广州市低年级医学生对医患关系的了解与认知

摘要

Objective:To investigate the current situation of junior medical students'cognition on the relationship between doctors and patients,and to provide reference for medical students'medical education and medical education reform,Methods:Self-made questionnaire was adopted to investigate the cognitive status of doctor-patient relationship among junior medical students from three medical universities in Guangzhou.Results:Totally 41.04％ of junior medical students had a basic understanding of doctor-patient relationship,and the degree of understanding of doctor-patient relationship is not different between junior and senior medical students (P ＞ 0.05);76.62％ of medical students got acquainted with the status of doctor-patient relationship mainly through the media;86.57％ of junior medical students thought that the doctor-patient relationship was tense.The cognition of doctor-patient relationship between male and female students was similar (P ＞ 0.05),and so wasit between freshmen and sophomores (P ＞ 0.05).Male and female students had the same opinion on the future trend of doctor-patient relationship (P ＞ 0.05).Many junior medical students were optimistic about the future doctor-patient relationship.Compared with freshmen,sophomore medical students were less optimistic about the future doctor-patient relationship (P ＜ 0.05).Medical students mostly agreed on the causes of medical disputes (P ＞ 0.05),believing that the main reason was the medical system.Conclusions:The cognition of the doctor-patient relationship profoundly affects the junior medical students as well as their choices of future employment and communication styles between patients and them,which may have important significance for avoiding medical disputes.Society,schools and the media should actively create a good atmosphere for the doctor-patient relationship.%目的 调查低年级医学生对医患关系的认知现状,为医学生医患关系教育和医学教育改革提供借鉴.方法 采取自制问卷的方法调查广州市3所医科大学低年级医学生对医患关系的了解与认知.结果 41.04％的低年级医学生对医患关系有基本的了解,低年级医学生对医患关系了解程度无差别(P＞0.05);76.62％的低年级医学生主要通过媒体报道了解到医患关系现状;86.57％的低年级医学生认为医患关系紧张,男生和女生对医患关系的认知程度相同(P＞0.05),大一学生和大二学生对医患关系认知程度相同(P＞0.05);男生和女生对未来医患关系的走向看法一致(P＞0.05),较多低年级医学生对未来医患关系的改善持乐观态度,相较于大一学生,更低比例的大二学生对未来医患关系的改善持乐观态度(P＜0.05);对医患纠纷的责任主体低年级医学生看法一致(P＞0.05),认为其主要责任主体在于医疗制度的不够完善.结论 低年级医学生对医患关系的了解与认知深刻影响低年级医学生,对其以后就业选择及如何与患者沟通和避免医疗纠纷均有重要的意义,社会、学校及媒体舆论应积极营造良好的医患关系氛围.