医务人员语言特征对患者攻击性影响的研究进展  

Research Progress on the Impact of Healthcare Providers'Language Characteristics on Patient Aggression

作　　者：孙思雯 何阳 于富洋 董道兴 陈海啸 SUN Siwen;HE Yang;YU Fuyang;TUNG Taohsin;CHEN Haixiao(Evidence-based Medicine Center,Taizhou Hospital Affiliated to Wenzhou Medical University,Taizhou 317000,China;College of Public Health,Wenzhou Medical University,Wenzhou 325035,China;Enze Hospital Management Research Institute,Taizhou Hospital Affiliated to Wenzhou Medical University,Taizhou 317000,China)

机构地区：[1]温州医科大学附属台州医院循证医学中心,浙江台州317000 [2]温州医科大学公共卫生学院,浙江温州325035 [3]温州医科大学附属台州医院恩泽医院管理研究院,浙江台州317000

出　　处：《医学与哲学》2025年第2期37-41,共5页Medicine and Philosophy

基　　金：2020年国家自然科学基金面上项目(72074189);2023年国家卫生健康委员会医院管理研究所医疗质量(循证)管理研究项目(YLZLXZ23G109)。

摘　　要：通过检索国内外相关文献及现实案例,从语音、语法、词汇三个方面梳理可能导致负面沟通效果的医务人员语言表达特征,并以表格形式整理各种与医务人员的语言特征相关的患者攻击类型。随后运用人际语用学、服务营销学、管理学、心理学等多学科领域的理论对医务人员语言特征与患者攻击性间的关系进行探讨分析,阐明了诊疗过程中医务人员的语言特征对患者情绪、服务体验、公平感知等因素的影响,以期为揭示两者之间的关联机制提供理论依据。最后从改善医务人员语言表达的角度提供预防患者攻击事件的控制措施。Through reviewing relevant literature and cases at home and abroad,we sorted out the language expression characteristics of healthcare providers that may lead to negative communication outcomes from three aspects:phonetics,grammar and vocabulary.A table was used to organize various types of patient aggression related to the language characteristics of healthcare providers.Subsequently,the relationship between language features and patient aggression was explored and analyzed using theories from interpersonal pragmatics,service marketing,management,psychology,and other multidisciplinary fields.The study clarified the impact of healthcare providers' language features on patients' emotions,service experience,and perceptions of fairness during medical treatment,aiming to provide a theoretical basis for understanding the mechanisms behind these interactions.Finally,control measures to prevent patient aggression were provided from the perspective of improving the language expression of healthcare providers.

关 键 词：医患关系 医患冲突 语言特征 攻击性 

分 类 号：R-05[医药卫生]