医患互动情景中患方期待对患方信任的影响  

Effect of Patient Expectations on Patient Trust in Physician-Patient Interaction Scenarios

作　　者：罗宇飞 陈一笛 LUO Yufei;CHEN Yidi(Department of Psychology,School of Humanities and Social Sciences,Beijing Forestry University,Beijing 100083)

机构地区：[1]北京林业大学人文社会科学学院心理学系,北京100083

出　　处：《北京大学学报(自然科学版)》2025年第1期173-180,共8页Acta Scientiarum Naturalium Universitatis Pekinensis

基　　金：北京林业大学“双一流”建设项目(450-GK112401031)资助。

摘　　要：为了考察公众和患者视角下,医患互动情景中患方期待对患方信任的影响,使用情景问卷构建医患互动情景进行探讨。研究1基于公众视角,构建4组12个医患互动情景,在114名被试(M=24岁,SD=7.25;女性71名)中考察患方期待对患方信任的影响。研究2基于患者视角,收集具有拔智齿需求的50名被试(M=23.96岁,SD=6.51;女性26名),构建两组医患互动情景,探究是否符合期待对患方信任的影响。研究结果表明:1)是否符合期待对患方信任的主效应显著,但患方期待的高低水平对患方信任的主效应不显著;2)高、低期待与是否符合期待之间不存在交互作用;3)在具有拔智齿需求的群体中,是否符合期待对患方信任的影响显著。因此,符合患者期待对患者信任的建立具有重要作用,认为医生符合期待的患者对医生的信任度更高。未来,医护人员可以更多地与患者互动沟通,关注其真实需求和期望,积极利用医疗资源进行匹配,提升患方满意度和信任感,建立和谐的医疗关系。The study aimed to examine the effects of patient expectation on patient trust in physician-patient interaction scenarios from public and patient perspectives.Study 1 was based on the public perspective.Four groups of 12 physician-patient interaction scenarios were constructed to examine the effects of patients’expectations on their trust.The study sample included 114 people(M=24 years,SD=7.25;71 females).Study 2 was based on the patient perspective and included 50 patients(M=23.96 years,SD=6.51;26 females)who needed wisdom teeth extraction.Two sets of patient-physician interaction scenarios were constructed,and the effect of whether expectations were met in terms of patient trust was explored.The results showed that 1)The main effect of conforming to expectations regarding patient trust was significant,but the main effect of high or low levels of patients’expectations on patient trust was not significant.2)No interaction between high/low expectations and whether to conform to expectations was found.3)The effect of whether expectations regarding patients’trust were met was significant in the group that required wisdom teeth extraction.Therefore,conforming to patients’expectations plays an important role in establishing patient trust,and patients whose physicians conform to their expectations have greater trust in their physicians.In the future,healthcare professionals can interact and communicate more with patients,pay attention to their real needs and expectations,actively allocate healthcare resources to meet these needs,enhance patient satisfaction and trust,and establish a harmonious healthcare relationship.

关 键 词：患方期待 医患互动 患方信任 情景构建 

分 类 号：R-05[医药卫生]