臺灣博碩士論文加值系統

本研究目的是探討醫師肢體語言、信任與醫病關係之間的關聯性。目前醫病關係的促進，是一個非常重要的議題，經過了研究證實之後，醫師肢體語言行為、病人對醫師的信任是增進醫病關係的關鍵因素。
本研究為以橫斷式相關性研究設計、利用結構性量表、使用立意抽樣蒐集資料。本研究設計以南部地區醫院的醫師為對象進行問卷調查，發出醫師問卷250分，取得醫師樣本211份，醫師問卷回收率84.4%。其中醫師160位，有包含（醫師肢體語言的問卷）。醫師肢體語言及情緒、信任與醫病關係之相關問卷。病人問卷回收共計6330份皆為有效問卷。
　　研究結果分析指出，男性醫師多於女性醫師，醫師的年齡層以31歲到50歲為多，教育程度以醫學士的醫師人數為最多，醫院層級以區域醫院人數為最多，科別以骨科為人數最多。醫師肢體語言與醫師滿意度、病人信任與醫病關係中研究指出，醫師具有幽默感與責任感，對病人的觸診愈多，以及比較友善的態度，病人對醫師的信任滿意度就愈高。醫生親切的問候也是醫病關係中最重要的要件之ㄧ。

The main purpose of this study is to explore the correlations among physician body language, patient’s trust, and physician-patient relationships. Currently, the promotion of physician-patient relationships has become a very important issue. It has been proven by researchers that physician body language and patient’s trust were key factors that enhanced physician-patient relationships.
Using the cross-sectional correlational design, structured questionnaires, and purposive samplings, data were collected. Questionnaires were given to physicians from hospitals in southern Taiwan and 211 samples obtained, resulting in a 84.4% response rates., were160 physicians, 6330 and valid patient questionnaires.
Research results show that there were more male physicians than female physicians; most of them were in the 31-50 age groups, had bachelor’s degrees, belonged to regional hospitals, and worked in general surgery. Research on physician body language, physician satisfaction, patient’s trust, and physician-patient relationships showed that physicians with humor and responsibility, who provided more eye contacts and are friendlier, would resulted in greater trust and satisfaction from patients. Their kind greetings were one of the most important elements in physician-patient relationships.
Our results showed that physicians with humor and responsibility, who provided more eye contacts and were friendlier, resulted in greater trust and satisfaction from patients. Their kind greetings to patients are also one of the most important elements in physician-patient relationships.

第一章　緒論
第一節　研究背景與動機 1
第二節　研究目的 2
第三節　研究重要性 2
第四節　名詞解釋 3
第二章　文獻探討
第一節　醫師肢體語言與醫病關係影響重要因素 5
第二節　信任 6
第三節　醫病關係的定義 7
第四節　影響醫病關係的關鍵因素 10
第五節　情緒智能理論 12
第六節　假設與研究架構 16
第三章　研究方法
第一節　研究對象與資料蒐集 18
第二節　問卷設計 18
第三節　資料分析 21
第四節　效度、信度分析 22
第四章　實證研究分析與結果
第一節　基本資料分析 23
第二節　信度分析 27
第三節　醫師肢體語言、醫師滿意度、病人信任與醫病關係之相關性 28
第四節　醫師肢體語言之相關性 31
第五章　結論與建議
第一節　研究結論 32
第二節　學術與實務意涵 32
第三節　研究限制 33
第四節　後續研究建議 34
參考文獻
中文部份 35
英文部份 36
附錄
附錄A:醫院人體試驗證明書 39
附錄B:醫師同意書 41
附錄C:醫師肢體語言及情緒問卷 50
附錄D:病人問卷調查 52
表　次
表3-1 醫病關係細項 18
表3-2 病人問卷構面及細項 19
表3-3 醫師肢體語言問卷及與情緒問卷細項 20
表4-1 醫師樣本分析 24
表4-2 醫院科別樣本分析 25
表4-3 因素與信度分析結果 27
表4-4 因素與信度分析結果 28
表4-5 醫師肢體語言及情緒、醫師滿意度、病人信任與醫病關係之相關性 29
表4-6 醫師肢體語言之相關性分析 31
圖　次
圖2-1 情緒智能概念圖 13
圖2-2 研究架構 17

一、中文部份
[1]曲同光 (1990)。基層醫療醫病關係之研究:著重於醫師態度及行為之探討。國立臺灣師範大學衛生教育研究所未出版碩士論文。
[2]呂俊甫（1997）。EI、EQ 情緒智慧和情緒教育。臺灣教育，559，9-11 。
[3]杜衡（1998）。快樂E Q100課。台北：文經。
[4]李麗儀（2004）。探病錦囊:如何聆聽病人非語言行為。慈聲雙月刊2(14)，11。
[5]李瑞玲、張美惠、黃慧真譯（1998），Goleman, D.原著。EQⅡ： 工作EQ。台北市：時報。
[6]林佳縈 (2011)。從醫病關係發展探究其信任的危機以關懷關係重構。國立中央大學研究所未出版。
[7]黃賀（2009）。組織行為的影響力的形成與發揮(79頁)。台北:前程文化。
[8]張苙雲 (2003)。醫療與社會：醫療社會學的探索(第三版)。台北：巨流。
[9]張麗君(2007)。醫師情緒智能、病人信任與醫病關係相關之研究。義守大學研究所未出版。
[10]張怡筠（1996）。E Q 其實很簡單。台北：希代。
[11]張美惠譯(1996)，Goleman, D. 原著。EQ-Emotional intelligence。台北市：時報。
[12]鄭淑芬(2009)。醫生眼神注視與三人行老年病人回應之關係：語言與非語言互動之研究。國立成功大學研究所未出版。
[13]蔡明昌（民86）。情緒管理－淺談情緒教育。教師之友，1(38)，33-35。
二、英文部分
[1]Bernet, M. (1996). Emotional intelligence : Components and correlates. ( ERIC Document Reproduction Service No. ED 408 535).
[2]Braunstein, J.J. (1981): Communication between the physician and the patient. In Braunstein, J.J. and R.P. Toister. Medical Application of the Behavior Science. 484-494. Chicago Year Book Medical Pub.
[3]Cockerham, W. C. (2003). Medical Sociology. New Jersey: Prentice Hall. The key to emotional intelligence. Journal of Developmental Education, 21, 40.
[4]Cooper, R. K. (1997). Applying emotional intelligence in the workplace. Training & Development, 51(12), 31-38.
[5]Elder, L. (1997). The key to emotional intelligence. Journal of Developmental Education, 21, 40.
[6]Epstein, R. M., & Hundert, E. M. (2002). Defining and assessing professional competence. The Journal of the American Medical Association, 287: 226-235.
[7]Epstein, R. M., & Hundert, E. M. ( 2002). Defining and assessing professional competence. JAMA: The Journal of the American Medical Association, 287: 226-235.
[8]Ford, S, Hall A, Ratcliffe D, Fallowfield L. (2000). The Medical Interaction Process System (MIPS): an instrument for analyzing interviews of oncologists and patients with cancer. Social Science Medicine 50(4):553-66.
[9]Hui-Ching Weng.(2008). Does the physician’s emotional intelligence matter? Impacts of the physician’s emotional intelligence on the trust, patient-physician relationship and satisfaction. Health Care Management Review, 33(4): 280-288.
[10]Goleman, D. (1995). Emotional Intelligence. New York: Bantam Books.
[11]Goleman, D. (1998). What makes a leader? Harvard Business Review, 76, 93-102.
[12]Laura Thi Lam & Susan L. Kirby. (2002). Is emotional intelligence an advantage? An exploration of the impact of emotional and general intelligence on individual performance. The Journal of Social Psychology, 142(1), 133–143.
[13]Nunnally, J. C. (1978). Psychometric Theory (2th ed.). NY: McGraw-Hill.
[14]Pendleton, D & Hasler, J. (1983). Doctor-Patient communication. AcademicPressInc. London LTD.
[15]Slaski, M., & Cartwright, S. (2002). Health, performance, and emotional intelligence: An exploratory study of retail managers. Stress and Health, 18, 63–68.
[16]Smith, C. K., E. Polis and R. R. Hadac（1981）.,Characteristics of the Initial Medical Interview Associated with Patient Satisfaction and Understanding, Journal of Family Practice , 12, 283.
[17]Stiles, W. B., Putnam, S. M., & James, S. A. (1979). Interaction exchange structure and patient satisfaction with medical interviews. Medical. Care, 17, 667-681.
[18]Szasz, T. S., & Hollender, M. H. (1956). The basic models of the doctor-patient relationship, Archive Internal Medicine, 97, 585-592.
[19]Van der Feltz-Cornelis, C. M, Van Oppen, P. Van Marwijk, H., W., De Beurs, E, Van Dyck R. (2004). A patient-doctor relationship questionnaire (PDRQ-9) in primary care: development and psy chometric evaluation, General Hospital Psychiatry 26: 115-120.
[20]Weisinger, H. D. (1998). Emotional Intelligence at Work: The Untapped Edge for Success. San Francisco: Jossey-Bass.