摘要
目的利用共词分析方法对近10年国内研究的叙事医学文献进行分析,探讨该领域的研究现状,为进一步研究奠定基础。方法在中国知网、万方、维普数据库以“叙事医学”为主题词,限定文献年限为2013—2022年,通过检索并纳入符合研究标准的文献,采用Bicomb2对下载文献进行关键词统计和分析,再使用Ucinet6.0及Netdraw绘制共现分析图,将高频关键词之间的共现关系可视化。结果共纳入文献565篇,提取高频关键词31个,通过共现关系图可见,目前国内叙事医学的研究热点包括中医学、护理学、全科医学、循证医学、医学伦理、临终关怀、慢性疾病、癌症等热门学科及疾病;提高医务人员共情以及人文关怀能力,改善医患沟通进而改善医患关系;做好医学人文教育、以平行病历和反思性写作培养叙事能力等;而有关老年医学、提高医务人员职业认同感、文学与医学相融合、对患者影响相关研究处于外围位置,相对较少。结论现阶段叙事医学在护理学、中医学、全科医学、慢性疾病以及癌症、医学人文教育、改善医患关系等领域已取得较多成果,未来可从叙事医学在多学科及疾病领域使用、尝试不同的培养方式、教生同步培养等方面进行深入探讨,以构建更加完善的叙事医学体系。
Objective: The co-word analysis method was used to analyze narrative medical literature studied in China in the past 10 years to explore the research status in this field and lay a foundation for further research. Methods: Using narrative medicine as the theme term, with the limited time interval of 2013—2022 to retrieve for relevant literature in CNKI, Wanfang, and VIP databases, and include literature that meets the research standards. Bicomb2 was used to perform keyword statistics and analysis on the downloaded literature. Ucinet6.0 and Netdraw were used to draw co-occurrence analysis graphs to visualize the co-occurrence relationship between high-frequency keywords. Results: A total of 565 papers were included and 31 high-frequency keywords were extracted. The co-occurrence relationship diagrams showed that the current research hotspots of narrative medicine in China include traditional Chinese medicine, nursing, general practice, evidence-based medicine, medical ethics, hospice care, chronic diseases, cancer and other popular disciplines and diseases. Most of them were about enhancing the empathy and humanistic caring ability of medical personnel and improving doctor-patient communication to improve the doctor-patient relationship, as well as doing well in medical humanities education and cultivating narrative ability through parallel medical records and reflective writing. The research on gerontology, improving the professional identity of medical staff, integrating literature and medicine, and the impact on patients were relatively few. Conclusion: At present, narrative medicine in China has achieved many achievements in fields such as nursing, traditional Chinese medicine, general practice medicine, chronic diseases, cancer, medical humanities education, and improving doctor-patient relationships. In the future, in-depth exploration can be conducted from the use of narrative medicine in multi-disciplinary and disease fields, trying different training methods, and synchronous cultivation of teachers and students, so as to build a more comprehensive narrative medicine system.
作者
刘孝美
古瑶
唐孟言
曾利敏
彭文涛
LIU Xiaomei;GU Yao;TANG Mengyan;ZENG Limin;PENG Wentao(Nursing Unit of Child Health Department,West China Second University Hospital,Sichuan University/West China School of Nursing,Sichuan University,Chengdu 610041,China;Nursing Unit of Pediatric Gastroenterology Department,West China Second University Hospital,Sichuan University/West China School of Nursing,Sichuan University,Chengdu 610041,China;Key Laboratory of Birth Defects and Related Gynecological and Pediatric Diseases,Ministry of Education,Chengdu 610041,China)
出处
《中国医学伦理学》
2023年第11期1200-1207,共8页
Chinese Medical Ethics
关键词
叙事医学
共词分析
医学人文教育
医患关系
Narrative Medicine
Co-word Analysis
Medical Humanities Education
Doctor-patient Relationship
