Study on the Relationship between Psychological Stress and Doctor-Patient Relationship of Cancer Patients and Their Families

Objective: To research the relationship between psychological stress and doctor-patient relationship of cancer patients and their families. Methods: The patients were randomly divided into the intervention group and the control group, and PDRQ-15, pcl-c, SAS and SDS scales were selected as evaluation indexes, and the levels of norepinephrine and dopamine were compared between the patients diagnosed with PTSD cancer and those without PTSD. Results: 1) The total score of PCL-C, SAS, SDS, PDRQ-15 scale of the cancer patients and their families after the intervention of clinical psychological care was significantly lower than that of before intervention and the control group. 2) The correlation coefficients between PCL-C, SAS, SDS and PDRQ-15 of cancer patients and their relatives were 0.971, 0.952 and 0.939 respectively. The significant test P value was less than 0.05 and the difference was statistically significant. 3) The plasma levels of dopamine and norepinephrine in cancer patients under stress were significantly higher than those in cancer patients without stress (P Conclusion: After psychological Intervention of cancer patients and their families, post-traumatic stress disorder, anxiety, depression and doctor-patient relationship were all improved.

An Investigation of Medical Students’ Cognition on the Doctor-Patient Relationship and Their Career Choice

Objective:To investigate medical students’cognition on the doctor-patient relationship and its influence on their career choice as well as to provide reference for medical education and communication education.Methods:A self-compiled questionnaire survey was carried out at a medical university in W city,and descriptive statistics as well as chi-square tests were conducted.Results:There were significant differences in medical students’cognition of doctor-patient relationship among different genders,registered residence,only-child status,whose parents are working in the medical field,and their own evaluation of the major(p<0.05);the different cognitions of doctor-patient relationship have a significant influence on medical students’career choice.Conclusion:Medical students’vocational cognition and educational guidance should be strengthened,hospital information should be open and transparent,media reporting of medical events should be standardized,and a doctor-patient conflict regulation mechanism should be established.

现代汉语使令句V1、V2的时考察

使令句V1和V2都可以受时态副词“已经、已、正在、正、在、将要、将、要”修饰,即V1和V2具有[+前附时态]的特点。使令句的V2受时态副词修饰时,其动词V1多是持续性动词。可通过时态副词、时间名词、动作顺序、语义特征、上下文语境确定V1、V2的时态,V1和V2共存在六种时态关系。

日语因果复句中的不定形分析

该研究目的在于探讨不定形概念在解释日语因果复句中特殊时间关系时的有效性,即是否可以应用到特殊时间关系的分析之中。“不定形(non-finites)”是印欧语中的一个概念,指的是不带有时态等曲折变化的动词形态,仅把动词所表达的动作作为一个概念提出,是一个超越了动词时体体系的概念。日语中虽不存在严格意义上不定形的概念,但是复句中从句的特殊ル形如果用不定形来解释,将可获得有效解释。该研究通过对不定形概念用于解释复合句中时体特殊现象的有效性进行探讨,考察英语动词概念是否适用于日语,如果适用,具有哪些特征和条件,最后确认在从句中不定形形式和功能的实际情况。经过分析得知,在解释因果复句中特殊时间关系时不定法的概念比不定形的概念更加合理和有效。

Time to rebuild the doctor-patient relationship in China

In China,the doctor-patient relationship(DPR)has been tense in recent years and continues to deteriorate.From 2009 to 2018,295 severe medical violence events were reported on social media,in which 362 doctors were injured and 24 lost their lives(1).According to a survey conducted in 2018 by the national Chinese Medical Doctor Association(CMDA),62% of doctors had experienced varying degrees of medical disputes and 66% had experienced varying degrees of doctor-patient conflict,dominated by verbal violence(accounting for 51%of cases).

Emotional differences based on comments on doctor-patient disputes with varying levels of severity

BACKGROUND The risks associated with negative doctor-patient relationships have seriously hindered the healthy development of medical and healthcare and aroused wide-spread concern in society.The number of public comments on doctor-patient relationship risk events reflects the degree to which the public pays attention to such events.Thirty incidents of doctor-patient disputes were collected from Weibo and TikTok,and 3655 related comments were extracted.The number of comment sentiment words was extracted,and the comment sentiment value was calculated.The Kruskal-Wallis H test was used to compare differences between each variable group at different levels of incidence.Spearman’s correlation analysis was used to examine associations between variables.Regression analysis was used to explore factors influencing scores of comments on incidents.RESULTS The study results showed that public comments on media reports of doctor-patient disputes at all levels are mainly dominated by“good”and“disgust”emotional states.There was a significant difference in the comment scores and the number of partial emotion words between comments on varying levels of severity of doctor-patient disputes.The comment score was positively correlated with the number of emotion words related to positive,good,and happy)and negatively correlated with the number of emotion words related to negative,anger,disgust,fear,and sadness.CONCLUSION The number of emotion words related to negative,anger,disgust,fear,and sadness directly influences comment scores,and the severity of the incident level indirectly influences comment scores.

Effect of patient COVID-19 vaccine hesitancy on hospital care team perceptions

BACKGROUND The coronavirus disease 2019(COVID-19)pandemic posed new challenges in patient care worldwide.Vaccinations,which have proven efficacious in lowering the COVID-19 hospital burden,are still avoided by large populations.We,therefore,hypothesized that hospital care teams would have worse perceptions regarding the characteristics and care of patients with vaccine hesitancy.AIM To evaluate whether patient vaccine hesitancy affected the hospital care team(HCT)perceptions.METHODS We performed a prospective clinical study using structured questionnaires.We approached physicians and nurses with previous experience caring for COVID-19patients from 11 medical centers across Israel during the fourth COVID-19 surge(September and October 2021).The participants completed a questionnaire with the following parts:(1)Sociodemographic characteristics;(2)Assessment of anger(STAXI instrument)and chronic workplace stress(Shirom-Melamed burnout measure);and(3)Three tools to assess the effect of patient vaccine hesitancy on the HCT perceptions(the difficult doctor-patient relation questionnaire,the medical staff perception of patient’s responsibility questionnaire and the characterological derogation questionnaire).Results were evaluated according to each part of the questionnaire and the questionnaire as a whole.Associations between HCT perceptions and their baseline characteristics,anger or chronic workplace stress were assessed.RESULTS The HCT experienced their relationship with unvaccinated patients as more difficult(P<0.001,Cohen’s d=0.85),perceived unvaccinated patients as responsible for their medical condition(P<0.001,d=1.39)and perceived vaccinated patients as having a higher character value(P<0.001,d=1.03).Unvaccinated patients were considered selfish(P<0.001),less mature(P<0.001)and less satisfying to care for(P<0.001).The relationship with unvaccinated patients was more difficult among HCT with higher burnout(r=0.37,n=66,P=0.002).No correlations with baseline characteristics were found.All three study tools showed high internal consistency(αbetween 0.72 and 0.845).CONCLUSION Our results should raise awareness of the possible effects of vaccine hesitancy on HCT perceptions regarding unvaccinated patients.In order to minimize the potential negative impact on patient care,designated departments should promote specific patient-centered preparations.Further investigations should assess whether vaccine hesitancy directly affects patient quality of care.

E-mail Could Enhance Doctor-Patient Relationship

病人和医生之间的传统关系是本文所说的normal clinie basedconsultation。然而,这种沿袭了许多年的关系正在被打破！ E-mail,正在成为病人和医生之间联系的重要桥梁。 本文有几个重要信息: …nearly 40％ of American patients say they have used e-mail to contact ahealth professional(专家)in the past. …by the year 2000 nearly every library will offer(Internet and E-mail)services in the United States,allowing even low-income patients some means ofe-mail access. Web experts now estimate more than 10,000 health-oriented websites (站点)already exist. 这两个信息让我们感到:美国在这方面又领先世界一步！ 值得一提的是,病人有通过e-mail和医生联系的积极性,而医生却缺乏这方面的积极性。原因是: …for fear of increasing workload(工作量)and uncertainty about paymentror the time involved. 当然,病人方面也并非100％地欢迎这个新生事物: …patients may worry that sensitive medical information might be read byothers.然而,以上这些“阻力”终将被克服！

从传统医学中汲取人文思想的养分（英文）

医学是研究人的健康和疾病及其相互变化规律的一门学科,其研究的对象是人,而人具有自然、心理和社会三重属性。因此,医学必然具有人文属性。中医学植根于中国传统文化的土壤之中,蕴含着丰富的人文思想。奉行"天人合一"的思想;崇尚"生命至重"的理念;坚守"医乃仁术"的德行;强调"医贵乎精"的信念;恪守"贵义贱利"的准则;遵守"尊重同行"的行规。这些都是医学人文思想的具体体现。让我们从中国传统医学中汲取人文思想的养分,使其在融化医患坚冰,改善医疗服务质量中发扬光大,重现其现代价值。

论当前我国医疗市场对医患关系的影响

解读目前紧张的医患关系是一个迫切的社会课题。医疗服务是一种商品 ,医疗市场是客观存在的 ,它是导致医患关系紧张的深层次原因。

汉语时间系统习得状况的考察

一种语言的时间系统是通过时间名词、时间副词、时态助词、方位词及其相关的句法结构共同表现出来的。本文通过对汉族儿童习得时态助词、时间副词、时间名词、时序词及其相关句法结构的状况的考察 ,分析研究了儿童习得汉语时间系统的过程和机制。

乡镇与乡村社会关系中的紧张因素及其矫治

改革后,乡镇与乡村社会间逐渐形成了一种乡镇有限主导的互动关系,该关系形态从总体上讲有助于乡村社会的现代化发展。然而在当下乡镇与乡村社会的互动关系中也存在着一些紧张因素,这些因素可能在一定程度上诱发乡镇权力过度扩张与公共治理能力下降并行的悖论,不利于乡镇与乡村社会良性互动的展开,进而制约和阻碍乡村社会现代化转型的顺利实现,故而有必要对之加以矫治。

医务社会工作者参与调解医患关系紧张的研究

当前医患矛盾和医疗纠纷呈高发态势,恶性伤医事件时有发生,医患关系紧张已成为重大社会不稳定因素之一,构建和谐医患关系是建设中国特色社会主义精神文明的重要内容。医务社会工作者参与医疗纠纷的调解,有助于帮助医患之间及时有效进行各种信息沟通,建立和谐良好的医疗秩序和医患关系。

Defensive medicine:It is time to finally slow down an epidemic

Defensive medicine is widespread and practiced the world over, with serious consequences for patients, doctors, and healthcare costs. Even students and resi-dents are exposed to defensive medicine practices and taught to take malpractice liability into consideration when making clinical decisions. Defensive medicine is generally thought to stem from physicians' perception that they can easily be sued by patients or their relatives who seek compensation for presumed medical errors. However, in our view the growth of defensive medicine should be seen in the context of larger changes in the conception of medicine that have taken place in the last few decades, undermining the patient–physician trust, which has traditionally been the main source of professional satisfaction for physicians. These changes include the following: time directly spent with patients has been overtaken by time devoted to electronic health records and desk work; family doctors have played a progressively less central role; clinical reasoning is being replaced by guidelines and algorithms; the public at large and a number of young physicians tend to believe that medicine is a perfect science rather than an imperfect art, as it continues to be; and modern societies do not tolerate the inevitable morbidity and mortality. To finally reduce the increasing defensive behavior of doctors around the world, the decriminalization of medical errors and the assurance that they can be dealt with in civil courts or by medical organizations in all countries could help but it would not suffice. Physicians and surgeons should be allowed to spend the time they need with their patients and should give clinical reasoning the importance it deserves. The institutions should support the doctors who have experienced adverse patient events, and the media should stop reporting with excessive evidence presumed medical errors and subject physicians to "public trials" before they are eventually judged in court.

Quality of care in patients with inflammatory bowel disease from a public health center in Brazil

BACKGROUND Inflammatory bowel diseases(IBDs)are chronic diseases that demand continuous interaction between patients and healthcare providers.Quality of care(QoC)is a factor that contributes to a patient’s adherence to treatment and its success.AIM To evaluate QoC in patients from a single IBD reference center.METHODS This cross-sectional study included 133 patients from a single Brazilian IBD public health center.QoC was evaluated through the QoC Through the Eyes of Patients with IBD(QUOTE-IBD)questionnaire(based on patient perspectives),which measures eight dimensions of care.We compared QoC among patients with Crohn’s disease and ulcerative colitis and analyzed the clinical and psychological factors associated with QoC satisfaction.Clinical evaluations assessed disease characteristics,quality of life,anxiety,and depression levels.RESULTS Sixty-nine patients with Crohn’s disease and 64 with ulcerative colitis were interviewed.The mean age was 37.26 years±13.05 years,and 63.91%of the patients were women.The mean duration of the disease was 8.44 years±7.59 years,where most patients were in remission(70.31%of patients with ulcerative colitis and 62.32%with Crohn’s disease).The total QoC score of the sample was 8.61 years±1.31 points,indicating that the QoC provided by the center was unsatisfactory.According to univariate logistic regression,patients with Crohn’s disease had higher satisfaction rates than those with ulcerative colitis[odds ratio(OR):2.746;95%confidence interval(CI):1.360-5.541;P=0.0048]and patients on infliximab(OR:2.175;95%CI:1.037-4.562;P=0.0398).CONCLUSION Patients from the IBD public center reported good doctor-patient relationships,but had problems related to the healthcare structure.Evaluation of healthcare centers is of paramount to improve QoC for the patients involved.

医患关系紧张的社会根源探寻与对策

医患关系紧张是当下一个被广泛热议的共同话题,也是一个困扰和纠结多方的社会难题。它的形成既有医患微观层次的导火源头,更有社会宏观层面的深部原因。基于体制机制,法律道德,人际沟通,诊断治疗,经费支出,综合治理,关联文化等方面的社会成因探索及其在此基础上的"对症下药",或为长久的"治本之策"。