctor-patient relationship through multimodal communication.These strategies included building multimodal bridges for differential adaptation and improving the practical mechanism of doctor-patient communication strategies;training doctors’multimodal communication skills and enhancing the effective transmission of emotion and information;implementing a multimodal evaluation and feedback mechanism and establishing an immediate and long-term evaluation system;and motivating patients to participate in multimodal strategies to enhance their initiative in medical interactions.Future medical practice and policymaking should attach greater importance to the systematic training and implementation of multimodal communication strategies to fully realize their potential value in the doctor-patient relationship.
作者
姜荣格
姜雪
刘海柏
梁怀珍
JIANG Rongge;JIANG Xue;LIU Haibai;LIANG Huaizhen(Department of Emergency,Bao Ding No.1 Central Hospital,Baoding 071000,China;Department of Traditional Chinese Medicine,Shijiazhuang Medical College,Shijiazhuang 050599,China)
出处
《中国医学伦理学》
北大核心
2025年第8期1029-1037,共9页
Chinese Medical Ethics
基金
河北省医学科学研究课题计划“多途径健康宣教在胫骨骨折患者术后康复近期、远期效果评价”(20191508)。
关键词
多模态沟通
医患关系
情感表达
患者参与
multimodal communication
doctor-patient relationship
emotional expression
patient participation
