摘要
采用问卷调查的方法,就某综合医院医生对医患共同决策的选择倾向性及其原因进行数据收集并统计分析。结果发现该院医生普遍认为医患关系不良或紧张,但仍有很多医生倾向选择医患共同决策,原因主要为受医德素养影响和工作职责制约。医生对医患共同决策选择的倾向性与其对医患关系紧张度的认知间无明显相关性(P>0.05),医生在不同的医患关系认知(良好、不良、紧张)情况下,均倾向选择共同决策,差异无统计学意义(P>0.05)。提示医生对医患关系紧张度普遍认知不良,但并不影响其优先选择医患共同决策,原因可能为受医德素养影响和工作职责制约。
In order to investigate the doctors’ preference for shared decision-making(SDM)and the reasons,data collection and statistical analysis were conducted at a general hospital.The results showed that many doctors tended to choose the SDM,even though most of the doctors had a negative attitude towards doctor-patient relationship(DPR),which was mainly because of the influence of medical literacy and job responsibilities.There was no obvious correlation between the doctors’ cognition of DPR and tendency to choose SDM(P>0.05).Doctors in different DPR(good,bad,nervous)tended to choose SDM,and there was no statistical difference(P>0.05).It concluded that the majority of doctors had a poor cognition on DPR,but it did not affect their preference for SDM,which might be the influence of medical literacy and job responsibilities.
作者
徐梦阳
张莉
陈亚伟
贾航
郭灿灿
李梦莹
于静
李修岭
兰玲
XU Meng-yang;ZHANG Li;CHEN Ya-wei(Department of Gastroenterology,People's Hospital of Zhengzhou University,Zhengzhou450003,China)
出处
《医学与哲学》
2019年第6期21-24,共4页
Medicine and Philosophy
基金
2017年河南省医学科技攻关项目(201702212)
2015年郑州大学研究生自主创新创业项目(DYCX051)
关键词
医患共同决策
医患关系
医生
shared decision-making
doctor-patient relationship
doctor
作者简介
徐梦阳(1991-),男,硕士研究生,住院医师,研究方向:消化系统疾病;通讯作者:兰玲(1980-),女,博士,副主任医师,副教授,硕士生导师,研究方向:消化系统心身疾病诊治。E-mail:lanling95@163.com.
