摘要
目的 从医疗专业人员的角度了解医患关系现状及其影响因素,为构建和谐医患关系提供参考.方法 采用问卷调查对烟台市区级以上医院的医务人员进行调查,应用SPSS 26.0软件对数据进行分析.结果 本次参加调查的866名人员中,医患关系良好共666例(76.9%),医患关系差共200例(23.1%).独立样本非参数检验结果显示学历、职业、职称、医院级别、焦虑、抑郁以及失眠严重程度对医患关系评分有影响,差异有统计学意义(P<0.05).二元lo-gistic 回归分析显示,三级医院、轻度焦虑、可疑失眠和存在失眠与医患关系得分正相关,是医患关系的危险因素.结论 本次调查结果显示烟台市区级以上医院的医务人员感受到医患关系较为乐观,三级医院、焦虑和失眠是医患关系的主要影响因素.
Abstract
Objective To understand the current situation of doctor-patient relationship and its influencing factors from the perspective of medical professionals to provide reference for building a harmonious doctor-patient relationship.Methods A questionnaire was used to investigate the medical staff of hospitals above the district level in Yantai City,and SPSS 26.0 software was used for statistical analysis of the data.Results Of the 866 respondents,666(76.9%)had good doctor-patient relation-ships,while 200(23.1%)had bad ones.Independent sample nonparametric test showed that education,occupation,profession-al title,hospital level,anxiety,depression and insomnia severity had significant effects on the score of doctor-patient relationship(P<0.05).Binary logistic regression analysis showed that tertiary hospitals,mild anxiety,suspected insomnia,and existing in-somnia were positively associated with the score of doctor-patient relationship,indicating that they are risk factors for doctor-pa-tient relationship.Conclusions The results of this survey indicate that medical personnel in urban areas of Yantai generally per-ceive the doctor-patient relationship optimistically.Tertiary hospitals,anxiety,and insomnia emerged as the primary influencing factors of the doctor-patient relationship.