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医务人员医患关系认知现状分析

Recognition of relationship between doctors and patients among medical staff

  • 摘要: 目的了解医务人员医患关系认知现状,为构建和谐医患关系提供依据。方法于2011年11月1日—12月31日,随机抽取2家医院243名医务人员进行问卷调查,采用SPSS 13.0软件对数据进行分析。结果对于医患关系,65.4%的医务人员认为很重要,13.1%认为不重要,内科84.3%、外科75.4%认为很重要,妇产科12.5%认为不重要(χ2=14.50,P=0.025);对其现状,20%认为融洽,50%认为紧张,≤29岁者中25.4%、30~49岁者中24.1%认为融洽,均高于≥50岁的7.0%,而认为紧张的比例≤29岁为58.2%,≥50岁为45.8%,均高于30~49岁的34.6%(χ2=23.72,P=0.000);对其趋势,49.2%认为在不断改善,19.0%认为在不断恶化,医生有37.2%认为在不断改善,护士有43.9%认为在不断恶化,其他人员有61.1%认为不能预测(χ2=12.00,P=0.017),外科44.3%、妇产科18.8%认为在不断改善,外科19.7%、妇科56.3%认为在不断恶化(χ2=19.80,P=0.011)。结论医务人员对医患关系的重要性和现状认识不足,对医患关系发展的前景缺乏信心。

     

    Abstract: Objective To study the recognition of doctor-patient relationship and its influencing factors among medical staff and to provide basis for the establishment of harmonious relationship between doctors and patients. Methods Totally 243 medical staff were randomly sampled from 2 hospitals and surveyed with a questionnaire from November 1 to December 31,2011. The data were analysed with SPSS 13. 0. Results Among the staff 65. 4% considered the importance of doctor-patient relationship but 13. 1% did not. There were 84. 3% of internal medicine and 75. 4% of surgical doctors considering the importance of doctor-patient relationship,but 12. 5% of gynaecology and obstetrics denying the importantance( χ2= 14. 50,P = 0. 025). Only 20% of the participants thought the doctor-patient relationship being harmonious,but 50% thought the relafionship being stressed. There were significant differences in the ratio of considering the relationship as harmonious among the participants of different age( 7. 0% for the staff ≥50 years old,lower than those ≤29 years25. 4%and 30- 49 years24. 1% ) and as stressed( 34. 6% for the staff aged 30- 49 years,lower than thsoe≤29 years58. 2%and ≥50 years). Conclusion Medical staff is lack of knowledge on importance and status of the doctor-patient relationship and has no enough confidence on the improvement of doctor-patient relationship.

     

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