医疗纠纷对临床医生心理影响及其对策研究  

Analysis of the psychological impact of medical disputes on clinical doctors and a discussion of counter-measures

作　　者：曹冰[1] 陈力[1] 

机构地区：[1]哈尔滨医科大学卫生管理学院,哈尔滨150081

出　　处：《中华医院管理杂志》2009年第7期473-475,共3页Chinese Journal of Hospital Administration

摘　　要：目的探讨医疗纠纷中医生心理压力的影响因素。方法应用《焦虑自评量表》（SAS）和《职业压力量表（OSI），对某市3所三级甲等医院的52名近两年发生过医疗纠纷的临床医生进行调查；同时，随机选取未发生过医疗纠纷的63名临床医生及50名非临床工作人员设为对照组，进行问卷调查。结果发生过医疗纠纷的临床医生普遍存在焦虑状况，焦虑测评平均分值（58．27±11．38）高于对照组；医患关系、法律责任及医疗岗位，与医生心理压力状况呈正相关。结论医疗纠纷的发生导致了医生的心理压力加大。应积极对医生进行心理疏导，加强心理训练，改善执业环境。Objective Identifying the factors of psychological pressure from medical disputes on clinical doctors and possible solutions. Method Self-rating Anxiety Scale （SAS） and the Occupational Stress Indicator （OSI） were called into play, to study 52 clinical doctors in a tertiary hospital in a city, who had encountered medical disputes in recent two years. In parallel, 63 clinical doctors without such disputes and 50 non-clinical workers were randomly selected as the control group for questionnaires. Results Clinical doctors with such an experience were commonly found to be anxious, and their SAS score （58. 27 ± 11.38） averaged higher than those in the control group. Doctor-patient relationship, legal liabilities and clinical positions were found to be positively correlated to psychological pressure of clinical doctors. Conclusions Medical disputes tend to add to psychological pressure of the doctors. Clinical doctors deserve psychological counseling and training and improvement of their working conditions.

关 键 词：医疗纠纷 临床医生 心理 影响 

分 类 号：R197[医药卫生—卫生事业管理]