医方和患方对医患关系评价的认知差异  

Differences in the cognitive evaluation of the doctor-patient relationship between the medical side and the contracting parties

作　　者：孙江洁[1] 张利萍[1] 沐鹏锟 万艳梅[1] 刘金婵[1] 何成森[1] 

机构地区：[1]安徽医科大学临床医学院,合肥230000

出　　处：《中国心理卫生杂志》2016年第7期486-491,共6页Chinese Mental Health Journal

基　　金：国家社会科学基金项目"公立医院医患关系风险预警机制及危机应对体系研究"(14BGL141);省教育厅自然科学研究项目(KJ2016A369;KJ2016A372;KJ2016A368;KJ2016SD30);校科研基金项目(2015xkj013);校质量工程研究项目(2015jyxm088);校质量工程研究项目(2015jyxm090)

摘　　要：目的：调查医务人员和患者/家属对医患关系的认知差异及其相关因素。方法：选取20家医院的医务人员398人、患者/家属1582人,采用医患关系调查问卷（PDRQ）进行评估。PDRQ有两个版本,分别用于评价医务人员对当前医患关系的认知（DDPRQ-10）、患者/家属对当前医患关系的认知（PDRQ-15）。结果：31~40岁、本科、中级及以下职称医务人员的DDPRQ-10总分低于其他组;21~40岁、本科及以上患者/家属的PDRQ-15总分低于其他组（均P〈0.05）;高分组医务人员对应患者的评分高于低分组医务人员对应患者的评分[（59.1±4.8）vs.（51.4±6.3）,P〈0.001]。Logistic回归分析显示,年龄大、职称高的医务人员的医患关系评价更好（OR=1.43~1.86）;年龄大、受教育程度低的患者/家属的医患关系评价更好（OR=2.15~3.43）;在控制了人口学特征因素变量后,患者/家属的客观行为（OR=2.22,95%CI：1.23~3.26）和患者/家属对医生的满意度（OR=3.44,95%CI：2.73~4.19）分别与医方和患方对医患关系认知水平有关联。结论：本研究显示,医方和患方对医患关系评价的认知水平与年龄、受教育程度和职称等因素相关联。Objective：To investigate differences in cognition of medical personnel,patients or their relatives,as well as the effects of some factors on them.Methods：Totally 398 medical personnel and 1582 patients or their relatives from 20 different level hospitals were evaluated with the Patient-Doctor Relationship Questionnaire（PDRQ）.PDRQ had two versions which were introduced into evaluate the cognitive of the medical personnel（DDPRQ40） and patients or their relatives（PDRQ45）.Results：The DDPRQ40 total score were lower in medical personnel whose ages were 31 to 40 years old,who were undergraduates and those with intermediate title or below than in others（Ps〈0.05）.The PDRQ-L5 total score were lower in patients / their relatives with age of 21 to 40 years,and with bachelor degree or above than in others（Ps〈0.05）.High-score of patients with medical personnel scored higher than low-score of patients with medical personnel[（59.1 ± 4.8） vs.（51.4 ± 6.3）,P 0.001].Logistic regression analysis showed that the medical personnel with higher professional titles and older age had better cognitive evaluation of doctor-patient relationship（OR = 1.43-1.86） and the patients / their relatives with lower education level and older age had better cognitive evaluation of doctor-patient relationship（OR = 2.15-3.43）.After adjusted for demographic characteristics,the objective behavior（OR =2.22,95%CI：1.23-3.26） and satisfaction of the patients / their relatives（OR =3.44,95%CI：2.73-4.19） were associated with cognitive level of the doctor-patient relationship of the doctors and patients respectively.Conclusion：The results indicate that the cognitive evaluation level of the doctor-patient relationship in the medical side and the contracting parties may be associated with age,education level and professional title.

关 键 词：医务人员 患者/家属 医患关系 认知 差异 

分 类 号：R192.3[医药卫生—卫生事业管理] R395.6[医药卫生—公共卫生与预防医学]