河北省三甲医院临床医生医学人文关怀能力现状及影响因素研究  

A study on the current status and influencing factors of medical humanistic care ability of clinicians in grade-A tertiary hospitals in Hebei Province

作　　者：范盈盈 李子琦 刘佳文 谢晋 柳云[2] FAN Ying-ying;LI Zi-qi;LIU Jia-wen;XIE Jin;LIU Yun(School of Public Health,Hebei Medical University,Shijiazhuang 050017,China;School of Marxism,Hebei Medical University,Shijiazhuang 050017,China)

机构地区：[1]河北医科大学公共卫生学院,河北石家庄050017 [2]河北医科大学马克思主义学院,河北石家庄050017

出　　处：《河北医科大学学报》2025年第3期349-354,共6页Journal of Hebei Medical University

基　　金：河北省教育厅人文社科重大课题攻关项目(ZD202111);河北省人力资源与社会保障研究课题项目(JRS20233105);河北省研究生教育教学改革研究项目(YJG2023052)。

摘　　要：目的了解临床医生医学人文关怀能力现状,并分析其影响因素。方法采用便利抽样的方法,对河北省部分三甲医院的472名临床医生开展问卷调查。单因素分析采用秩和检验,差异有统计学意义的因素进一步采用多元逐步线性回归分析法进行影响因素的分析。结果临床医生的医学人文关怀能力得分总均分为(4.101±0.413)分,处于中等偏上水平,得分最高的维度是医疗服务,为(4.453±0.518)分,人文环境维度得分最低,为(3.907±0.459)分,多元逐步线性回归分析显示,“对自身医学人文关怀能力的评价”“工作年限”“同事和领导给予支持和关心情况”“在强调员工尊重、关心患者,维护患者权益方面,所在医院的重视程度”“对医生职业的热爱程度”是医学人文关怀能力的主要影响因素(P<0.05)。结论临床医生医学人文关怀能力处于中等偏上水平,医院应建立传帮带工作机制,创设青年医生成长环境;加强医院人文环境建设,营造良好科室氛围;推进继续医学教育人文培训,搭建临床医生学习平台,通过多种途径提升临床医生的人文关怀能力。Objective To understand the current status of medical humanistic care ability of clinicians and to analyze its influencing factors.Methods Using convenience sampling method,a questionnaire survey was conducted on 472 clinicians from some grade-A tertiary hospitals in Hebei Province.Univariate analysis was performed using rank sum test,and for factors with significant difference,multiple stepwise linear regression analysis was further used to analyze the influencing factors.Results The overall average score of medical humanistic care ability of clinicians was(4.101±0.413)points,which was above the average level.The dimension with the highest score was medical service,which was(4.453±0.518)points,and that with the lowest score was the humanistic environment,which was(3.907±0.459)points.Multiple stepwise linear regression analysis showed that the main influencing factors of medical humanistic care ability were"evaluation of one′s own medical humanistic care ability","years of work","support and care provided by colleagues and leaders","emphasis on employee respect,care for patients,and protection of patient rights in the hospital",and"love for the doctor profession"(P<0.05).Conclusion The medical humanistic care ability of clinicians is above average.Hospitals should establish a mechanism for mentoring,creating a growth environment for young doctors,strengthen the construction of hospital humanistic environment,creating a good departmental atmosphere,promote continuing medical education and humanistic training,build a learning platform for clinical doctors,and enhance their humanistic care abilities through various means.

关 键 词：医学人文关怀 医院管理 人文建设 

分 类 号：R135[医药卫生—劳动卫生]