ABSTRACT

Research on medical consultation has primarily dealt with illness. In this article, we focus on traumatic injury such as limb breaks, skin lacerations, and so on. Using data from video recordings of triage interactions between providers and patients at an emergency department in Korea, this article examines patients’ problem presentations concerning injury in particular. First, patients may physically show their injury and its visible manifestation, at the same time verbally referring to the location of injury or describing the problem. Alternatively, patients may describe causes of injury, relying on verbal resources alone. Finally, patients may elaborate on their current symptoms with causes of injury. The findings suggest that patients’ problem presentation and nurses’ understanding can be shaped by the visible nature of injury. Data in Korean with English translation.

摘要

医学咨询的研究主要涉及疾病。在本文中，我们将重点放在肢体折断，皮肤撕裂伤等创伤上。本文使用韩国急诊室中医疗服务提供者与患者之间的分类诊断交互作用的视频记录数据，研究了患者在伤害方面的问题表现。首先，患者可能会在身体上显示他们的伤害及其可见的表现，同时口头上提到伤害的位置或描述问题。或者，患者可能仅依靠口头资源来描述伤害原因。最后，患者可以详细说明他们目前的症状以及受伤原因。研究结果表明，患者的问题表现和护士的理解可以由伤害的可见性质来决定。