“常用医患沟通英è¯è¯�å�¥”相信是备考全国医å¦å�šå£«å¤–è¯ç»Ÿä¸€è€ƒè¯•的朋å�‹æ¯”较关注的事情,为帮助å¦å‘˜æœ‹å�‹ä»¬ç�†è§£ï¼ŒåŒ»å¦æ•™è‚²ç½‘å°�ç¼–æ•´ç�†å†…容如下:
第一�:
The patient-physician interaction proceeds through many phases of clinical reasoning decision making.
译文:医患沟通在临床诊æ–和治疗决ç–的许多时期进行ç�€ã€‚
涉å�Šè¯�汇:proceed 进行ã€�开展 reasoning 推论ã€�推ç�† clinical reasoning è¯Šæ– clinical decision 确定治疗方案 making decision å�šå‡ºå†³å®š
第二�:
The interaction begins with an elucidation of complaints or concerns, followed by inquiries or evaluation to address these concerns in increasingly precise ways.
译文:这ç§�沟通开始于病人主诉或所关注问题的é˜�明,然å�Žé€šè¿‡äº¤æµ�ã€�评估ä¸�æ–精确地确定这些问题。
涉��汇:elucidation 说明��明 inquire 询问�调查 evaluation 评估�评价
第三�:
The process commonly requires a careful history or physical examination, ordering of diagnostic tests, integration of clinical findings with the test results, understanding of the risks benefits of the possible courses of action, careful consultation with the patient family to develop future plans.
译文:这个过程通常需è¦�细致的询问病å�²å’Œä½“æ ¼æ£€æŸ¥ï¼Œå¼€å…·è¯Šæ–æ€§åŒ–验医嘱,综å�ˆä¸´åºŠå�‘现和化验结果,ç�†è§£åˆ†æž�拟行治疗过程ä¸çš„风险和疗效,然å�Žä¸Žç—…人å�Šå®¶å±žå��å¤�磋商以完善治疗方案。
涉��汇:integration 综� consultation 磋商�会诊
第四�:
Physicians increasingly can call on a growing literature of evidence-based medicine to guide the process so that benefit is maximized, while respecting individual variations among different patients.
译文:尽管考虑到ä¸�å�Œç—…人ä¸ä¸ªä½“差异是å˜åœ¨çš„,但医生们越æ�¥è¶Šå®¹æ˜“查阅ä¸�æ–增长的循è¯�åŒ»å¦æ–‡çŒ®æ�¥æŒ‡å¯¼è¿™ä¸ªè¿‡ç¨‹ï¼Œä½¿å¾—疗效最大化。
涉å�Šè¯�汇:respecting 注æ„�到ã€�关系ã€�说到 evidence-based medicine 循è¯�医å¦
第五�:
The increasing availability of randomized trials to guide the approach to diagnosis therapy should not be equated with ―cookbook‖ medicine.
译文:但是,ä¸�æ–å¢žåŠ çš„å�¯ç”¨äºŽæŒ‡å¯¼ä¸´åºŠè¯Šæ–与治疗的éš�机试验资料ä¸�应当作―烹调书使用。
涉��汇:availability �利用性, �得到 randomize �机的 cookbook 食谱,烹调书 approach 接近
第å…å�¥ï¼š
Evidence the guidelines that are derived from it emphasize proven approaches for patients with specific characteristics.
译文:那些éš�æœºè¯•éªŒèŽ·å¾—çš„ä¸´åºŠè¡¨çŽ°å’Œè¯Šæ–æ€�路是侧é‡�于求è¯�具有æŸ�些特å¾�病人而æ�¥çš„。
涉��汇:Evidence ��,迹象 guideline 指导方针 emphasize 强调
第七�:
Substantial clinical judgment is required to determine whether the evidence guidelines apply to individual patients to recognize the occasional.
译文:实际的临床判æ–需è¦�确定这些临床表现和诊æ–ä¾�æ�®æ ‡å‡†æ˜¯å�¦èƒ½åº”用于普通病人的个体,并能找出例外。
涉��汇:substantial clinical 真实的,实在的 individual 个体 occasional �尔的,特殊的
第八�:
Even more judgment is required in the many situations in which evidence is absent or inconclusive.
译文:在许多情况下,临床表现缺�或�典型,甚至需�考虑得更多。
涉��汇:inconclusive �确定性,�决定性
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