医患双方对医患关系认知评价的调查研究

朱芷墨

摘要：目的调查医患双方对医患关系的认知评价。方法以随机抽样法选取笔者医院医生及其负责诊疗的患者为研究对象，分为医生组（148例）、患者组（635例），以医患关系调查问卷及大五人格量表对医患进行调查，分析调查结果。结果不同年龄、科室类别、受教育程度与从业年限医生的DDPRQ-10量表得分差异有统计学意义（P<0.05）;不同年龄、看病方式及受教育程度患者的PDRQ-15量表得分差异有统计学意义（P<0.05）;患者客观行为、满意度均可对医患关系认知评价产生较大影响。结论医患双方对医患关系认知评价存在一定差异，提高患者满意度，并改善患者行为、感受等，有利于构建起良好医患关系。

关键词：医生患者医患关系认知评价满意度从业年限受教育程度

中图分类号：R97文献标识码：A   文章编号：1672-3791（2021）12（a）-0000-00

Investigation on Cognitive Evaluation of Doctor-patient Relationship between Doctors and Patients

ZHUZhimo

（Personnel Department of Changzhou Maternal and Child Health Hospital， Changzhou， Jiangsu Province， 213000 China）

Abstract： Objective To investigate the cognitive evaluation of doctor-patient relationship between doctors and patients. Methods Doctors and patients in charge of diagnosis and treatment in our hospital were selected by random sampling method and divided into doctor group （148 cases） and patient group （635 cases）. Doctors and patients were investigated by doctor-patient relationship questionnaire and big five personality scale， and the survey results were analyzed. Results there were significant differences in the scores of ddprq-10 among doctors of different ages， departments， levels of education and years of employment （P < 0.05）; there were significant differences in the scores of pdrq-15 among patients of different ages， ways of seeing a doctor and Education （P < 0.05）; patients' objective behavior and satisfaction can have a great impact on the cognitive evaluation of doctor-patient relationship. Conclusion There are some differences in the cognitive evaluation of doctor-patient relationship between doctors and patients. Improving patient satisfaction and improving patient behavior and feelings are conducive to building a good doctor-patient relationship.

Key Words：Doctor; Patient; Doctor patient relationship; Cognitive evaluation; Satisfaction; Years of employment; Education level

近年來我国医患关系呈现紧张趋势，且日益恶化，医患冲突时有发生，需采取科学、合理措施，以重构和谐医患关系[1]。该文选取医生与患者共783例，分析医患双方对医患关系的认知评价，报道见下。

1 资料与方法

1.1一般资料

以随机抽样法选取笔者医院医生及其负责诊疗的患者为研究对象，分为医生组、患者组。医生组148例，纳入标准：（1）持有医生资格证;（2）医院正式员工;（3）参与临床诊疗工作;（4）具有住院医师及以上职称。排除标准：（1）无时间参与调查者;（2）中途退出者;（3）不愿意配合调查者。患者组635例，纳入标准：（1）入院时间≥1d;（2）已接受入选医生诊疗≥1次。排除标准：（1）病情严重者;（2）不同意参与调查者。

1.2方法