陈凡平, 阴玉梅, 黎悦, 林波澜, 杨瑞欠, 杜美茹. 神经内科医生职业压力与医患关系现状分析[J]. 职业卫生与应急救援, 2019, 37(3): 234-237. DOI: 10.16369/j.oher.issn.1007-1326.2019.03.007
引用本文: 陈凡平, 阴玉梅, 黎悦, 林波澜, 杨瑞欠, 杜美茹. 神经内科医生职业压力与医患关系现状分析[J]. 职业卫生与应急救援, 2019, 37(3): 234-237. DOI: 10.16369/j.oher.issn.1007-1326.2019.03.007
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CHEN Fanping, YIN yumei, LI Yue, LIN Bolan, YANG Ruiqian, DU Meiru. Analysis of occupational stress and doctor-patient relationship among neurologists[J]. Occupational Health and Emergency Rescue, 2019, 37(3): 234-237. DOI: 10.16369/j.oher.issn.1007-1326.2019.03.007
Citation: CHEN Fanping, YIN yumei, LI Yue, LIN Bolan, YANG Ruiqian, DU Meiru. Analysis of occupational stress and doctor-patient relationship among neurologists[J]. Occupational Health and Emergency Rescue, 2019, 37(3): 234-237. DOI: 10.16369/j.oher.issn.1007-1326.2019.03.007
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神经内科医生职业压力与医患关系现状分析

Analysis of occupational stress and doctor-patient relationship among neurologists

    摘要
  • 摘要:
    目的 探讨某市神经内科医师职业压力与医患关系现状及两者关系。
    方法 2018年3月，采用方便式抽样方法选取某市3家三甲医院神经内科科室的131名医生作为研究对象，分别采取《临床医生工作压力源量表》《困难医患关系量表》（DDPRQ-10）对其职业压力与医患关系分值进行调查。
    结果 不同年龄、学历的神经内科医生的职业压力分值比较，差异有统计学意义（P < 0.05），职业压力分值有随年龄增大而增大，随着学历升高而降低的趋势；不同年龄、学历、职称医生医患关系分值差异均无统计学意义（P > 0.05）。不同年龄医生在工作负荷上分值差异有统计学意义（P < 0.05），其分值有随年龄增大而升高的趋势；但在其他分值上差异无统计学意义（P > 0.05）。不同学历医生在组织管理、职业兴趣、工作负荷、职业发展、人际关系、外部环境、医患沟通维度上的分值差异均有统计学意义（P < 0.05）。神经内科医生医患关系分值与职业压力中的职业兴趣、医患沟通及职业压力总分间存在线性相关关系（r=0.532~0.825，P < 0.01）。
    结论 年龄、学历、职称对神经内科医师职业压力均可能存在影响。工作负荷过大是诱发职业压力的主要原因。职业压力与医患关系具有相关性。

     

    Abstract:
    Objective  To observe the association between occupational stress and doctor-patient relationship among neurologists.
    Methods  A total of 131 physicians in the neurology departments of top three hospitals were studied with the Scale for Occupational Stress of Clinician and the Difficult Doctor Patient Relationship Questionnaire (DDPRQ-10).
    Results  The occupational stress scores varied among neurologists with different ages and education levels (P < 0.05). The occupational stress scores increased with age and decreased with the education level. There were no significant differences of doctor-patient relationship scores among neurologists with different ages, education levels and professional titles (P > 0.05). The workload difference of physicians in different ages was statistically significant(P < 0.05). There were no significant differences of organizational management, professional interest, career development, interpersonal relationship, external environment and doctor-patient communication among physicians in different ages(P > 0.05), while the differences of those aspects among physicians with different education levels were statistically significant(P < 0.05). The doctor-patient relationship scores were significantly related to the professional interest, doctor-patient communication and total occupational stress scores(r=0.532-0.825, P < 0.01).
    Conclusion  Age, education, and professional title of neurologists may have an impact on their occupational stress. Excessive workload was the main cause of occupational stress. Occupational stress was related to the doctor-patient relationship.

     

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