The hidden patient.
The hidden patient.
复制标题
DOI：
10.1016/s0140-6736(03)14820-9
复制
发表时间：
2003-11-15
期刊：
影响因子：
--
通讯作者：
Hill, Joal
中科院分区：
文献类型：
--
作者：
Hill, Joal
尽管医生的主要道德义务确实是在其直接护理中对患者负责，但如果忽视护理的社会心理方面，就会错过医患关系的重要方面。此外，对于儿科医生、老年病学家和其他专家来说，患者完全自主的概念根本不适用。患者在特定的环境中经历他们的疾病和治疗，这种环境既塑造了他们的关系，又受到他们的关系的影响。当疾病改变患者的功能、社会角色或身份时，他们的关系也会不可避免地发生变化。杰克·梅达利 (Jack Medalie) 1 描述了他与一位患者的经历，这永远改变了他的医学理论和实践，并产生了他的“隐藏患者”概念，即因照顾患有慢性和长期疾病的家庭成员而容易受到伤害的护理人员。
Although it is true that a physician's primary ethical obligation is to the patient in his or her immediate care, important dimensions of the physician-patient relationship are missed when psychosocial aspects of care are ignored. Moreover, for paediatricians, gerontologists, and other specialists, the notion of a singularly autonomous patient simply does not apply. Patients experience their illnesses and treatments in a particular context that both shapes and is shaped by their relationships. When illness is such that it alters the patient's function, social role, or identity, there are inevitable changes in their relationships as well.Jack Medalie 1 described his experience with a patient that forever altered his theory and practice of medicine and resulted in his idea of the “hidden patient”—caregivers who are vulnerable as a result of attending to family members with chronic and long-term illnesses.