| 无法解释的躯体症状患者的医患关系研究 |
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| 引用本文： | 吴珩,沈楠,黄东雅,陈维珺,仇剑崟,魏镜,张岚,杨建中,赵旭东,Kurt Fritzsche. 无法解释的躯体症状患者的医患关系研究[J]. 医学与哲学(人文社会医学版), 2014, 0(3): 82-85 |
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| 作者姓名： | 吴珩 沈楠 黄东雅 陈维珺 仇剑崟 魏镜 张岚 杨建中 赵旭东 Kurt Fritzsche |
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| 作者单位： | [1] 同济大学附属同济医院 上海 200065 [2] 上海市东方医院 上海 200120 [3] 上海市精神卫生中心 上海 200030 [4] 北京协和医院 北京 100730 [5] 四川华西医院 成都 610041 [6] 云南省红十字会医院 云南昆明 650200 [7] 弗莱堡大学医学中心 德国弗莱堡 D-79104 |
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| 基金项目： | 中德科学中心项目，项目编号GZ690 |
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| 摘 要： | 无法解释的躯体症状（MUS）这个术语来源于西方，目前也成为我国临床各科门诊常见就诊原因。 MUS 患者的躯体症状体验真实，但是找不到任何器质性异常，导致患者反复就医。其与接诊医生的医患关系成为研究的热点。本研究分别从医患两个视角出发，通过横断面研究发现门诊 MUS 患者医患双方对医患关系的评价较低，MUS 成为一个重要的变量影响了门诊医生对医患关系的评价。借鉴中医理论和方法避免身心分离对治疗 M US 患者有重要意义。
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| 关 键 词： | 医患关系 无法解释的躯体症状 横断面研究 |
Research on Doctor-patient Relationship of Patients with Medically Unexplained Syndrome |
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| Affiliation: | WU Heng, SHEN Nan, HUANG Dong-ya, et al. (Tongji Hospital of Tonsil University, Shanghai 200065, China) |
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| Abstract: | The term of ＆quot;medically unexplained syndromes （MUS）＆quot; came from western countries ,which has also become a common complaint in the outpatient department .Patients with M US experience real physical symptoms ,but there isn＆#39;t any structural abnormality to be found .It leads to recurrent medical examinations and treatment of patients . The doctor-patient relationship becomes a research hotspot .In this study ,respectively ,from the perspective of both doctors and patients ,it was found that doctor-patient relationship of patients with M US was worse than medically explained syndromes （MES） .Moreover ,M US become an important variable affecting the assessment of doctor-patient relationship .The results suggested that it might be meaningful to learn from traditional Chinese medicine theory and methods and to avoid the body -mind separation in the diagnosis and treatment of patients with M US . |
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| Keywords: | doctor-patient relationship medically unexplained symptoms cross-sectional study |
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