目的：：调查当前医患关系影响下医学生的职业认知情况，并分析其影响因素。方法：使用自制问卷，对蚌埠医学院临床医学专业一至五年级的1000名医学生进行调查。结果：当前医患关系影响下，医学生职业认知水平普遍不高。其中，男生的就业信心水平明显高于女生(P<0.01)；低年级医学生的沟通能力水平、就业信心水平、职业道德水平、职业信心水平均高于高年级医学生(P<0.01)；独生子女医学生的就业信心水平高于非独生医学生(P<0.05)；班干部的专业知识水平、沟通能力水平、就业信心水平和职业素质水平均高于非班干部(P<0.05~P<0.01)。结论：当前不良的医患关系已经通过多种途径对医学生的职业认知水平造成了负面影响，需要通过政府、社会、医院、学校和医学生的共同努力解决。%Objective:To investigate the career cognition of medical student under the influence of the doctor-patient relationship,and its influence factors. Methods:One thousand students from freshman to grade five of clinical medicine of Bengbu medical college were investigated using self-made questionnaire. Results:Under the influence of the doctor-patient relationship, the level of the career cognition of clinical medicine student was low, the confidence level of employment in male student was significantly higher than in female student(P<0. 01). The levels of communication ability,employment confidence,career moral and professional confidence in junior medical students were higher than those in the senior medical students(P<0. 01). The employment confidence level in single child medical student was higher than that in non-single child medical students(P<0. 05). The levels of the professional knowledge, communication ability,employment confidence and professional quality in class leader were higher than those in non-class leader( P<0. 05 to P<0. 01). Conclusions:The adverse doctor-patient relationship has negative effects on the professional cognition of medical student through a variety of ways, which can be settled by the joint of efforts of government, hospital, school, society and medical students.
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