病人的人格解体及其历史:文献的整体视角

B. Bispo, Déborah Fabrícia Lopes Santos, A. Macedo
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引用次数: 1

摘要

背景:病人的去人格化和他/她的病史存在于医疗保健中,并且在文献中被非常敏感地描述,因为它代表了人的整体,表明了这种去人格化过程是多么有害。目的:这篇文章的目的是证明多少文献可以提供一个整体的观点,病人在自主性丧失的过程中。结果:作者格拉西利亚诺·拉莫斯的短篇小说《保罗》以一种诗意而具体的方式,分析了病人和他的历史的去人格化的场景,以及这是多么令人痛苦。另一方面,重要的是要分析诸如职业倦怠综合征和COVID-19大流行等背景,因为这些情景会引发卫生专业人员的身体和情绪压力,因此可能引发护理人员的情感距离和非人化。结论:文献从患者的角度引入主观性来代表疾病和住院的过程,从而允许对存在的整体看法,这对于最大限度地减少患者及其病史的去人格化至关重要。从这一背景下的分析是必要的,以插入方法的护理超越了对疾病的关注,与欣赏倾听和病人的自主权。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A despersonalização do paciente e da sua história: uma visão holística da literatura
BACKGROUND: The depersonalization of the patient and his/her history is present in health care and it is described with great sensitivity in the literature, which, because it represents the human being integral, demonstrates how harmful this dehumanization process can be. OBJECTIVE: This essay aims to demonstrate how much the literature can provide a holistic view of the patient in the process of loss of autonomy. RESULTS: The short story Paulo by author Graciliano Ramos analyzes, in a poetic and specific way, a scenario of depersonalization of the patient and his history and how distressing it can be. On the other hand, it is important to analyze contexts such as the professional with Burnout syndrome and the pandemic by COVID-19 as potentiating this patient's dehumanization, since these scenarios trigger physical and emotional stress for the health professional and, therefore, can trigger emotional distance and dehumanization by the caregiver. CONCLUSION: The literature brings subjectivity to represent the process of illness and hospitalization from the perspective of the patient and, thus, allows an integral view of the being, which is essential to minimize the depersonalization of the patient and his history. The analysis from this context is necessary to insert approaches in care that go beyond the focus on illness, with the appreciation of listening and patient’s autonomy.
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