Recognizing and Maximizing the Nexus of Perioperative Medicine and Narrative Medicine
Recognizing and Maximizing the Nexus of Perioperative Medicine and Narrative Medicine
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认识并最大化围手术期医学和叙事医学的联系
DOI：
10.1213/ane.0000000000006323
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发表时间：
2023
影响因子：
5.7
通讯作者：
T. Vetter
中科院分区：
文献类型：
--
作者：
T. Vetter
围手术期医学仍然是一个不断发展的，跨学科的子专业，它包括独特的观点，并结合了众多利益相关者各自的重要专业知识。这种围手术期医学和护理的综合模式具有广泛的临床，战略和运营目标。在这些不同的计划目标中，4个具体的相互依存的目标的子集包括：（1）加强以患者为中心的护理，（2）拥抱共同决策，（3）优化健康素养，（4）避免徒劳的手术。实现和维持这4个目标的子集需要持续创新的围手术期护理方法。新兴的叙事医学领域代表了围手术期护理的一种创新方法。叙事医学被认为是医学人文学科最近最突出的发展。它的中心原则是关注叙述病人的故事，临床医生的故事，或由病人和临床医生共同构建的故事的形式是最佳病人护理的必要条件。如果我们能够通过患者的眼睛来看待医疗保健体验，我们将对患者的需求做出更积极的反应，从而成为更好的临床医生。围手术期医学实践和叙事医学技能之间存在潜在的临床联系，如果资本化，可以最大限度地提高围手术期患者护理。在围手术期医学和叙事医学之间富有成效的联系中，有一些尚未开发的教育和研究机会。
Perioperative medicine remains an evolving, interdisciplinary subspecialty, which encompasses the unique perspectives and incorporates the respective vital expertise of numerous stakeholders. This integrated model of perioperative medicine and care has a wide-ranging set of clinical, strategic, and operational goals. Among these various programmatic goals, a subset of 4, specific, interdependent goals include (1) enhancing patient-centered care, (2) embracing shared decision-making, (3) optimizing health literacy, and (4) avoiding futile surgery. Achieving and sustaining this subset of 4 goals requires continued innovative approaches to perioperative care. The burgeoning field of narrative medicine represents 1 such innovative approach to perioperative care. Narrative medicine is considered the most prominent recent development in the medical humanities. Its central tenet is that attention to narrative—in the form of the patient’s story, the clinician’s story, or a story constructed together by the patient and clinician—is essential for optimal patient care. If we can view the health care experience through the patient’s eyes, we will become more responsive to patients’ needs and, thereby, better clinicians. There is a potential clinical nexus between the perioperative medicine practice and narrative medicine skills, which, if capitalized, can maximize perioperative patient care. There are a number of untapped educational and research opportunities in this fruitful nexus between perioperative medicine and narrative medicine.