摘要目的 对医务人员及患者的诊疗专注认识进行研究,以期为提高医务人员的医疗质量和专注能力,改善患者的心理感受及医患关系提供借鉴与参考.方法 采用分层随机抽样方法,从江苏省4个地区的8所医院中抽取1 000名医务人员和1 000名患者进行问卷调查,在解释、告知、倾听、情绪、共情等方面对医务人员的诊疗专注进行研究,比较医患双方对诊疗专注的不同认识.结果48.5%的医务人员和44.8%的患者反映医务人员会在2 min内打断患者,诊疗时间限制并影响了医务人员对疾病信息的收集,解释与告知不到位.医患双方在诊疗专注调查上差异有统计学意义(χ2=104.329,P=0.000),医务人员对患者专注度不够却不自知.18.2%的患者认为医务人员很难做到或不会站在患者的角度去体验其主观感受.结论 医务人员应尊重患者,确保全方位的诊疗专注;应尊重职业,保证充分的诊疗专注;应尊重医学,充分重视医学的人文关怀.

abstractsObjective To investigate the concentration on clinical service of both medical workers and patients,for the purposes of better quality of care and concentration of medical workers,and better mental feelings of the patients′ and doctor-patient relationship.Methods 1 000 medical workers and patients were sampled from 8 hospitals of four regions in Jiangsu province by stratified randomization for questionnaire survey.The purpose is to study the clinical concentration of medical workers in terms of interpretation,listening,emotion and empathy,and compare the differences between doctors and patients regarding clinical concentration.Results 48.5% of the medical workers and 44.8% of the patients said that medical workers would interrupt the patients within 2 minutes.Time constraints of clinical consultation contribute to poor disease information collection,medical explanation and informing.The investigation found the difference between doctors and patients in clinical concentration is significant statistically(χ2=104.329,P=0.000),while medical workers were unaware of their lack of concentration to patients.18.2% of the patients complained that medical workers could hardly or refuse to understand their feelings.Conclusions Medical workers are advised to respect their patients by offering total concentration on diagnosis and treatment;to respect their career with sufficient concentration on diagnosis and treatment;and to respect medical science to offer medical humanistic care.