患者及家属在医疗纠纷中的心理分析及调适对策  

Psychological Analysis and Adjusting Countermeasures of Patients and Their Families in Medical Disputes

作　　者：林文诗[1] 潘军[1] 黄顺颖 

机构地区：[1]温州医科大学第二临床医学院,浙江温州325005

出　　处：《中国医学伦理学》2016年第6期969-970,977,共3页Chinese Medical Ethics

基　　金：温州市社会科学重点研究基地"医疗纠纷中患者的心理;行为特点及干预对策研究"(15jd11);2016年浙江省大学生科技创新活动计划:新苗人才计划"公众对医疗纠纷的认知;态度及应对方式的研究--以浙江省11个地市为例"(2016R413061)

摘　　要：从心理学的认知、情感、行为三个维度分析医疗纠纷过程中患者及家属可能存在的心理障碍。并基于存在的问题,从信任缺失、信息不对称、相关法律法规不完善三方面进行分析,提出预防和调适的有效途径,即建立"以患者为中心"的沟通模式,发挥心理沟通的积极作用,优化相关法律法规的内外部环境,发挥政府、媒体、公众在重建和谐医患关系中的伦理责任担当,促进医患关系向更加理性、和谐的方向发展。This paper analyzed the mental disorders that patients and their families might have in the process of medical disputes from three psychiatric dimensions of cognition,emotion,and behavior. Based on the existing problems,it analyzed the reasons in terms of the lack of trust,information asymmetry,and imperfect laws and regulations. Thereafter,it put forward effective ways of prevention and adaptation. We should establish the ＂ patient-centered＂ mode of communication,play the positive role of psychological communication,optimize the internal and external environment of laws and regulations,emphasize the ethical responsibility of the government,the media and the public in the reconstruction of harmonious doctor-patient relationship,and thus to facilitate the doctor-patient relationship to a more rational and harmonious direction.

关 键 词：医疗纠纷 心理障碍 认知 伦理责任 

分 类 号：R197.32[医药卫生—卫生事业管理]