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全科医学RICE问诊病案研究——胃痛/焦虑

摘要

本文以胃痛引发焦虑的患者为例,介绍RICE问诊模式.该模式可深入了解患者就诊的原因、想法和担忧,达到既治病又治人的效果,可为提高全科医生问诊技巧能力提供参考.全科医生可以把医学检查报告作为诊断和制定治疗方案的依据,但不可轻易否认患者的患病体验,对患者的身心问题视而不见.%This article introduces the skill of RICE(Reason-Idea-Concern-Expectation) to a patient with anxiety caused by stomach pain. The skill of RICE can help the general practitioner to know the reasons and ideas and worries of patient when he or she visits a doctor. It can achieve the effect of both treating patient's diseases and treating patient's psychosomatic disorder,provides a reference for improving the skills of general practitioners. General practitioner not only should pay attention to the report of the medical instrument examination as the basis for the diagnosis and the formulation of the treatment plan,but also to the patient's experience of visiting doctor and physical and mental problems.

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