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Hvad siger patienterne? - En undersøgelse af patienters forestillinger om hvad læger kan og skal i læge-patient-kommunikationen

机译:病人怎么说? -研究患者对医生在医患沟通中可以做什么和应该做什么的看法

摘要

The aim of this thesis is to shed light on how women with the hormonal disorder PCOS (Polycystic ovary syndrome) experience physician-patient-communication. The thesis therefore examines which ideas these women have about what physicians can and must do.As theoretic foundation the thesis contains theories about physician-patient-communication and other theories such as women’s experiences with living a life with PCOS, what good physician-patient-communications is, and as a final addition positioning theory. The empirical basis are nine semi-structured interviews with women with PCOS aged 20-33 years. As a methodical tool self-ethnography is used as an attempt to get close to the interviewee’s perspectives.The thesis concludes several things. It turns out that all the interviewees somehow articulate their consultations as frustrating. First, they indicate that their physicians are absent because they don’t listen or understand them. Second, they say that the physicians are incompetent. The interviewees express that the physicians have a lack of knowledge about PCOS and the consequences are that they aren’t able to give them any usable answers, instructions or further references to a specialist. However some interviewees uttered, that it is not possible for the physicians to know everything. Third, the physicians are portrayed as dishonest based on the interviewee’s feelings and ideas, that physicians would rather hide their doubt than expose their insecurities and risk losing their face. But some of the interviewees stated that they want their physicians to be honest which indicate contradicting opinions. Fourth, they express a number of things they think their physicians can do differently. Few gave some examples of a satisfying consultation. But it is vaguely showed that they have a feeling throughout the whole consultation where they feel calmed, understood and right about their self-diagnosis. The thesis also shows that positionings between the patients and physicians appear. Mostly it makes the patients experience the physicians as condescending which has an impact on the physician-patient-communication.Finally it turns out that the interviewee’s ideas of what is going to happen in the physician-patient-communication, is most likely not in accordance with the physicians’ ideas. Therefore it would be beneficial if the physicians made it even more clear, what they actually can and must do. Especially when it turns out that the interviewees visit their physicians with a lot of ideas about what the physicians can do, which do not reflect the reality and sometimes isn’t possible for the physicians to live up to.
机译:本文的目的是阐明荷尔蒙失调症多囊卵巢综合征(Polycystic ovary syndrome,PCOS)妇女如何经历医患沟通。因此,本文研究了这些女性对医生可以做什么必须采取的想法。作为理论基础,论文包含了有关医患沟通的理论以及其他理论,例如女性在PCOS生活中的经历,什么好的医患通讯是,并且作为最终的定位理论。经验基础是对年龄在20-33岁的PCOS妇女进行9次半结构化访谈。作为一种有条理的工具,民族志被用来试图接近被访者的观点。本文总结了几件事。事实证明,所有受访者都以某种方式表明他们的咨询令人沮丧。首先,他们表明他们的医生不在,因为他们不听或不理解他们。其次,他们说医师无能。受访者表示,医生对PCOS缺乏了解,其后果是他们无法为他们提供任何有用的答案,说明或专家的进一步参考。但是,一些受访者说,医生不可能一无所知。第三,基于受访者的感受和想法,医生被描绘成最不诚实的人,即医生宁愿隐藏自己的疑问,而不是揭露自己的不安全感并冒着丢脸的风险。但是,一些受访者表示,他们希望自己的医生诚实,这表明矛盾的观点。第四,他们表达了许多他们认为医生可以做的不同的事情。很少有人给出令人满意的咨询的例子。但是模糊地表明,他们在整个咨询过程中都有一种感觉,他们对自己的自我诊断感到平静,理解和正确。论文还表明,病人和医生之间出现了定位。多数情况下,这会使患者体验到医生的自高自大,这会影响到医患沟通。最后,事实证明,受访者对医患沟通中将要发生的事情的想法极有可能是不一致的与医生的想法。因此,如果医师们更清楚地说明他们实际上可以并且必须做什么,那将是有益的。尤其是事实证明,受访者带着很多关于医生可以做什么的想法来拜访医生时,这些想法并不能反映现实,有时甚至无法让医生实现。

著录项

  • 作者

    Olesen Anette;

  • 作者单位
  • 年度 2015
  • 总页数
  • 原文格式 PDF
  • 正文语种 da_DK
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