儿童和青少年因癌症住院的叙述中与医生的关系

B. Antoszewska, Aleksandra Tobota
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摘要

长期以来,科学文献一直强调医患关系的关键价值。这种关系显著影响患者的治疗过程。对于患有癌症的儿童和青少年,由于患者的年龄和疾病的类型,与医生的关系具有特殊的价值。儿童和青少年在治疗期间会见各种专家(医生);然而,他们与他们的主治医生建立了长期而密切的关系。根据定义,这种关系在强化治疗和维持治疗期间是最重要的。医生的参与是无可争辩的,它直接关系到治疗过程及其成功。然而,同样非常重要的是医生对特定病人的兴趣和这种关系的个性化本质:治疗医生(主体)-儿童(主体)。医生与病人沟通和治疗的方式对病人在治疗期间和治疗后的健康有重大影响。与医生的关系也决定了患者在以后日常生活中的主体性和自尊。本文提出的研究结果集中在儿童和青少年的意见与他们的治疗医生的关系。该研究是在属于波兰儿科白血病和淋巴瘤研究组的三个机构进行的。该研究涉及62名7-17岁的儿童,他们处于癌症治疗的不同阶段。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Relationship with a physician in the narratives of children and adolescents hospitalized due to cancer
The key value of the physician-patient relationship has been strongly emphasized in scientific literature for a long time. This relationship impacts significantly the patient’s therapeutic process. In case of children and adolescents suffering from cancer, the relationship with physician is of a specific value due to both the age of such patients and the type of disease. Children and adolescents meet various specialists (physicians) during their treatment; however, they establish a long-term and quite intensive relationship with their treating physician. This relationship is, by definition, most important during intensive and maintenance therapy. The physician’s involvement is indisputable and it is directly related to the therapeutic process and its success. However, what is also extremely important is the physician’s interest in a particular patient and a personalized nature of this relationship: treating physician (subject) – child (subject). The manner in which the physician communicates with and treats his or her patient has a significant impact on the patient’s wellbeing during treatment and afterwards. The relationship with a physician also determines the patient’s subjectivity and self-esteem in later everyday life. The paper presents the results of research focused on the opinions of children and adolescents concerning relationships with their treating physicians. The study was conducted in three institutions which belong to the Polish Paediatric Leukaemia and Lymphoma Study Group. It involved 62 children aged 7–17 years old at different stages of their cancer treatment.
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