新疆石河子地区护理专业学生的医患关系态度及其与职业认同的相关性
Correlation Between Nursing Students' Attitude to Doctor-Patient Relationship and Professional Identity in Shihezi of Xinjiang
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摘要:
目的 调查护理专业学生（护生）的医患关系态度和职业认同感的现状及相关性。
方法 选取新疆石河子地区三所学校的护理专业610名在校生为研究对象，运用自行编制的四维护生医患关系态度问卷和郝玉芳编制的五维护生职业认同问卷进行调查，采用方差分析、相关分析和多元线性回归方法进行统计分析。
结果 回收有效问卷597份，有效率98.2%。方差分析结果表明，护生职业认同感问卷和医患关系态度问卷各维度得分在不同个体特征间差异有统计学意义（
P < 0.05）。护生职业认同感与医患关系态度呈正相关，相关系数为0.570；医患关系态度4个维度与职业认同相关系数分别是0.520，0.342，0.150，0.644。多元线性回归分析表明，护生的医患关系态度与职业认同呈正相关（F =279.154，P < 0.05），其中对医信念是影响职业认同最主要的因素（b =0.525，P < 0.05）。结论 护生的医患关系态度对职业认同有正向预测作用，护生的医患关系态度受年级、学历和实习经历的影响，培养护生对医患关系积极的态度，有助于提高职业认同。
Abstract:Objective To survey the prevalence of and correlation between nursing students' attitude to doctor-patient relationship and professional identity.
Methods Totally 610 nursing students were selected from three colleges in Shihezi of Xinjiang and interviewed using a self-designed four-dimensional questionnaire on attitude to doctor-patient relationship and a five-dimensional scale on professional identity (by Hao Yu-feng). Statistical analyses included analysis of variance, correlation analysis, and multi-linear regression analysis.
Results There were 597 nursing students who returned valid questionnaires (98.2%). The results of analysis of variance showed that the dimensional scores of professional identity and attitude to doctorpatient relationship varied significantly among students categorized by different characteristics (
P < 0.05). A positive correlation was found between nursing student's professional identity and attitude to doctor-patient relationship with a correlation coefficient of 0.570; and the correlation coefficients between four dimensions of attitude and professional identity were 0.520, 0.342, 0.150, and 0.644, respectively. The results of multi-linear regression analysis showed that nursing students' attitude had a positive correlation with professional identity (F =279.154,P < 0.05), and medical belief was the most important factor influencing professional identity (b =0.525,P < 0.05).Conclusion The nursing students' attitude to doctor-patient relationship has a positive prediction on professional identity. Grade, education level, and internship experience could influence their attitude. A positive attitude to doctorpatient relationship is helpful to improve professional identity among nursing students.
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