Zhou Yanan, Yang Winson Fu Zun, Ma Yuejiao, Wu Qiuxia, Yang Dong, Liu Tieqiao, Wu Xiaoming
Department of Psychiatry, Hunan Brain Hospital (Second People's Hospital of Hunan Province), Changsha, China.
Department of Psychiatry, National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, China.
Front Psychiatry. 2021 Oct 28;12:768089. doi: 10.3389/fpsyt.2021.768089. eCollection 2021.
Doctor-patient relationship (DPR) is very important for patient outcomes, especially during a public health emergency like the COVID-19 pandemic. However, few studies have evaluated DPR and related sentiments from medical professionals' perspectives. Thus, the aim of the study is to provide a better understanding of DPR from medical professionals' perspectives during the COVID-19 pandemic in China. A total of 979 medical professionals, including doctors, nurses, technicians, and other workers have completed a series of questionnaires to evaluate their attitudes toward DPR, trust, violence against doctors, factors that affected and improved DPR, and the importance of these factors on DPR. Analyses of variances (ANOVA) and linear regressions were used to analyze the effects of the pandemic, demographic variables, and various elements on DPR. One-way ANOVA revealed a significant effect of education on recent DPR [ = 6.17, < 0.001 and trust at = 9.54, < 0.001], indicating that individuals with higher level of education (bachelor's degree, Master's degree and above) showed poorer recent DPR and lower level of trust. The level of hospital also showed a significant effect on trust [ = 3.79, = 0.0021]. Cochran's Q test revealed a significant difference in factors that affected [Q = 3,997.83, < 0.001] and improved [Q = 3,304.53, < 0.001] DPR. Backward stepwise linear regressions revealed predictors for changes during [ = 21.17, < 0.001, = 0.16], shortly after [ = 54.98, < 0.001, = 0.28], and long after [ = 37.83, < 0.001, = 0.29] the pandemic. Medical professionals' perceptions of DPR is important as they provide basis for the improvement in working environment of medical professionals and hospital visiting experience of patients, as well as healthcare policy making and preparation for future public health emergencies.
医患关系（DPR）对患者的治疗结果非常重要，尤其是在像新冠疫情这样的突发公共卫生事件期间。然而，很少有研究从医学专业人员的角度评估医患关系及相关情绪。因此，本研究的目的是从中国新冠疫情期间医学专业人员的角度更好地理解医患关系。共有979名医学专业人员，包括医生、护士、技术人员和其他工作人员，完成了一系列问卷，以评估他们对医患关系、信任、针对医生的暴力行为、影响和改善医患关系的因素以及这些因素对医患关系的重要性的态度。采用方差分析（ANOVA）和线性回归分析疫情、人口统计学变量和各种因素对医患关系的影响。单因素方差分析显示教育程度对近期医患关系有显著影响[F = 6.17，P < 0.001]，对信任有显著影响[F = 9.54，P < 0.001]，表明教育程度较高（本科、硕士及以上）的个体近期医患关系较差且信任程度较低。医院级别对信任也有显著影响[F = 3.79，P = 0.0021]。 Cochr an Q检验显示影响医患关系[Q = 3997.83，P < 0.001]和改善医患关系[Q = 3304.53，P < 0.001]的因素存在显著差异。向后逐步线性回归揭示了疫情期间[F = 21.17，P < 0.001，R² = 0.16]、疫情刚结束后[F = 54.98，P < 0.001，R² = 0.28]以及疫情很久之后[F = 37.83，P < 0.001，R² = 0.29]变化的预测因素。医学专业人员对医患关系的看法很重要，因为它们为改善医学专业人员的工作环境、患者的就医体验、医疗政策制定以及未来突发公共卫生事件的准备提供了依据。
