摘要
对儿童主体性意蕴的探讨,不仅是对健康管理现阶段儿童主体性缺失的回应,更能为儿童医学科普提供参考。立足社会批判理论视角,采用实证研究方法,对复旦大学附属儿科医院“梦想医学院”项目进行回顾。对1520名参与“梦想医学院”项目的儿童的健康管理经历进行现状及影响因素分析。研究显示,1316例研究对象中96.35%有专科医院诊疗经历,负面情绪表现整体处于低水平(0~12分)。其中诊疗及有创经历与儿童情绪表现有相关性(P<0.05)。研究揭示了,诊疗场域是儿童健康管理的主要实践场所;而不同诊疗及有创经历的儿童主体性表现差异显著;4岁以上儿童在接受诊疗时的语言焦虑胜于躯体焦虑。医学科普虽然是儿童健康管理的重要实践形式,但缺乏有创诊疗及情绪管理的科普内容,而创意科普形式或更适用于具有长期且频繁诊疗经历儿童。
The discussion on the connotation of children’s subjectivity is not only a response to the lack of children’s subjectivity at the current stage of health management, but also a reference for children’s medical science popularization. Based on the perspective of social critical theory, this study used empirical research methods to review the “Dream Medical College” project of Children’s Hospital of Fudan University. The current situation and influencing factors of health management experience of 1 520 children participating in the “Dream Medical College” project were analyzed. The study showed that 96.35% of 1 316 subjects had diagnosis and treatment experience in specialized hospitals, and the overall negative emotional performance was at a low level(0~12 points). There was significant correlation between diagnosis and treatment, invasive experience and children’s emotional performance(P<0.05). The study revealed that the diagnosis and treatment field is the main practice place of children’s health management, while the subjective of children with different diagnosis and experience perform significantly different. Children over 4 years old have better language anxiety than physical anxiety when receiving diagnosis and treatment. Although medical science popularization is an important practical form of children’s health management, it lacks the science popularization content of invasive diagnosis and treatment and emotional management, and creative popular science form is more suitable for children with long-term and frequent diagnosis and treatment experience.
作者
董颖
徐虹
王胤
梁鑫
杨素雅
刘玉楣
傅丽丽
吴一波
DONG Ying;XU Hong;WANG Yin;LIANG Xin;YANG Suya;LIU Yumei;FU Lili;WU Yibo(Medical Social Work Department,Children's Hospital of Fudan University,Shanghai 201102,China;Department of Nephrology,Children's Hospital of Fudan University,Shanghai 201102,China;Clinical Research Center,Children's Hospital of Fudan University,Shanghai 201102,China;School of Sociology and Political Science,Shanghai University,Shanghai 201800,China;School of Public Administration,Zhejiang Gongshang University,Hangzhou 310018,China;School of Public Health,Peking University,Beijing 100191,China)
出处
《中国医学伦理学》
2022年第3期302-309,共8页
Chinese Medical Ethics
基金
2017-2019年上海市科学技术委员会科研计划项目“医路守望儿科医学科普平台建设项目”(17dz2312700)。
关键词
健康管理
社会批判
儿童医学科普
梦想医学院
Health Management
Social Criticism
Children's Medical Science Popularization
Dream Medical School
