摘要
“生命叙事统整”指具有一定叙事意识的生命主体主动回顾和重新整合自己的人生故事,或者不具备生命健康叙事意识的主体在健康行业人员的介入下,讲述自己的生命故事,将其整合进一个连贯的、不断向前发展的生命叙事进程中的过程。从生命叙事统整这一关键词出发,提出叙事统整的分类模式:从人生阶段来看,分为“阶段性叙事统整”和“全局性叙事统整”;从统整的叙事风格来看,分为“积极叙事统整风格”和“消极叙事统整风格”;从主观能动性判断,分为“主动叙事统整调节”和“被动叙事统整调节”。继而阐明叙事统整对于每一个生命主体,尤其是患者的疼痛舒缓、生命复元力提升、长者健康老化以及临终者的终极安宁而言的重要价值,倡导医疗健康从业者增强职业叙事能力,有效引导患者展开生命叙事统整调节,助其走出叙事闭锁,提升医疗照护质量。
“Bio-narrative integration”refers to the process in which a life subject with narrative consciousness actively reviews and reintegrates their life stories,or a subject lacking life and health narrative awareness,with the intervention of healthcare professionals,tells their own life stories and integrates them into a coherent and constantly evolving life narrative process.Starting from the keyword of bio-narrative integration,this paper proposed a classification model of narrative integration.From the perspective of life stages,it was divided into“phasic narrative integration”and“holistic narrative integration.”In terms of integrated narrative style,it was categorized as“positive narrative integration style”and“negative narrative integration style.”Regarding subjective initiative,it was classified as“active narrative integration regulation”and“passive narrative integration regulation.”Then it elaborated the significant value of narrative integration for every life subject,especially in pain relief,the improvement of life resilience,the healthy aging of the elderly,and the ultimate peace of the dying.It was advocated that healthcare practitioners should enhance their professional narrative competence,effectively guide patients to engage in bio-narrative integration regulation,and help them overcome narrative closure,thereby improving the quality of medical care.
作者
杨晓霖
田峰
周霞
YANG Xiaolin;TIAN Feng;ZHOU Xia(General Education Department,Southern Medical University,Guangzhou 510515,China;Narrative Medicine Research Center,Shunde Hospital,Southern Medical University,Foshan 528000,China;Health Management Center,Shunde Hospital,Southern Medical University,Foshan 528000,China;Department of Nursing,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)
出处
《中国医学伦理学》
北大核心
2026年第2期207-214,共8页
Chinese Medical Ethics
基金
广东省教育厅特色创新类项目“新医科语境下的生命健康叙事与健康管理研究”(2022WTSCX009)
2021年国家社会科学基金后期资助项目“生命健康与叙事生态研究”(21FSHB007)。
关键词
叙事医学
生命叙事统整
医者职业叙事能力
患者生命质量
narrative medicine
bio-narrative integration
physicians’professional narrative competence
patients’quality of life
