基于哈贝马斯交往行为理论的医患沟通行为研究
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南京医科大学医政学院

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Research on Doctor-patient Communication Based on the Habermas' Theory of Communication Action
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Medical humanities Collaborative Innovation Center of Nanjing Medical University

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    目的:研究医患沟通过程中的“工具行为”及“交往行为”。方法:基于哈贝马斯交往行为理论,对南京地区、苏南地区、苏中地区、苏北地区等地多家医疗机构的各岗位在职人员进行调查,并对相关数据进行描述性分析、回归分析和χ2检验。结果:医务人员长期接受工具行为的训练,其专业能力较好,但使得医患沟通处于缺乏人文关怀的语境,其交往行为需加强。结论:以技术规范为导向的“工具行为”和以相互理解为核心的“交往行为”在医患沟通中都是必要的,工具行为是医患沟通的重要手段,是专业人员准确、简洁、高效地进行医患沟通的主要途径。交往行为的合理恰当使用,是医学人文精神的重要体现。

    Abstract:

    Objectives: To research “teleological action” and “communicative action” in the process of doctor-patient communication. Methods: Based on the Habermas' theory of communicative action, the medical institutions and a number of working staff from Nanjing area, the southern region, the middle region and the northern region in Jiangsu province were investigated and data was analyzed in Pearson χ2 and Logistic Regression with SPSS21.0. Results: “Teleological action” had been trained for a long time, Medical staff are good at professional ability. However, using teleological action alone will make doctor-patient communication in the context of the lack of humanistic care. Communicative behavior should be strengthened. Conclusions: “Teleological action” and “communicative action” are both necessary in the process of doctor-patient communication. While “teleological action” is guided by technical specification, communicative action is to understand each other as the core. Teleological action is an important means of doctor-patient communication action, which is accurately, concisely and efficiently. Proper use of communicative action is the important reflection of medical humanistic spirit.

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  • 收稿日期:2015-06-30
  • 最后修改日期:2015-09-09
  • 录用日期:2015-10-26
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