中华医学教育杂志

中华医学教育杂志 ›› 2018, Vol. 38 ›› Issue (4): 519-522.DOI: 10.3760/cma.j.issn.1673-677X.2018.04.010

• 人文素质教育 • 上一篇    下一篇

高校学生对医患关系及其影响因素认知的调查

赵勋, 何启瑜, 覃子健, 徐思梦, 周丹丹, 梁朝朝, 冯文   

  1. 100191 北京大学医学部2014级八年制临床医学专业(赵勋、覃子健),2014级八年制基础医学专业(何启瑜、梁朝朝),2014级护理学专业(徐思梦、周丹丹),公共卫生学院卫生政策与管理系(冯文)
  • 收稿日期:2018-02-07 出版日期:2018-08-01 发布日期:2020-12-08
  • 通讯作者: 冯文,Email:fengwenmail@sina.com

A study on cognition and influencing factors of doctor-patient relationship for university students

Zhao Xun, He Qiyu, Qin Zijian, Xu Simeng, Zhou Dandan, Liang Zhaozhao, Feng Wen   

  1. Grade 2014, Eight-year Medical Program, Peking University Health Science Center, Beijing 100191, China (Zhao X, Qin ZJ); Grade 2014, Eight-year Basic Medical Program, Peking University Health Science Center, Beijing 100191, China (Liang ZZ, He QY); Grade 2014, Nursing Major, Peking University Health Science Center, Beijing 100191, China (Xu SM, Zhou DD); Department of Health Policy and Management, School of Public Health, Peking University, Beijing, 100191, China (Feng W)
  • Received:2018-02-07 Online:2018-08-01 Published:2020-12-08
  • Contact: Feng Wen, Email: fengwenmail@sina.com

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摘要： 目的 了解大学生对我国目前医患关系的认知状况,发现医学生与非医学生间的认知差异,为大学教育形成良性的社会认知提供参考。方法 本研究采用问卷调查方法,对北京市12所高校在校生866人进行调查,数据采用SPSS 20.0软件进行描述性分析、因子分析和多因素logistic回归分析。结果 62.6%(542/866)的大学生认为目前的医患关系紧张,医学生认为医患关系紧张的比例高于非医学生。影响医学生和非医学生医患关系态度的因素不同。对于医学生来说,学习更多人文课程的学生对医患关系有更积极的评价,但认为医患关系紧张的原因是制度因素的学生对医患关系的评价更为消极。对于非医学生来说,年级越高、认为医患关系紧张的原因是医患互动因素的学生对医患关系的评价更为积极,但学习生命科学课程数量越多,认为医患关系紧张的原因是患方因素、制度因素和医患双方互动因素的学生对医患关系评价更为消极。结论 医学生负面的医患关系评价不利于未来的职业发展,应当加强对医学生的人文教育,帮助医学生建立更积极的社会态度。

关键词: 医患关系, 大学生, 影响因素

Abstract: Objective To understand the cognition of college students about the relationship between doctors and patients, especially gap between medical students and non-medical students and influential factors, to build more active social attitude during collage time.Methods The self-administered-questionnaire survey of 866 college students was conducted in 12 universities in Beijing. The study employed description, factorial analysis and Logistic analysis with SPSS 20.0.Results 62.6%(542/866) responders evaluate relationship of doctor-patient. Different factors influents two groups. Medical students with more human courses and non-regime evaluate more positive. Non-medical students with high grade, interactive factor, more life-science courses show more positive. There is a big difference between medical students and non-medical students on the relationship between doctors and patients, and there is a certain degree of “opposition” in their view. This opposition is due to their different positions.Conclusions Medical students evaluate relationship of medical-patient worse than non-medical students. Human education should be established to medical students so that more active social attitude could be built in the coming future.

Key words: Doctor-patient relationship, College students, Influence factors