医学生医患关系认知现状及其对专业学习的影响

目的:调查医学生对医患关系的认知情况及其对专业学习的影响.方法:使用自制调查问卷对蚌埠医学院临床医学专业大一至大五的学生进行抽样调查.结果:高年级比低年级有更多的医学生认为现在的医患关系非常紧张(P<0.01),医生是一个高风险职业(P<0.01),在目前的医患关系下工作肯定会压力不小(P<0.01),担心以后会面临医患纠纷的困扰(P<0.01);高年级比低年级有更少的医学生对未来一段时间医患关系的改善比较乐观(P<0.01),认为今后一段时间医患关系的发展前景不断改善(P<0.01),医患纠纷的发生双方均有责任(P<0.01);低年级比高年级更重视职业道德(P<0.05);新闻媒体是医学生了解医患关系的主要途径,教师的言传身教成为影响医学生对医患关系看法的不可忽视的因素;高年级对专业的满意度低于低年级学生(P<0.01);认为医患关系紧张的医学生学习积极性比认为医患关系不紧张的医学生高(P<0.01).结论:当前不良的医患关系已经通过多种渠道对医学生的专业满意度和择业观造成了负面影响,需要从社会、媒体、学校、教师等多方面加强措施减少这种负面影响.

Effect of the cognitive status of doctor-patient relationship on professional learning in medical students

Objective:To investigate the effects of the cognitive status of doctor-patient relationship on professional study in medical students.Methods:The medical students from the clinical medicine of Bengbu Medical College were investigated using self-made questionnaire.Results:Compared with junior students, the cognitions of tense doctor-patient relationship, risky professional doctor, heavy work pressure and more worry about doctor-patient relationship were found in senior students(P<0.01).Compared with junior students, the cognitions of more optimistic doctor-patient relationship and two sides responsibilities of doctor-patient dispute were found in senior students in the future(P<0.01).Compared with senior students, the professional ethics in junior students was paid more attention to(P<0.01).The news media was the main way of medical students understanding doctor-patient relationship, the teachers', words and deeds were important factors of affecting the cognitions of doctor-patient relationship in medical students(P<0.05).The professional satisfaction degree of senior medical students was lower than that in junior medical students(P<0.01).The learning enthusiasm of medical students with tense doctor-patient relationship was higher than that in students without tense doctor-patient relationship(P<0.01).Conclusions:The undesirable doctor-patient relationship has negative effects on professional satisfaction degree, learning enthusiasm and job-choosing view, which can be reduce by the effects of society, media, school and teacher.