临床医生自我和谐现状及影响因素探究

采用自我和谐量表、临床医生工作压力源问卷和中文版医患关系问卷,调查了湖南省22所医院的363名临床医生。结果表明,临床医生在自我和谐量表各维度的得分均低于常模(P<0.01),其自我和谐现状不容乐观,且在年龄、性别、学历、职称、医院级别等人口学变量上存在差异(P<0.05);临床医生的工作压力源及医患关系均与自我和谐水平有高相关(P<0.001)。文章从工作压力和医患关系两角度探讨了影响临床医生自我和谐的主要因素。

A Study of the Status Quo and the Influential Factors of the Self-Consistency and Congruence of Chinese Clinical Physicians

To investigate the status quo and the influential factors of the self-consistency and congruence of clinical physicians. Firstly questionnaire investigation was individually conducted to collect valid data from 363 clinical physicians from 22 hospitals across Hunan province, China. Then the data were analyzed by t-test, ANOVA and correlative analysis. The results indicate that, first of all, the level of the self-consistency and congruence of the clinical physicians is predominantly low ; the scores Of all three dimensions of the Self-Consistency and Congruence Scale are significantly lower than the norm （p 〈0.01 ）. Second, the self-consistency and congruence of clinical physicians varies according to the age, sex, education background and the level of the hospitals. Third, other factors regard- ing the working stressor are also significantly correlated to the self-consistency and congruence of clinical physicians （p 〈 0.01 ） such as organizational management, vocational interest, workload, vocational development and interpersonal relationship. Last, still other fac- tors concerning the doctor-patient relationship are also significantly correlated to the self-consistency and congruence of clinical physi- cians such as physician＇s subjective experience, quasi-objective questions about the patient＇s behavior and the symptoms-combined ele- ments of the patient＇s behavior and of the physician＇s subjective response. To conclude, firstly, the status quo of the self-consistency and congruence of clinical physicians is not optimistic. Secondly, the major external influential factors of the self-consistency and con- gruence of clinical physicians are work stress and the doctor-patient relationship. Thus, we argue that the alleviation of work stress and the improvement of the doctor-patient relationship are empirically beneficial for the promotion of the self-consistency and congruence of clinical physicians and thereby reduce their chances of suffering from mental disorders.