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医患之间积极取向的言语交互行为及患者满意度研究

发布时间:2021-05-09 19:51
  医患言语交互是医疗过程中的主要组成部分。近年来,医患之间的交互行为正吸引着越来越多的来自语言学界、心理学界以及医疗界的学者的关注。虽然医患言语交互行为已成为一个热门话题,但是相关的研究还是比较零散,而且缺乏可靠的理论支撑。通过对现有有关医患言语交互行为文献的整理,借助积极心理学理论的新发展,并采用定量分析的方法,本论文对医患之间积极取向的言语交互行为以及其对患者满意度的影响进行了探索性研究,验证了作者所提出的“医疗价值链”的第一部分。本文对医生在问诊过程中积极取向的言语表达的数量,患者满意度问卷的评分,以及问诊时间的长短进行了详细的分析,从而证明了医患之间积极取向的言语交互行为与患者满意度之间存在的强度正相关,并指出医生在问诊过程中应主动向患者施加积极心理干预进而满足患者的心理需求。另外,本文的研究结果也间接证明了医疗从生物.医学模式向生物-心理-社会模式转变的必要性。旨在呼吁医生重视自己在问诊过程中的言语交际技巧从而提高问诊的治疗潜力,进而促进患者满意度以及医疗质量的提高。本文共包括六章。第一章是对整篇文章的一个简要介绍。第二章综述了现有的有关医患交互行为的研究,其中包括当今医患交互... 

【文章来源】:西南大学重庆市 211工程院校 教育部直属院校

【文章页数】:80 页

【学位级别】:硕士

【文章目录】:
Acknowledgements
Abstract
内容摘要
Chapter One Introduction
    1.1 Background to the Study
    1.2 Purpose of the Study
    1.3 Significance of the Study
    1.4 Organization of the Thesis
Chapter Two Literature Review
    2.1 Different Perspectives of Study on Doctor-Patient Interaction
        2.1.1 Sociological Perspective
        2.1.2 Psychological Perspective
        2.1.3 Linguistic Perspective
    2.2 Different Approaches of Doctor-Patient Interaction
        2.2.1 Doctor-centered Approach
        2.2.2 Patient-centered Approach
        2.2.3 Integration of These Two Approaches
    2.3 Different Purposes of Doctor-Patient Interaction
        2.3.1 Creating a Good Interpersonal Relationship (Communicative Purpose)
        2.3.2 The Exchange of Information (Informative and Diagnostic Purpose)
        2.3.3 Improving Treatment Results (Therapeutic Purpose)
Chapter Three Theoretical Foundation:Positive Psychology
    3.1 The Rise of Positive Psychology
    3.2 The Definition of Positive Psychology
    3.3 The Main Standpoints of Positive Psychology
        3.3.1 The Realization of a Balanced Psychological Science
        3.3.2 The Emphasis on Positive Strengths and Virtues
        3.3.3 The Advocacy of Positive Explanations to Problems
    3.4 Implications for Mental and Physical Health
Chapter Four Research Methodology
    4.1 Participants
    4.2 Data Collection
        4.2.1 Source of Data Collection
        4.2.2 Process of Data Collection
    4.3 Transcript Conventions
    4.4 Questionnaire for Assessing Patient Satisfaction
    4.5 Research Design and Method
        4.5.1 Research Design
        4.5.2 Data Analysis Method
Chapter Five Results and Discussion
    5.1 Results
        5.1.1 The Amount of Doctor's Positively-oriented Expressions
        5.1.2 The Score of Patient Satisfaction Questionnaire
        5.1.3 The Duration of the Medical Consultation
        5.1.4 The Correlation Between Doctor's Positively-oriented Expression and Patient Satisfaction
    5.2 Discussion
Chapter Six Conclusion
    6.1 Major Findings of the Study
    6.2 Implications of the Study
    6.3 Limitations and Prospects for Further Research
References
Appendix 1 Patient Satisfaction Questionnaire门诊患者问诊满意度调查问卷
Appendix 2 Sample Transcript


【参考文献】:
期刊论文
[1]中国当代医患会话研究综述[J]. 刘兴兵,刘琴,邵艳.  中国社会医学杂志. 2008(01)
[2]医患对话中委婉语的礼貌功能[J]. 梁雪清.  华夏医学. 2007(05)
[3]使用会话分析研究中国医患会话[J]. 刘兴兵,刘琴,邵艳.  医院管理论坛. 2007(06)
[4]构建医患会话的合作原则[J]. 刘兴兵,刘琴,邵艳,廖美珍.  医学与哲学(人文社会医学版). 2007(03)



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