摘要：
Objective To explore current status and influencing factors of aggressive behavior in general patients.Methods From March to June in 2015,a questionnaire survey was conducted by using convenient sampling method in the Affiliated Ophthalmology Hospital of Sun Yat-sen University,Guangdong Province Traditional Chinese Medical Hospital,the Fifth Affiliated Hospital of Sun Yat-sen University,458th Hospital of PLA,Guangzhou Dongsheng Hospital,the First Affiliated Hospital of Guangdong Pharmaceutical University and Baiyun Maternal and Child Health Care Hospital.The basic data of the patients were collected by using a self-designed general questionnaire,including gender,age,education level,the economic impact degree of treatment on the patients,satisfaction on doctors' services,cognition of doctor-patient relationship,cognition of doctor-patient status.The Chinese version of the Buss-Perrv Attack Scale was used to evaluate the patients' aggressive behaviors.Results In this study,a total of 370 questionnaires were distributed and 338 valid questionnaires were collected successfully,and the effective rate was 91.4％.The patients'total score of the Buss-Perry Attack Scale was (5.4 ± 1.4),the hostile dimension was (1.9 ± 0.6),the body attack dimension was (1.0 ± 0.4),the impulse dimension was (1.8 ± 0.5),the irritability dimension was (0.7 ± 0.3).There were no statistically significant differences in the total scores of Buss -Perry Attack Scale among the patients with different gender and educational level (P ＞ 0.05).There were statistically significant differences in the total scores of Buss-Perry Attack Scale among patients with different age,the economic impact degree of treatment on the patients,the satisfaction on the doctor's services,the cognition of the doctor-patient relationship,the cognition of the doctor-patient status (P ＜ 0.05).Linear regression analysis showed that the economic impact degree of treatment on the patients [β =0.191,95％ CI (0.097,0.285)],the satisfaction on the doctor's service [β =-0.162,95％CI (-0.304,-0.019)],the cognition of the doctor-patient relationship [β =-0.145,95％ CI (-0.252,-0.038)],the cognition of the doctor-patient status [β =-0.134,95 ％ CI (-0.230,-0.039)] were the influencing factors of the patients'total scores of Buss-Perry attack scale (P ＜ 0.05).Conclusion The patients' total scores of Buss-Perry Attack Scale are at a high level.The patients are less aggressive and easier to establish a good doctor-patient relationship when the economic impact degree of treatment on the patients is low,the satisfaction on doctor's services is high,and when the patients realize the doctor-patient relationship is the relationship of trust and believe and the current doctor-patient state is harmonious.%目的 探讨一般患者攻击性行为现况及其影响因素.方法 2015年3-6月,于中山大学附属眼科医院、广东省中医院、中山大学附属第五医院、解放军四五八医院、广州市东升医院、广东药科大学附属第一医院、白云区妇幼保健院采取便利抽样方法进行问卷调查.采用自行编制的一般情况调查表收集患者基本资料,包括性别、年龄、文化程度、治疗对患者经济的影响程度、对医生服务满意度、对医惠关系的认知、对医患状态的认知;采用中文版Buss-Perry攻击性量表评价患者攻击性行为.结果 本研究共发放问卷370份,回收有效问卷338份,回收有效率为91.4％.患者Buss-Perry攻击性量表总分为(5.4±1.4)分,敌意维度(1.9±0.6)分,身体攻击维度(1.0±0.4)分,冲动维度(1.8±0.5)分,易怒维度(0.7±0.3)分.不同性别、文化程度的患者Buss-Perry攻击性量表总分比较,差异无统计学意义(P＞0.05).不同年龄、治疗对患者经济的影响程度、对医生服务满意度、对医患关系的认知、对医患状态的认知的患者Buss-Perry攻击性量表总分比较,差异均有统计学意义(P＜0.05).线性回归分析显示,治疗对患者经济的影响程度[β=0.191,95％CI (0.097,0.285)]、对医生服务满意度[β=-0.162,95％CI(-0.304,-0.019)]、对医患关系的认知[β=-0.145,95％ CI(-0.252,-0.038)]、对医患状态的认知[β=-0.134,95％CI(-0.230,-0.039)]是患者Buss-Perry攻击性量表总分的影响因素(P＜0.05).结论 患者Buss-Perry攻击性量表总分处于较高水平.治疗对患者的经济影响程度小、对医生服务满意度高、认识到医患关系是信托关系且认为当前医惠状态和谐的患者攻击性较低,更容易建立良好的医患关系.
