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.

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.

Spiritual Anamnesis and Doctor-Patient Relationship： Review and Reconstruction of a Daily Routine Instrument

Introduction： spiritual anamnesis is fundamental to familiarity with patient’s beliefs. It enables health professionals to： investigate how patients face the treatment, understand the role and importance of religion in the life of this individual, how much spirituality may interfere in the health-disease process and in the disease experience. It also helps detect spiritual needs and mobilize resources to promote the biopsychosocial and spiritual wellness of the individual. Objective： identify spiritual questionnaires in literature. Methods： This article is a bibliographic review. Researching was on books and electronically based from August to December 2014. PUBMED and SCIELO databases were used in English and Portuguese. Inclusion factors： short, brief and easy to memorize questions to know if the patient’s beliefs interfere in medical treatments and to what extent. Exclusion factors： not try to convert or to interfere with the patient’s rights, not try to influence their beliefs or to make anamnesis on emergency situations or acute medical consultations. Results： based on the questions of seven samples of spiritual questionnaires found in literature, health professionals identified the patient’s spiritual needs and the beliefs likely to interfere in the doctor-patient relationship and in the therapeutic conduct as such. The anamnesis models found converge in some points, but differ mainly as to time excess some questionnaires demand （due to the large number of questions） when compared to others （shorter） and/or when going deeper into a particular aspect of beliefs, leaving some important points out. Conclusion： the anamnesis found are as follows： FICA Questionnaire; HOPE Questionnaire, Kunh’s Spiritual Inventory, CSI-MEMO, ACP Spiritual History, Matthews Spiritual History, Maugans Spiritual History. The main points found in these seven questionnaires are： resources mobilization to meet the patients’ spiritual demands; to what extent spirituality may interfere both in adherence to the treatment and in the clinical treatment and in strengthening the doctor-patient relationship.

When Mulan meets Romeo： Cultural impact upon the dating scripts, perceptions and behaviors of college students from the United States and Taiwan in their cross-cultural romantic relationships

This study examines the cultural impact upon the dating scripts, perceptions, and behaviors of college students from the United States and Taiwan in their cross-cultural romantic relationships. Ten same-culture and ten cross-culture couples participated in the retrospective account interviews. Reconfirming the prevalent quantitative research findings that the American participants tend to begin dating at a younger age and change dating partners more frequently, this qualitative study finds that most of the American and Taiwan Residents participants perceived their dating and cross-cultural romantic relationships seriously by demonstrating a strong sense of responsibility and consistent support in the face of language difficulties, cultural confusions, and social obstacles.

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.

Are social embeddedness associated with food risk perception under media coverage?

Traceability system has received wide attention in solving food safety issues, via which food information could be tracked back to producer/farmers. Consumers need to obtain this information from producers or social networks, trust in the information,and consequently assess perceived risks, especially when food scandals are exposed to the media. In this study, we introduce the social embeddedness theory to understand how consumers’ social activities affect their risk perceptions on traceable food. Specifically, we investigate how risk perceptions are predicted by the interpersonal relationships, organizational level and social-level relationships. Results show that the interpersonal relationships were associated with lower levels of risk perceptions, while organizational and social relationships impacted consumer’s risk perceptions at middle and higher levels,respectively. Results also show that the "ripple effect" extended to effect of risk events with negative information, however,did not exist for the group exposed to positive information. Potential food safety implications have been proposed to identify for effective risk mitigation under media coverages.

Cash gifts,perception of social sphere and distribution of water resources for rural farmers in a typical oasis area in Northwest China

Face-to-face interviews(n=860) were conducted to determine cash-gift behavior, cognition and complexity of social relations, and family water consumption for agricultural production in a typical oasis area in Northwest China. The survey results revealed cash gifts to be the second-largest expenditure(1,330 Yuan) for rural households, far beyond the average spending on health(854.1 Yuan) or education(890.8 Yuan). The amount of cash-gift expenditures indirectly reflects a family's social relations level, and our developed Social Relations Extent Coefficient—based on cash-gift and food expenditures—can directly reflect the extent or level of these relationships. Different types of farmers or farming families have different coefficients. The coefficient also shows how social station affects a family's water resource utilization, and how water is distributed among different types of farmers. Despite the current inequities, however, promotion of better agricultural techniques and large-scale cultivation in this area could help distribute water resources more equitably and effectively.

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.

Stress perceptions and leadership orientation of Malaysians： Exploring their similarities and differences with Americans

To explore the management orientation of employees in Malaysia and the United States, this paper focuses on comparing the leadership and stress perception of respondents in these two different countries. It appears that Malaysians and Americans have a significantly higher score on the relationship-orientation than task-orientation. Similarly, the female respondents in Malaysia had a significantly higher score on the relationship orientation. Finally, the responses of these 216 Malaysian respondents were compared with the 87 Americans, demonstrating significantly higher scores for respondents from the U.S. on both orientations. For management and practical application, suggestions and implications for future studies are presented.

游客视角下的国家公园生态资源价值评价及其差异化研究

中国国家公园是生态文明建设的国之重器,承载着为公众提供科普公共产品和生态福利的使命。以普达措国家公园为案例地,爬取携程网、同程旅游网以及小红书3个主流网站平台的游客评论,探究游客生态资源感知价值维度体系,分析游客对不同生态资源价值的感知收益差异,并对生态资源价值感知度和满意度进行评价分析。结果表明:(1)游客视角下的生态资源感知价值可分为地学价值、生物价值、美学价值、体验价值和科普价值5大维度,体验价值感知收益最高,科普价值感知收益最低;(2)不同维度的游客生态资源价值感知协同度呈现出较大差异,其中地学价值的感知度和满意度高,科普价值的感知度和满意度低。为国家公园合理开发利用资源,实现生态、经济和社会效益的统一提供实证研究结果和数据支持。

Set Relationships between Tourists' Authentic Perceptions and Authenticity of World Heritage Resources

Tourists’ authentic perceptions are crucial for the development of world heritage resources. The paper focuses on exploring the relationships between tourists’ authentic perceptions and authenticity-based tourism development of world heritage. Through the empirical study on the Forbidden City in Beijing, we find that the relationships between the above two factors can be simulated by the model of set theory in algebra. As a result, five types of set relationships are proposed： “separation relation”, “intersection relation”, “inclusion relation I”,“inclusion relation II” and “superposition relation”. According to sample distribution rules, the set relationships can be further divided into primary set relationships and secondary set relationships. The study on set relationships based on demographic characteristic of tourists by using two-way analysis of variance method shows that the tourists in different groups of gender, ages, levels of education, visit frequencies and levels of early perspectives have different perceptions for the set relationships. The ifndings in this paper are helpful for identifying effects of the authenticity-based exploitation of world heritage resources and proposing future strategies for world heritage resources from tourists’ authentic perspectives.

改善患者就医体验提升满意度实践探索

在医疗市场竞争日益激烈的今天,患者就医感受直接决定着满意度,更决定着医院的社会形象。作者以改善患者体验提升满意度为抓手,聚焦上海某医院“医疗环境更友好、医疗服务显尊重、就诊流程更便捷、医患关系增互信、医院治理促合作”5个重点环节,就如何进一步强基础、补短板、促实效提升患者满意度做了有益的探索。

授权型领导-员工授权感知匹配对任务绩效的影响机制

基于领导-成员交换理论,从领导-员工匹配视角出发,探讨了授权型领导-员工授权感知匹配与任务绩效的关系。采用多项式回归、响应面分析和块变量分析方法,对261份领导和下属的配对数据进行分析。研究结果表明:授权型领导与员工授权感知越匹配,下属的任务绩效越高;在一致性匹配情况下,相比于“低授权型领导-低员工授权感知”高授权型领导-高员工授权感知下的员工任务绩效更高;在不一致性匹配情况下,相比于“低授权型领导-高员工授权感知”“高授权型领导-低员工授权感知”下的员工任务绩效更高;领导-成员交换关系在授权型领导-员工授权感知评价匹配对任务绩效的影响中起部分中介作用;工作场所地位调节了领导-成员交换关系与任务绩效间的关系。本文从匹配视角出发揭示了领导授权效果异质性的原因,丰富了匹配研究在授权型领导效能发挥中的应用,为授权型领导相关研究提供了更加全面的视角。

Analysis and improving countermeasures of medical disputes from the perspective of legal changes

Under the background of medical disputes growing in number,scale and intensity,tracing back legal changes in medical field as a breakthrough point,this paper took a legal perspective to illustrate changes in medical dispute settlements from legislative orientation to legal system improvement.In view of the fact that early legislation in medical field was biased towards identification and punishment of doctors’responsibility,and later intensive legislation in balancing increasing"medical trouble"phenomenon with limited effects and difficulties to abide by the law,this paper proposed to improve doctor-patient dispute settlements system in China referencing from foreign law experience,to reduce investigation of doctors at the judicial level,and to establish a settlement mechanism on doctors’apology at the legislative level,so as to promote a healthy development of doctor-patient relationship.

The Development of Doctor-nurse-patient Co-construction through Evidence-based Narrative Exploration of Traditional Chinese Medicine

Traditional Chinese medicine(TCM)is the wisdom crystallization and cultural treasure of the Chinese nation.Establishing a positive relationship among doctors,nurses,and patients is essential for promoting the sustainable development of TCM culture.As an important branch of evidence-based narrative medicine,evidence-based narrative of TCM significantly contributes to the co-construction of doctors,nurses and patients.This paper discusses the necessity and clinical practice value of promoting co-construction of doctors,nurses and patients based on the principles of evidence-based narrative TCM.By working together to select optimal diagnosis and treatment options,we aim to enhance patient compliance,alleviate tensions among the parties involved,and establish equitable collaborative relationships.Creating a harmonious medical environment is crucial for promoting the continuous development of this collaborative model in clinical practice,thereby improving patients'overall health,increasing public recognition of TCM,and supporting its sustainable growth.

感知父母冲突对青少年问题行为的影响机制研究——以临沂初中学生为样本

本文基于父母冲突的认知—情境理论,以612名初中生为被试,采用感知父母冲突量表、青少年问题行为量表、情绪不安全感量表和同伴关系量表探讨感知父母冲突与青少年问题行为的关系及其作用机制。结果表明:(1)感知父母冲突与青少年问题行为、情绪呈显著正相关,对二者具有显著的影响,青少年的负面情绪能够显著正向预测青少年问题行为;(2)情绪不安全感是感知父母冲突与青少年问题行为之间的中介变量;(3)同伴关系对情绪不安全感与青少年问题行为的关系具有调节作用。具体来说,同伴关系水平较低时,不良情绪对青少年的问题行为影响较大,而在高水平的同伴关系下,不良情绪对青少年的问题行为影响较小。该研究结论对青少年犯罪的前置干预、促进青少年犯罪预防体系改革与创新具有一定的指导意义。

菲律宾民众对中国国家形象的认知分析与建议——基于亚洲晴雨表的实证研究(2009—2023)

基于亚洲晴雨表第三波、第四波和第五波菲律宾数据中的涉华部分为分析样本,对十年来菲律宾民众对中国国家形象的认知进行了多角度的分析和描述,并对影响菲律宾民众对中国国家形象认知的实证因素和情景因素进行了分析,以期改善菲律宾民众对中国国家形象的认知。

基于农户感知的黄河下游人-水关系结构分析

人-水关系研究是社会-生态系统研究的重要领域。识别黄河下游农户对人-水关系的感知及其影响因素,对黄河下游因人施策开展生态保护与高质量发展政策调控具有重要作用。但已有研究多从区域水资源、水环境、水文化等某一种或几种关系开展居民感知调查及归因,忽视了人-水关系之间结构化的相互影响机制。基于对黄河下游山东省10个县的农户发放的1651份问卷,经过验证性因子分析后,最终引入水资源与生态关系、水文化与旅游关系、居住地生态功能、河口湿地功能、文化旅游功能五个潜变量,建立结构方程模型发现:农户对水资源与生态关系的认识正向影响其对居住地生态功能和河口湿地功能的评估,农户对水文化与旅游关系的认识正向影响其对居住地生态功能、河口湿地功能和文化旅游功能的评估。研究结果通过基于农户感知刻画人-水关系结构,揭示人-水系统功能认知的影响机制,有助于为黄河下游地区生态保护和乡村振兴提供决策参考。

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).

汽车安全技术感知与不安全驾驶行为的关系分析

随着社会的发展,为了提高汽车的安全性和减少交通事故发生率,汽车制造商不断研发出各种新的安全技术来保障驾驶员和他人的生命财产安全,尽管这些安全技术能够有效降低事故发生的概率,但并不一定能完全避免所有的危险情况。