门诊中医生重复语的会话分析

发布时间：2018-08-03 13:36

【摘要】：话语在医患交流中起着举足轻重的作用,近年来受到越来越多的学者的关注。医患交流中整个诊断治疗的过程以话语沟通为主体。医患会话是一种特殊的机构话语,有着独特的目的性和功能性。对话的有效性直接关系到医生与患者的关系,从而影响患者的治疗结果和满意程度。在医患会话中,医生重复自己或者患者的叙述这一现象时有发生。因此,本文从浙江省两所三甲医院收集了大约30个小时的语料,从句子功能类型的角度对医生重复语的特征和功能做了分析。通过分析语料我们发现,在医患门诊会话中,医生主要使用四种重复语:确认性重复语,解释性重复语,询问性重复语,指令性重复语,并以此来与患者进行沟通交流。医生重复语的功能可以归类为四种:强调,认可,阐释,确认。第一,医生的重复强调主要是为了引起患者的注意,从而遵从医嘱。第二,医生对患者话语的认可,主要是为了减轻患者紧张的情绪以及建立双方的信任关系。第三,医生的阐释语有助于缓解医生和患者之间紧张的关系并使得患者更有自信和勇气。第四,医生的重复确认有利于保证医生和患者之间所传递的信息的准确性,从而提出正确的治疗方案。最后,分析结果表明,医患门诊会话中医生重复语的使用有利于医生及时掌握患者的病情,安抚患者紧张的情绪,同时也有利于患者对自身病情的了解,从而促进医患交流的顺利进行。
[Abstract]:Discourse plays an important role in doctor-patient communication and has attracted more and more scholars' attention in recent years. The whole process of diagnosis and treatment in the communication between doctors and patients is dominated by discourse communication. Doctor-patient conversation is a special institutional discourse with unique purpose and function. The effectiveness of the dialogue is directly related to the relationship between the doctor and the patient, thus affecting the outcome and satisfaction of the patient. In doctor-patient conversation, the phenomenon of doctors repeating their own or patient's narratives occurs from time to time. Therefore, this paper collected about 30 hours of language data from two third Class A hospitals in Zhejiang Province, and analyzed the characteristics and functions of doctors' repetition from the perspective of sentence function types. By analyzing the corpus, we find that doctors mainly use four kinds of repetition: confirmative repetition, interpretive repetition, interrogative repetition and directive repetition, so as to communicate with the patients. The functions of a doctor's repetition can be classified into four categories: emphasis, approval, interpretation, and confirmation. First, the doctor's repeated emphasis is mainly to attract the patient's attention and thus comply with the doctor's advice. Second, doctors'approval of patient's words is mainly to reduce the tension and build trust relationship between the two sides. Thirdly, the doctor's explanation helps to ease the tension between the doctor and the patient and to make the patient more confident and courageous. Fourth, the repeated confirmation of the doctor can ensure the accuracy of the information transmitted between the doctor and the patient, so as to put forward the correct treatment plan. Finally, the analysis results show that the use of doctor repetition in doctor-patient clinic conversation is helpful for doctors to grasp the patient's condition in time, to appease the nervous mood of the patient, and also to understand the patient's condition. So as to promote the smooth progress of doctor-patient communication.
【学位授予单位】：杭州师范大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：H136

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