医务社会工作介入白血病儿童家庭的困境分析
发布时间：2019-01-10 07:39
【摘要】：白血病是儿童时期常见的恶性肿瘤疾病,在治疗过程中患儿承受着生理和心理两方面的煎熬,随着现代医疗技术的不断发展,患儿及其家庭心理社会层面的治疗和辅导越来越受到重视。医务社会工作的出现不仅满足了人们这一需要,而且逐渐成为现代医疗过程中不可或缺的重要组成部分。此次研究结合本人对白血病患儿家庭提供的具体服务,对这一实践过程进行研究和反思,运用嵌入性发展理论分析医务社会工作在介入患儿家庭时面临的困境和挑战。研究发现,医务社工在嵌入原有医疗体系,对白血病儿童家庭提供服务时,面临以下几方面的困境:一是作为嵌入主体的医务社工存在自身实务能力不足、专业认同感较低、社会知晓度不高等问题;二是作为被嵌入一方的医院给医务社工提供的让渡空间有限,服务对象对现代健康观念表现出低认同等;三是医务社工在嵌入过程中存在选择性服务和嵌入失真等现象;四是从嵌入效应上看,医务社工服务介入效果不明显,且自身发展的自主性受限等。最后针对以上困境进行探讨,提出应该从主体层面注重和加强专业医务社工教育;在对象层面,优化医务社工与医生的协同合作机制来为患儿家庭提供更全面的服务,并在已有的“社工+志愿者”的模式基础上试图探索“医院-社工部-社工机构”三位一体的医务社工实务模式的应用。
[Abstract]:Leukemia is a common malignant tumor disease in childhood. In the course of treatment, the child is suffering from both physical and psychological aspects. With the development of modern medical technology, More and more attention has been paid to the psycho-social treatment and counseling of children and their families. The emergence of medical social work not only meets the needs of people, but also gradually becomes an indispensable part of modern medical process. This study combined with the specific services provided by my family to children with leukemia, this practical process of research and reflection, the use of embedded development theory to analyze the medical social work in the intervention of the child's family difficulties and challenges. The study found that medical social workers are faced with the following difficulties when they are embedded in the original medical system to provide services to leukemia children's families: first, the medical social workers, as embedded subjects, have their own lack of practical ability and low professional identity. The social awareness degree is not high and so on; Second, the hospital as one of the embedded side provides limited space for medical social workers, and the service object shows a low recognition of modern health concept, third, the medical social worker has the phenomenon of selective service and embedded distortion in the process of embedding. Fourthly, from the perspective of embedding effect, the intervention effect of medical social work service is not obvious, and the autonomy of its own development is limited. Finally, in view of the above difficulties, the author puts forward that we should pay attention to and strengthen the education of professional medical social workers from the subject level; At the target level, we should optimize the cooperative mechanism between medical social workers and doctors to provide more comprehensive services for families with children. On the basis of the existing model of "social worker volunteers", this paper attempts to explore the application of the "hospital-social work department-social work organization" three-in-one medical social work practice model.
【学位授予单位】：兰州大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：C916
本文编号：2406061
[Abstract]:Leukemia is a common malignant tumor disease in childhood. In the course of treatment, the child is suffering from both physical and psychological aspects. With the development of modern medical technology, More and more attention has been paid to the psycho-social treatment and counseling of children and their families. The emergence of medical social work not only meets the needs of people, but also gradually becomes an indispensable part of modern medical process. This study combined with the specific services provided by my family to children with leukemia, this practical process of research and reflection, the use of embedded development theory to analyze the medical social work in the intervention of the child's family difficulties and challenges. The study found that medical social workers are faced with the following difficulties when they are embedded in the original medical system to provide services to leukemia children's families: first, the medical social workers, as embedded subjects, have their own lack of practical ability and low professional identity. The social awareness degree is not high and so on; Second, the hospital as one of the embedded side provides limited space for medical social workers, and the service object shows a low recognition of modern health concept, third, the medical social worker has the phenomenon of selective service and embedded distortion in the process of embedding. Fourthly, from the perspective of embedding effect, the intervention effect of medical social work service is not obvious, and the autonomy of its own development is limited. Finally, in view of the above difficulties, the author puts forward that we should pay attention to and strengthen the education of professional medical social workers from the subject level; At the target level, we should optimize the cooperative mechanism between medical social workers and doctors to provide more comprehensive services for families with children. On the basis of the existing model of "social worker volunteers", this paper attempts to explore the application of the "hospital-social work department-social work organization" three-in-one medical social work practice model.
【学位授予单位】：兰州大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：C916
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