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目的应用社会学定性研究方法描述中医医患交流的过程,明确中医诊疗过程中不可量化的相关因素对患者的影响。方法使用半结构式访谈提纲对25位寻求中医治疗的患者进行个体深入访谈;采用主题分析的方法进行定性资料分析。结果分析浮现出的主题有就医选择、医患关系、依从性。就医初衷、就医途径、渴求理想的中医生、渴求接受理想的中医治疗影响患者选择就医;患者受益于良好的医患关系和由此所建立的医患信任是医患关系形成的重要因素;医生建议、疗效、家庭支持和各种困难是影响患者依从性的主要因素。结论患者注重中医药的疗效,疗效决定了医患关系和依从性。患者希望接受医德医术双馨的中医生的诊治,重视医生的态度和医疗服务质量,希望建立医患良好、有效和充分的沟通。患者就医过程中很多环节可能影响患者对治疗的依从性。
Objective To describe the process of communication between doctors and patients by using the method of qualitative research of sociology and to clarify the influence of relevant factors that can not be quantified on the patients during diagnosis and treatment of traditional Chinese medicine. Methods Using the semi-structured interview outline, 25 in-depth interviews were conducted with patients seeking Chinese medicine treatment. The thematic analysis was used to analyze the qualitative data. The results of the analysis of the emerging topics of medical treatment, doctor-patient relationship, compliance. The original intention of seeking medical treatment, medical treatment, the desire of the ideal Chinese medicine practitioners, aspire to accept the ideal Chinese medicine treatment affect patients choose to seek medical treatment; patients benefit from good doctor-patient relationship and the establishment of doctor-patient trust is an important factor in the doctor-patient relationship; Advice, efficacy, family support, and various difficulties are major factors affecting patient compliance. Conclusion Patients pay attention to the efficacy of traditional Chinese medicine, efficacy determines the doctor-patient relationship and compliance. The patients hope to receive treatment and treatment of doctors and doctors with double attitudes, attach great importance to the attitude of doctors and the quality of medical services, and hope to establish good, effective and full communication between doctors and patients. Many aspects of the patient’s medical treatment may affect the patient’s compliance with the treatment.