摘要
目的了解艾滋病防治医护人员的人格特征对医患关系的影响。方法采用中国大五人格问卷简式版和医患关系问卷,对346名艾滋病防治医护人员进行调查,用SPSS 13.0软件统计分析。结果在346名医护人员中,医疗系列166人,护理系列148人,其他32人;高级职称60人,中级106人,初级156人,其他24人。（1）在神经质上的得分,初级职称为（26.83±6.06）,高于中级职称（22.77±6.71）（P〈0.001）和高级职称（23.12±8.28）（P〈0.01）,其他为（26.33±7.07）,高于中级职称（P〈0.05）;护理系列（25.99±6.88）高于医疗系列（23.95±7.41）（P〈0.05）。在宜人性上的得分,高级职称（39.92±5.79）高于初级职称（35.50±6.16）（P〈0.001）和其他（36.29±4.81）（P〈0.05）,中级职称（38.65±5.50）高于初级职称（35.50±6.16）（P〈0.001）。在外向性上的得分,男性初级职称（30.20±4.80）高于女性初级职称（27.75±5.39）（P〈0.01）。（2）艾滋病防治医护人员人格与医患关系相关显著（r=-0.254~0.373）。（3）在支持性互动关系维度,高分组在外向性、严谨性和宜人性上的得分[分别：（31.18±6.01）、（40.44±6.28）、（39.76±6.19）]高于低分组[分别：（27.22±5.38）、（31.71±7.72）、（33.75±6.24）]（P〈0.05）;在抑制性互动关系维度,高分组在严谨性和宜人性上的得分[分别：（34.20±5.01）、（35.20±6.62）]低于低分组[分别：（37.52±6.95）、（40.00±4.77）]（P〈0.05）,在神经质的得分上,高分组（28.45±6.34）高于低分组（21.86±8.81）（P〈0.001）。结论不同性别、职称和岗位类型的艾滋病防治医护人员人格存在较大差异,人格中的外向性、宜人性、严谨性和神经质对医患关系具有显著的预测作用。
Objective To find out the influence on doctor-patient relationship of personality characteristics among medical staff in human immunodeficiency virus/acquired immunodeficiency syndrome（HIV/AIDS）prevention and control.Methods A survey was conducted among 346 medical staff involved in HIV/AIDS prevention and control by using Chinese big five personality inventory brief version（CBF-PI-B）and patient-doctor relationship questionnaire.Results In the dimension of neuroticism,the scores of junior medical staff（26.83±6.06）were significantly higher than those of intermediate（22.77±6.71）（P〈0.001）and senior medical staff（23.12±8.28）（P〈0.01）;the scores of medical staff with other professional title（26.33±7.07）were significantly higher than those of intermediate medical staff（22.77±6.71）（P〈0.05）;the scores of nursing personnel（25.99±6.88）were higher than those of doctor staff（23.95±7.41）（P〈0.05）.In the dimension of agreeableness,the scores of senior medical staff（39.92±5.79）were significantly higher than those of junior（35.50±6.16）（P〈0.001）and the medical staff with other professional title（36.29±4.81）（P〈0.05）;the scores of intermediate medical staff（38.65±5.50）were significantly higher than those of junior medical staff（35.50±6.16）（P〈0.001）.In the dimension of extraversion,the scores of male medical staff with junior professional title（30.20 ± 4.80） were significantly higher than those of female medical staff with junior professional title（27.75±5.39）（P 〈0.01）.Personality characteristics of medical staff and doctor-patient relationship were interrelated（r =-0.254-0.373）.For the scores on extraversion,conscientiousness and agreeableness,high supportive doctor-patient interaction group（31.18±6.01,40.44±6.28,39.76±6.19）were higher than those of low supportive group（27.22±5.38,31.71±7.72,33.75±6.24）（P〈0.05）.As for the scores of conscientiousness and agreeableness,the high inhibitory doctor-patient interaction group（34.20±5.01,35.20±6.62）was lower than those of the low inhibitory group（37.52±6.95,40.00±4.77）（P〈0.05）.As for the scores of neuroticism,the high inhibitory doctor-patient interaction group（28.45±6.34）was higher than those of the low inhibitory group（21.86±8.81）（P〈0.001）.Conclusion There are significant differences in the personality of medical staff in HIV/AIDS prevention and control with different gender,professional titles and post types.Extraversion,agreeableness,conscientiousness and neuroticism of personality have significantly predictive effect on doctor-patient relationship.
作者
张莎
唐立
张娅玲
张月华
劳云飞
李田舒
陈庆玲
ZHANG Sha;TANG Li;ZHANG Yaling;ZHANG Yuehua;LAO Yunfei;LI Tian-shu;CHEN Qingling(Infectious Disease Hospital of Yunnan Province/Yunnan AIDS Care Center, An- ning 650301 , China;Yunnan Industry and Trade College, Arming 650300)
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2018年第5期470-473,共4页
Chinese Journal of Aids & STD
基金
云南省应用基础研究计划青年项目(2017FD012)~~
关键词
艾滋病防治医护人员
人格
医患关系
Medical staff of HIV/AIDS prevention and control
Personality characteristics
Doctor-patient relationship
