角色情感视域下医生医患关系的认知调查——以陕西省某三甲医院为例

Cognitive Investigation on the Doctor-patient Relationship of Doctors under the Perspective of Role Emotion: Taking One Class A Tertiary Hospital in Shaanxi Province as a Case

目的了解陕西省某三甲医院医生群体对医患关系现状的认知状况。方法随机抽取该院212名医生进行问卷调查。利用SPSS16.0软件,通过t检验、方差分析等统计学方法分析数据。依据角色理论和情感社会学探讨职业角色和情感体验对医患关系的影响。结果不同性别、职称、学历、工作年限的医生对医患关系的评价无统计学意义(P>0.05);外科和儿科医患关系较内科、妇科和其他科室紧张(P<0.05)。81.2%的医生认为医患关系不和谐,这种角色情感体验具体来源于患者就诊行为、媒体报道、自我职业评价和签写"拒收红包协议书"等。结论制度、患者、媒体、收入、权利缺失等多种因素会诱发医生负性情感体验,并降低角色认同感。构建和谐医患关系需首先关注医生群体,从社会不同层面唤起医生的正性情感,使其获得基本的角色权利。

Objective： To investigate the cognition of doctor groups in a class A tertiary hospital in Shaanxi province to the doctor -patient relationship. Methods： 212 doctors in hospital were randomly selected for ques- tionnaire survey. Data was analyzed by SPSS16.0 software, using the statistical methods of cheek sum and fiance analysi. Based on role theory and emotion sociology, this paper discussed the influence of professional role and e- motional experience on the doctor- patient relationship. Results： The doctors with different genders, titles, edu- cational background and working years had no significant difference in the evaluation of doctor - patient relationship （P 〉 0.05 ） , and the doctor - patient relationship of surgery department and pediatric department was more tense than that of internal medicine, gynecology and other departments （P 〈 0.05 ）. 81.2% of the doctors believed that doctor- patient relationship was disharmonious, and this role emotional experience came from patient visiting be- havior, media coverage, self - evaluation of occupation and signing the ＂red envelope agreement＂ and so on. 0013- elusion： Many factors such as institution, patient, media, income and lack of right, can induce doctors＇ negative emotional experience and reduce their role identity. To construct harmonious doctor- patient relationship needs to pay attention to doctor group firstly, and arouse doctors＇positive emotion from different social levels to make them attain basic role fight.