医学生视角下医患关系认知分析  

Cognition analysis of doctor-patient relationship from the perspective of medical students

作　　者：刘伟 吴群红[1] 郝艳华[1] 靖雪妍[2] 郭庆峰[3] 李勇 陈丽丽[2] 胥娇[3] 陶思怡 宋韦剑 薛羽芯 梁立波[1] Liu Wei;Wu Qunhong;Hao Yanhua;Jing Xueyan;Guo Qingfeng;Li Yong;Chen Lili;Xu Jiao;Tao Siyi;Song Weijian;Xue Yuxin;Liang Libo(Health Management College of Harbin Medical University,Harbin 150081,China;Public Health College of Harbin Medical University,Harbin 150081,China;Graduate Office of First Affiliated Hospital of Harbin Medical University,Harbin 150001,China;Academic Affairs Office of Harbin Medical University,Harbin 150081,China)

机构地区：[1]哈尔滨医科大学卫生管理学院,150081 [2]哈尔滨医科大学公共卫生学院,150081 [3]哈尔滨医科大学附属第一医院研究生科,150001 [4]哈尔滨医科大学教务处,150081

出　　处：《中华医学教育探索杂志》2021年第6期737-740,共4页Chinese Journal of Medical Education Research

基　　金：国家自然科学基金(71673073);中华医学会医学教育分会和中国高等教育学会医学教育专业委员会2018年医学教育研究立项课题(2018A-N03045)。

摘　　要：目的在目前的医疗环境背景下,旨在了解医学生医患关系认知现状,并对医患关系紧张原因进行探讨。方法采用自制《临床医学生对职业现状与医患关系的认知调查》问卷,运用整群抽样的方法对黑龙江省某医科大学2014级临床7年制和临床5年制的527名医学生医患关系认知现状及紧张原因进行横断面调查。其中调查主要从医护人员层面、患者及家属层面、医院层面和社会层面对医患关系紧张原因进行分析。采用SPSS 22.0对数据进行描述性分析和卡方检验。结果93.7%的医学生认为目前的医患关系不和谐,不同性别(P=0.029)、首次接触临床年级不同(P=0.003)和职业认同感不同的医学生(P<0.001)对医患关系和谐程度存在认知差异。结论医学生对目前的医患关系评价较差,可以尝试通过建立医患沟通相关课程、增强医学生沟通技巧、提高医学生职业认同感等措施,为构建未来的和谐医患关系提供参考。Objective Based on the current medical environment,to learn about cognition status of doctor-patient relationship among medical students and analyze causes of the tension between doctors and patients.Methods Using the self-designed questionnaire"Clinical Medical Students'Cognition Survey on Occupational Status and Doctor-Patient Relationship",a cross-sectional survey was conducted on 527 medical students from 5-year and 7-year clinical program in Batch 2014 in a medical university in Heilongjiang Province.The survey mainly analyzed the causes of the tension between doctors and patients from the level of medical staff,patients and their families,hospitals and society.SPSS 22.0 was used for descriptive statistics and chi-square test.Results The results showed that 93.7%of the medical students believed that the current doctor-patient relationship was not harmonious.There were cognitive differences among medical students in different gender(P=0.029),first contact clinical grade(P=0.003)and professional identity(P<0.001).Conclusion Medical students have a poor evaluation towards the current doctor-patient relationship.In order to construct harmonious doctor-patient relationship in the future,we can try to take measures such as carrying out relevant courses of doctor-patient communication,improving the medical students'communication skills and enhancing their professional identity.

关 键 词：医学生 医患关系 紧张原因 

分 类 号：R-4[医药卫生]