文章摘要
王 熙,朱 琳.愤怒情绪下患者行为特征及干预措施[J].南京医科大学学报(社会科学版),2017,(6):485~490
愤怒情绪下患者行为特征及干预措施
Behavioral characteristics of patients under anger and targeted interventions
投稿时间:2017-06-10  
DOI:10.7655/NYDXBSS20170612
中文关键词: 愤怒情绪  患者行为  干预措施
英文关键词: anger  patient behavior  interventions
基金项目:天津市高校人文社会科学研究项目“医疗情境中愤怒情绪下的医患行为特征及其干预研究”(20141815)
作者单位
王 熙 天津中医药大学中医学院天津 300193 
朱 琳 天津中医药大学马克思主义学院天津 300193 
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中文摘要:
      目的: 描述愤怒情绪下患者行为特征并提出针对性的干预措施。方法:采用电子和纸质问卷调查的方式对天津市3家医院230例患者进行问卷调查,通过统计分析描述愤怒情绪下医患双方行为特征。 结果: 性别对拒绝和向内爆发不反抗有显著影响,女性患者更倾向于拒绝和向内爆发不反抗;文化程度对向外爆发对人有显著影响,初中文化程度向外爆发对人显著高于硕士、大专及高中,高中文化程度向外爆发对人显著高于本科;婚姻状况对愤怒气质理性和向内爆发不反抗有显著影响,未婚患者理性和向内爆发不反抗程度高于已婚患者;职业对状态愤怒总分、愤怒发泄、拒绝、愤怒反应、人际侵犯动机、回避、报复有显著影响;人际侵犯、愤怒表达、特质愤怒、状态愤怒之间呈正相关。结论: 愤怒情绪会使医疗质量降低,诱发暴力行为,威胁医患双方人身安全。降低愤怒情绪的不良影响,需要医生、医院、患者及政府共同采取措施。
英文摘要:
      Objective: The purpose of investigation is to find out the behavioral characteristics of patients under anger and suggest targeted interventions. Methods: By the field questionnaire survey of three hospitals in Tianjin, 230 patients were enrolled in this study, and the characteristics of medical behavior under the anger emotion were described by statistical analysis. Results: Gender had a significant impact on refusal (P<0.05) and inward outbreak of resistance. Women were more prone to refusing and inward outbursts of resistance. The degree of education had a significant impact on outbursts. The outburst of junior high school education level was significantly higher than those of master, college and high school level. The outburst of high school education level was significantly higher than that of undergraduate. The marriage situation had a significant effect on the anger temperament rationality and inward outburst of resistance. Rational and inward outburst levels of unmarried patients were higher than those of married patients. Occupation had a significant impact the state of anger total score, anger vent, refused, anger response , interpersonal motivation, avoidance, retaliates. There were positive correlations among interpersonal violence, anger expression, trait anger, and state of anger. Conclusion: Anger will reduce the quality of medical care, inducing anger, threatening the physical safety of both doctors and patients. Reducing the adverse effects of anger, which need for doctors, hospitals, patients to take measures together.
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