当代医生心理压力现状探讨

随着社会的进步,医学模式的转变,医疗服务行业面临着更多的压力,医生同样面临着各种各样的压力,他们来自于患方、医院、社会。一些医务人员在工作中,思想负担重,心理压力大,因此工作愉悦度低,有消极的工作情绪,甚至采取了选择离开医生工作岗位的行为。通过对某院的208名医生进行的简单问卷调查,寻找出问题的症结和医生心理压力的主要原因,从伦理学角度加以分析,为缓解医务人员压力,更好地服务患者寻求解决办法。     

西医——中医挥之不去的他者

中西医的论证是医学哲学与医学史研究的热点问题。后现代哲学可以为理解两种医学之间的关系提供一个新的视角。本文运用后现代哲学中的“他者”观念回顾了中西医之间张力的演变,指出在整个过程中“中医”未能摆脱“西医”作为“他者”的注视。并从后现代医学的角度对这种张力的未来进行展望。     

The Development and Validation of the Health Proneness Questionnaire

This series of studies describes the development, validation and potential use of the Health Proneness Questionnaire (HPQ). Recent health, wellness and illness studies focus upon the dynamic interaction between psychological and physical well-being. This newly developed scale allows practitioners to quickly screen psychological characteristics related to health and a patient's perception of their quality of life. Participants were patients in university research clinics for vision problems. Through exploratory factor analysis three factors evolved related to the hypothesized psychological characteristics involved in health related quality of life: adaptability, self-efficacy and subjective well-being. In a confirmatory factor analysis, the best fit model yielded a higher-order health-proneness factor with the original three categories as sub-factors. Further criterion-related validity comparisons and discriminant and convergent validity studies indicated a psychometrically sound short survey for examining psychological characteristics of patients with mild chronic health conditions.     

重症医学科医生心理健康的损害及其调控策略

重症医学科医生由于工作对象及工作环境的特殊性,心理健康容易遭受损害。从目前重症医学科医生心理健康损害的现状入手,陈述其心理健康损害的具体表现,分析产生其心理健康问题的常见原因,并从多个角度提出了解决其不良心理健康问题的调控策略。     

中西医结合临床思路浅谈——论辨证与辨病的关系

辨证与辨病是两种不同的思维方式,西医辨病又辨证,中医辨证又辨病,辨病与辨证是中医与西医都遵循的诊治过程,在临床中辩证运用中医与西医有利于中西医结合临床思路的建立     

从灾难医学的发展看生命的生态文化性——关于医学的“人学”本质的追问

围绕近年来备受瞩目的灾难医学的快速发展,从哲学、文化学的角度出发,就灾难医学的诞生与发展,以及其未来的发展趋势进行了概括和展望;在此基础上,就医学的本质给予理性的反思与论证,提出医学的本质乃“人学”的观点;并就“人学”的三个层次分别给予了阐释,得出医学中“人的知识”不仅是躯体的,而且是复杂的、文化的,医学应回归对生命的终极关怀的文化追求的结论。     

Health of Organisms and Health of Persons: An Embedded Instrumentalist Approach

In a time when we as a society are in the process of deciding what our basic rights to health care are, it is critically important for us to have a full and complete understanding of what constitutes health. We argue for an analysis of health according to which certain states are healthy not in themselves but because they allow an individual to reach actual goals. Recognizing that the goals of an individual considered from the point of view of biology and the goals of the same individual considered as an agent in the world might be different, we introduce a distinction between the health of an individual qua organism and the health of an individual qua person. We then argue that this distinction characterizes the evaluations made by patients and healthcare providers better than the widely discussed distinction between disease and illness.     

论医学人文价值

医学的基本价值是救护生命 ,这是医学特有的、体现医学基本任务和基本目的的内在规定 ;离开了医学的基本价值 ,医学就不成其为医学。医学的人文价值是关爱生命 ,这是医学必有的、体现医学本质和终极目的的内在规定。求真、崇善、尚美、达圣是医学人文价值的本质。离开了医学的人文价值 ,医学就不成其为人的医学     

循证医学与喉癌治疗的临床决策

循证医学(Evidence-based medicine,EBM)的飞速发展正逐渐渗透到基础医学和临床医学的各个领域。目前喉癌治疗的临床决策还存在很多不规范和不合理的问题。这要求用循证医学的原则来指导和规范喉癌治疗的临床决策,以期能在目前条件下提高病人的治疗效果、降低医疗费用及提高生活质量。