摘要
目的知识背景差异及在医疗活动中不同身份,使得医患双方相互理解较难,易产生分歧引发医患矛盾。在有效提高医学人文素养,协调医院管理之外,医疗科普活动是缓解医患矛盾最有潜力的途径。本研究旨在探讨医疗科普活动对现阶段医患关系的影响,初步建立延续性良好、可行性佳及效果显著科普活动项目。方法 2016-01-01-2017-01-01组织上海交通大学附属上海市第一人民医院青年专科医生为核心的科普队伍,借助已有的科普平台对上海市松江区普通群众进行医疗常识和疾病常识的科普教育。使用单组前后测实验设计,分别收集科普讲座前后听众对医患关系、医患矛盾的认知情况,并进行统计学比较。结果科普讲座后,被调查者对医生在医患关系中的责任划分比例为(32.3±5.17)%,低于科普前的(39.3±6.15)%,差异有统计学意义,t=10.957,P<0.001;被调查者对医患关系、沟通和医院制度评价为(69.9±14.27)分,高于科普前的(59.6±13.5)分,t=-7.668,P<0.001。经过医生的科普宣教,被调查者对医患关系(χ2=22.826,P<0.001)、医生的平常沟通(χ2=10.084,P=0.002)和医院制度评价(χ2=18.070,P<0.001)有所提升,差异均有统计学意义。结论开展医疗科普活动,可以促进互信、增进了解,起到明显改善群众对医生群体的观念,有助于改善医患关系。
OBJECTIVE Differences in knowledge background and different identities in medical activities make it difficult for doctors and patients to understand each other,and it is easy to cause divergence and lead to contradictions between doctors and patients.In addition to effectively improving medical humanities literacy and coordinating hospital management,medical popularization activities are the most potential ways to alleviate the contradiction between doctors and patients.The purpose of this study is to explore the impact of medical popularization activities on the relationship between doctors and patients at this stage,and to initially establish a science program with good continuity,good feasibility,and significant effects.METHODS From January 1,2016 to January 1,2017,the young specialists of Shanghai First People’s Hospital were organized as the core scientific team,and the popular science platform was used to conduct medical knowledge and common sense of common people in Songjiang District of Shanghai.Using pre-and post-test research methods,the audiences’ perceptions of the relationship and contradiction between doctors and patients were collected before and after the popular science lectures.Then statistical comparisons were performed.RESULTS After the popular science lecture,the proportion of doctors’ responsibility in the doctor-patient relationship was considered by respondents as(32.3±5.17)%,which was lower than that before the popular science(39.3±6.15)%.The difference was statistically significant,t=10.957,P<0.001.The respondents rated(69.9±14.27)points for doctor-patient relationship,communication and hospital system,which was higher than(59.6±13.5)points before the popular science,t=-7.668,P<0.001.After the doctor’s popular science education,the respondents had higher evaluations of doctor-patient relationship(χ^2=22.826,P<0.001),doctor’s usual communication(χ^2=10.084,P=0.002)and hospital system(χ^2=18.070,P<0.001).The differences were statistically significant.CONCLUSIONS The development of doctors’ popular science activities can promote mutual trust and enhance understanding,and significantly improve the concept of the masses of doctors and help improve the relationship between doctors and patients.
作者
邓国英
李立
陈锦远
汪方
曾祥森
王秋根
林英
DENG Guo-ying;LI Li;CHEN Jin-yuan;WANG Fang;ZENG Xiang-sen;WANG Qiu-gen;LIN Ying(Trauma Emergency Center,Shanghai General Hospital Affiliated to Shanghai Jiaotong University,Shanghai 201620,P.R.China)
出处
《社区医学杂志》
2018年第20期1529-1531,共3页
Journal Of Community Medicine
基金
上海交通大学医学院护理科研面上项目(Jyh1813)
上海交通大学医学院青年工作研究课题(QY1803)
关键词
医患关系
医患矛盾
医患沟通
科普活动
doctor-patient relationship
doctor-patient contradictions
doctor-patient communication
science popularization activities
