中华医学教育杂志
中華醫學教育雜誌
중화의학교육잡지
CHINESE JOURNAL OF MEDICAL EDUCATION
2010年
2期
265-267
,共3页
凌家炜%陈敏玲%邓宇%王子莲
凌傢煒%陳敏玲%鄧宇%王子蓮
릉가위%진민령%산우%왕자련
妇产科学%医患关系%医学生%合作%调查
婦產科學%醫患關繫%醫學生%閤作%調查
부산과학%의환관계%의학생%합작%조사
Obstetrics & gynecology%Patient-doctor relationship%Medical student%Cooperation%Investigation
目的 评估妇产科患者对见习医学生的合作态度及其影响因素.方法 通过问卷调查方法 ,了解中山大学附属第一医院妇产科学临床教学中患者对见习医学生的合作态度,并对其相关影响因素进行统计学分析.结果 本研究共发出450份调查问卷.收回382份有效问卷,有效问卷回收率84.9%.69.9%的患者对见习医学生进行体检持拒绝态度,拒绝者的比例在年轻(20岁～29岁)、未婚、初诊与门诊的患者中更高.67.0%的患者希望示教能够在自己知情的前提下进行.87.0%的患者希望与见习医学生合作过程中有临床医生在场.希望见习医学生成为医生助手、诊疗过程的积极参与者和表示不知道的患者比例分别为46.6%、30.1%和23.3%,该比例与患者的年龄、婚姻状况、学历、是否首诊以及就诊部门(门诊或住院部)呈相关性.结论 患者对见习医学生的合作态度与一些自身特征有关,同时患者是否事先知情和见习医学生的举止仪表也会对其产生影响.因此,在合适的患者人群中选择示教病例并于事先进行充分的沟通,将有助于改善医患关系,提高妇产科学临床见习的质量.
目的 評估婦產科患者對見習醫學生的閤作態度及其影響因素.方法 通過問捲調查方法 ,瞭解中山大學附屬第一醫院婦產科學臨床教學中患者對見習醫學生的閤作態度,併對其相關影響因素進行統計學分析.結果 本研究共髮齣450份調查問捲.收迴382份有效問捲,有效問捲迴收率84.9%.69.9%的患者對見習醫學生進行體檢持拒絕態度,拒絕者的比例在年輕(20歲～29歲)、未婚、初診與門診的患者中更高.67.0%的患者希望示教能夠在自己知情的前提下進行.87.0%的患者希望與見習醫學生閤作過程中有臨床醫生在場.希望見習醫學生成為醫生助手、診療過程的積極參與者和錶示不知道的患者比例分彆為46.6%、30.1%和23.3%,該比例與患者的年齡、婚姻狀況、學歷、是否首診以及就診部門(門診或住院部)呈相關性.結論 患者對見習醫學生的閤作態度與一些自身特徵有關,同時患者是否事先知情和見習醫學生的舉止儀錶也會對其產生影響.因此,在閤適的患者人群中選擇示教病例併于事先進行充分的溝通,將有助于改善醫患關繫,提高婦產科學臨床見習的質量.
목적 평고부산과환자대견습의학생적합작태도급기영향인소.방법 통과문권조사방법 ,료해중산대학부속제일의원부산과학림상교학중환자대견습의학생적합작태도,병대기상관영향인소진행통계학분석.결과 본연구공발출450빈조사문권.수회382빈유효문권,유효문권회수솔84.9%.69.9%적환자대견습의학생진행체검지거절태도,거절자적비례재년경(20세～29세)、미혼、초진여문진적환자중경고.67.0%적환자희망시교능구재자기지정적전제하진행.87.0%적환자희망여견습의학생합작과정중유림상의생재장.희망견습의학생성위의생조수、진료과정적적겁삼여자화표시불지도적환자비례분별위46.6%、30.1%화23.3%,해비례여환자적년령、혼인상황、학력、시부수진이급취진부문(문진혹주원부)정상관성.결론 환자대견습의학생적합작태도여일사자신특정유관,동시환자시부사선지정화견습의학생적거지의표야회대기산생영향.인차,재합괄적환자인군중선택시교병례병우사선진행충분적구통,장유조우개선의환관계,제고부산과학림상견습적질량.
Objective To assess patients' attitudes and the associated factors toward involving medical students in their diagnosis and treatment in the department of obstetrics and gynecology.Methods The study was conducted for about three months in the department of obstetrics and gynecology, 450 patients were approached to participate in outpatient and inpatient settings, and questionnaire investigation was used to collect the data.Results There were 382 respondents, 69.9% of respondents would refuse physical examination by medical students, with single, aged individuals and those in outpatient setting more likely to do so.67.0% of respondents preferred to be informed about students' involvement beforehand.The preferred role for medical students also varied with age, marital status, education status, and setting.Conclusions The patients' attitudes towards medical students related to their inert features, meanwhile, whether to be informed beforehand and the behavior of the students would have some effect on the attitudes.Therefore, choosing of proper patients and informing beforehand will be helpful for improving the relationship between doctors and patients, and furthermore improve the quality of medical education in the department of obstetrics and gynecology.
