临终沟通中的数字框架：在英国和香港临终关怀机构的话语中构建“善终”支持。
Digital Framing in End-of-Life Communication: Constructing "Good Death" Support in the Discourse of Hospice Care Institutions in the UK and Hong Kong.
摘要(中文译文)
临终关怀是指为患者及其家庭提供支持的专门性终末期照护，因此成为研究语言如何塑造照护体验与期望的重要领域。本研究比较了香港与英国临终关怀网站上的话语，分析基于自然语言处理的情感特征和人际特征（如人称代词和连词）如何在患者叙事中塑造逻辑关系、组织信息并表达情感。本研究采用将情感分析与系统功能语言学（SFL），尤其是连词分类法相结合的混合方法，基于来自40个临终关怀网站（每个地区20个）的52,086词语料库。使用语料库分析工具AntConc来识别共现、解释对数似然值并进行索引分析。研究结果揭示了不同地区在临终关怀数字化传播方面存在显著差异。根据我们的数据，英国网站倾向于表达更广泛范围的个人情感，并在讨论敏感的姑息治疗话题时频繁使用让步连词。相比之下，香港网站倾向于使用更多添加连词和因果连词，体现出对机构化照护的更强关注。例如，香港文本倾向于使用正式、面向服务的连接表达，如“we + offer”，反映出更具信息性的交际风格。然而，两个地区都频繁使用“you”和“we”等人称代词来传达积极情感，并表达对患者及其照护者的共情。这些模式似乎被临终关怀提供者有策略地用来建立信任、表明立场一致，并加强适应各地区特点的关系。最后，本研究通过结合计算语言学和功能语言学方法，开发出一套系统方法，用于考察终末期语境中受文化塑造的数字传播，从而作出了原创性贡献，并丰富了医疗话语分析领域。
Abstract
Hospice refers to specialised end-of-life care that supports patients and families, making it an important area for studying how language shapes experiences and expectations of care. This study compares hospice discourse on websites in Hong Kong and the United Kingdom, analysing how NLP-based sentiment and interpersonal features, such as personal pronouns and conjunctions, shape logical relations, structure information, and express emotion in patient narratives. Using a mixed approach that integrates sentiment analysis with Systemic Functional Linguistics (SFL), and taxonomy of conjunctions in particular, this study draws on a 52,086-word corpus from 40 hospice websites (20 from each region). The corpus analytical tool AntConc was used to identify co-occurrence, interpret log-likelihood, and perform concordance analysis. The findings reveal significant differences in the digital delivery of hospice care across regions. According to our data, UK websites tend to express a wider range of personal emotions and frequently use concessive conjunctions when discussing sensitive palliative care topics. In contrast, Hong Kong websites tend to use more additive and causal conjunctions, projecting a stronger focus on institutional care. For example, Hong Kong texts tend to use formal, service-oriented connections such as "we + offer", reflecting a more informational communicative style. However, both regions frequently use personal pronouns such as "you" and "we" to convey positive sentiment and demonstrate empathy towards patients and their caregivers. These patterns appear to be used strategically by hospice providers to build trust, signal alignment, and strengthen relationships tailored to each region. Lastly, this study makes an original contribution by combining computational and functional linguistic approaches to develop a systematic method for examining culturally shaped digital communication in end-of-life contexts, thereby enriching the field of healthcare discourse analysis.
如何引用
AMA
Yau Ni Wan, Gail Forey, Winnie Zeng. Digital Framing in End-of-Life Communication: Constructing "Good Death" Support in the Discourse of Hospice Care Institutions in the UK and Hong Kong.. Healthcare (Basel, Switzerland). 2026; doi:10.3390/healthcare14091187.
APA
Yau Ni Wan, Gail Forey, Winnie Zeng (2026). Digital Framing in End-of-Life Communication: Constructing "Good Death" Support in the Discourse of Hospice Care Institutions in the UK and Hong Kong.. Healthcare (Basel, Switzerland). https://doi.org/10.3390/healthcare14091187
GB/T 7714
Yau Ni Wan, Gail Forey, Winnie Zeng. Digital Framing in End-of-Life Communication: Constructing "Good Death" Support in the Discourse of Hospice Care Institutions in the UK and Hong Kong.[J]. Healthcare (Basel, Switzerland), 2026 doi:10.3390/healthcare14091187.
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