二级妇幼专科医院医生工作负荷与医患沟通满意度相关性研究

doi:10.12183/j.scjpm.2026.0651

华南预防医学 ›› 2026, Vol. 52 ›› Issue (6): 651-655.doi: 10.12183/j.scjpm.2026.0651

二级妇幼专科医院医生工作负荷与医患沟通满意度相关性研究

金凌霞¹, 高燕²

1.上海市嘉定区妇幼保健院,上海 201821;
2.嘉定区医疗急救中心

收稿日期:2026-01-08 出版日期:2026-06-20 发布日期:2026-07-03
通讯作者: 高燕,E-mail：gy13916727847@163.com
作者简介:金凌霞（1976—）,女,大学本科,助理研究员,研究方向为卫生事业研究（医院管理）
基金资助:
嘉定区自然科学研究课题项目基金（JDKW-2023-0024）

Correlation between physician workload and patient satisfaction with physician-patient communication in a secondary maternity and child health hospital

Jin Lingxia¹, Gao Yan²

1. Shanghai JiaDing District Maternal and Child Health Hospital, Shanghai 201821, China;
2. JiaDing District Medical Emergency Center

Received:2026-01-08 Online:2026-06-20 Published:2026-07-03

摘要/Abstract

摘要： 目的探讨二级妇幼专科医院医生工作负荷与医患沟通满意度的相关性。方法采用横断面研究,纳入2025年6月上海市嘉定区妇幼保健院50名门诊医生及250名配对患者。采用中文版美国国家航空航天任务负荷指数量表（C-NASA-TLX）及客观指标评估医生工作负荷,采用医患沟通质量量表（DPCQ）评估医患沟通满意度。采用Spearman相关、多元线性回归及分层分析。结果医生C-NASA-TLX总分（68.60±12.56）分,患者DPCQ总分（43.49±6.14）分。Spearman相关显示,C-NASA-TLX总分、周工作时长、月夜班频次、日均门诊量与DPCQ总分均呈负相关（r_s=-0.466、-0.337、-0.240、-0.161,均P<0.05）。多元回归调整混杂后,C-NASA-TLX总分每增加10分,DPCQ评分下降0.186分（β=-0.186,P<0.05）;医生职称、患者就诊阶段亦有独立影响。分层分析显示,初级职称医生中负相关更强（r=-0.406,P<0.01）,中级及副高以上分别为-0.313、-0.321（P<0.05）。结论医生工作负荷与医患沟通满意度呈负相关,初级职称医生中尤为突出;应优化资源配置以缓解负荷,改善沟通质量。

关键词: 医生工作负荷, 医患沟通, 满意度, 医师, 妇幼专科医院

Abstract: Objective To investigate the correlation between physician workload and patient satisfaction with physician-patient communication in a secondary maternal and child specialty hospital. Methods A cross-sectional study was conducted in June 2025, enrolling 50 outpatient physicians and 250 matched patients at the Jiading District Maternal and Child Health Hospital in Shanghai. Physician workload was assessed using the Chinese version of the NASA Task Load Index (C-NASA-TLX) alongside objective indicators. Patient satisfaction with communication was evaluated using the Doctor-Patient Communication Quality (DPCQ) scale. Statistical analyses included Spearman's correlation, multiple linear regression, and stratified analysis. Results The mean total score for the physicians' C-NASA-TLX was 68.60±12.56, and the mean total score for the patients' DPCQ was 43.49±6.14. Spearman's correlation analysis revealed significant negative correlations between the DPCQ total score and the C-NASA-TLX total score (r_s = -0.466), weekly working hours (r_s = -0.337), monthly frequency of night shifts (r_s = -0.240), and average daily outpatient volume (r_s = -0.161) (all P < 0.05). After adjusting for confounding variables in the multiple linear regression model, each 10-point increase in the C-NASA-TLX total score was associated with a 0.186-point decrease in the DPCQ score (β = -0.186, P < 0.05). Physician's professional title and the stage of the patient's consultation were also identified as independent influencing factors. Stratified analysis indicated that the negative correlation was more pronounced among junior-title physicians (r = -0.406, P < 0.01) than among those with intermediate (r = -0.313, P < 0.05) or senior professional titles (r = -0.321, P < 0.05). Conclusion Physician workload is negatively correlated with patient satisfaction in physician-patient communication, an association that is particularly prominent among junior-title physicians. These findings underscore the need for optimizing resource allocation to alleviate physician workload and consequently enhance the quality of communication.

Key words: Physician workload, Physician-patient communication, Satisfaction, Physicians, Maternal and child specialty hospital

中图分类号:

R197.32

金凌霞, 高燕. 二级妇幼专科医院医生工作负荷与医患沟通满意度相关性研究[J]. 华南预防医学, 2026, 52(6): 651-655.

Jin Lingxia, Gao Yan. Correlation between physician workload and patient satisfaction with physician-patient communication in a secondary maternity and child health hospital[J]. South China Journal of Preventive Medicine, 2026, 52(6): 651-655.

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二级妇幼专科医院医生工作负荷与医患沟通满意度相关性研究

Correlation between physician workload and patient satisfaction with physician-patient communication in a secondary maternity and child health hospital

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