“Minimal harm”and“optimal care”：the concepts and practices of medical humanities in enhanced recovery after surgery
10.12026/j.issn.1001-8565.2024.08.10
- VernacularTitle:“最小伤害”和“最佳照护”：加速康复外科的医学人文理念与实践
- Author:
Longwen FU
1
;
Changhua ZHANG
1
;
Honglu XU
2
;
Yu CHENG
1
;
Yulong HE
1
Author Information
1. Clinical Medical Humanities Research Center， the Seventh Affiliated Hospital， Sun Yat-sen University， Shenzhen 518107， China
2. Department of Nursing， the Seventh Affiliated Hospital， Sun Yat-sen University， Shenzhen 518107， China
- Publication Type:Journal Article
- Keywords:
enhanced recovery after surgery;
medical humanities;
caregiving;
social science
- From:
Chinese Medical Ethics
2024;37(8):932-940
- CountryChina
- Language:Chinese
-
Abstract:
In recent years， enhanced recovery after surgery （ERAS） has been widely used in clinical practice， aiming to optimize perioperative management measures through evidence-based medicine and reduce the physical and mental trauma， stress reactions， and complications of surgical patients through multidisciplinary collaboration. This paper examined the clinical practice of ERAS from the perspective of medical humanities， reviewed its development and characteristics， and first pointed out that the concept of “minimal harm” laid the medical humanities foundation for ERAS. However， the concept of “minimum harm” faced ethical and realistic challenges in practice， such as differentiated cognition between benefits and non-harm， the tension between generalization and personalization， and the gap between rehabilitation continuity and family care. This paper led into the caregiving perspective of social sciences， proposed “optimal care” as a supplement to the medical humanities concept of ERAS， and introduced its connotation and practice. The combination of “minimal harm” and “optimal care” can provide theoretical guidance for medical humanistic care in ERAS and innovate the practical path of medical humanities into clinical practice.
