医患冲突对医学生心理压力的影响:基于全国31所大学的实证研究  

The Influence of Doctor-Patient Conflict on the Psychological Pressure of Medical Students:An Empirical Analysis of 31 Universities in China

作　　者：章伟芳 王慧慧 彭嗣惠 杨廷忠 Zhang Weifang;Wang Huihui;Peng Sihui;Yang Tingzhong(Stomatology Hospital,Zhejiang University School of Medicine,Hangzhou 310006,China;Zhejiang Provincial Key Laboratory of Oral Biomedical Research,Hangzhou 310006,China;Center for Tobacco Control Research,Zhejiang University School of Medicine,Hangzhou 310058,China;The Children s Hospital,Zhejiang University School of Medicine,Hangzhou 310052,China)

机构地区：[1]浙江大学医学院附属口腔医院,浙江杭州310006 [2]浙江省口腔生物医学研究重点实验室,浙江杭州310006 [3]浙江大学医学院控烟研究中心,浙江杭州310058 [4]浙江大学医学院附属儿童医院,浙江杭州310052

出　　处：《浙江大学学报（人文社会科学版）》2020年第2期230-239,共10页Journal of Zhejiang University:Humanities and Social Sciences

基　　金：国家自然科学基金重大项目(71490733)。

摘　　要：医患冲突已成为我国的一个社会问题,严重影响医生和患者的身心健康及医疗服务活动的正常进行,对医学生也带来一定的心理压力。对全国31所大学的11592名医学生的调查显示,医学生中对医患关系感知有较大心理压力的被试者占38.0%,很大压力的占15.6%;半数以上的被试者报告其家人或亲戚、朋友或同学在求医过程中经历过医患冲突。研究结果表明,参照人群的医患冲突经历与医学生的心理压力呈现统计学意义上的显著关联;参照人群对医生的评价也会影响到医学生的心理压力,他们对医生的评价越差,医学生心理压力的水平越高。医患关系现况、参照人群、医患关系压力感知与医学生的心理压力呈显著正向相关,专业兴趣与心理压力呈负向相关。医患冲突可增加在校医学生心理压力,会对医学生职业发展产生不利影响,应引起社会和学校的足够重视。The conflict between doctors and patients has become an important social problem in China,and is detrimental to the physical and mental well-being of both parties,affecting normal operation of medical service.The negative emotion brought by the experience or the event as a source of provocation will affect the perception of the experiencers as well as their attitude towards the relationship between doctors and patients.Medical students will become health professionals,taking on the responsibility of social health improvement and medical services.Therefore their growth and development are closely related to the health of the general public.This research focuses on how doctor-patient conflict exercises psychological stress among in-school medical students who are not directly exposed to this source of provocation.Based on the empirical research of data from 31 universities across the country,this article explores the mechanism of the impact of doctor-patient conflict on the psychological stress of medical students.A multi-stage stratified cluster sampling method was used to get a sampling data of 11,592 medical students from 31 universities across the country.The measurement of doctor-patient conflict was based on the cognitive-social impact theory,and the psychological stress was measured using the Chinese version of the Perceived Stress Scale(CPSS).Multivariate logistic regression and structural equation models were used to analyze the relationships and paths between variables.Among the subjects,38.0%were found to have high stress and 15.6%had extremely high stress.More than half of the respondents reported that their family members,relatives,friends or classmates had experienced doctor-patient conflicts when seeking and receiving medical services.The reference norm is positively related to psychological stress.The risk of psychological stress of medical students whose family had experienced doctor-patient conflicts was 1.33 times higher than those without such experience,and the risk of medical students with fri

关 键 词：医患关系 心理压力 医学生 

分 类 号：R-4[医药卫生] G444[哲学宗教—心理学]