目的 通过对接受规范化培训的住院医师生存状态进行研究,为改善住培医师生存状态、提升医疗服务质量提供有益借鉴.方法 采取质性研究方法,针对住培医师日常工作生活现状,于2016年4至5月,选取北京市4所三级甲等医院内参加规培的13名住培医师进行访谈,运用Colaizzi七步法对访谈资料进行整理和分析.结果 在工作方面,住培医师工作内容具体、人际关系较为和谐.在学习方面,他们能够进行主动学习,希望在科研方面得到更多帮助.在生活方面,他们面临来自经济、家庭的多重压力.在主观认知方面,他们对自身角色认知较为理性客观.结论 住培医师状况呈现出工作任务繁重;在工作的同时需要兼顾学习,生活压力较大;对自身角色定位较为客观的特点.住培医师生存状态的提升,需要整合多元力量,推动住培医师融入医院文化,提升其存在感.需要完善制度建设,健全住培医师各项保障,提升其安全感.需要全社会更多关注住培医师生存状态,提升其获得感.%Objective By exploring the state of residents' living condition, it is helpful to promote the living condition of residents and improve the quality of medical services. Methods A qualitative re-search was conducted on 13 residents in 4 hospitals in Beijing by depth interview during April to May 2016, and the data were collected and analyzed by using Colaizzi seven step method. Results In terms of work, the residents had specific work, and the interpersonal relationship was more harmonious. In learning, residents were able to take the initiative to learn, and hoped to get more help in scientific research. In life, residents faced multiple pressures from the economy and the family. In the subjective cognition, the cogni-tion of resident was rational and objective. Conclusion The residents' work shows a heavy workload, and while working the residents need to take the study and the life pressure into account. And the residents can rationally recognize their role. To improve the living status of the resident physician, we need to integrate multiple forces, to promote the integration of live doctors into the hospital culture, and enhance their sense of existence. We also need to improve the construction of the system and improve the protection of live training physicians to enhance their sense of security. Most important of all, the whole society should pay more attention to the living condition of the residents and enhance their sense of access.
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