医患沟通技能培训在肾内科住院医师规范化培训中的应用

doi:10.3760/cma.j.cn115259-20191129-01034

中华医学教育杂志 ›› 2020, Vol. 40 ›› Issue (10): 817-820.DOI: 10.3760/cma.j.cn115259-20191129-01034

医患沟通技能培训在肾内科住院医师规范化培训中的应用

谷立杰¹, 王玲¹, 朱楠¹, 戎殳¹, 张维莉¹, 杨满¹, 周栩², 袁伟杰¹

¹上海交通大学附属第一人民医院肾内科 200080;
²上海交通大学附属第一人民医院教育处 200080

收稿日期:2019-11-29 出版日期:2020-10-01 发布日期:2020-12-08
通讯作者: 袁伟杰, Email: ywj4169@163.com, 电话: 021-63240090-5635
基金资助:
上海交通大学医学院医学教育研究项目(YB150734)

The training of doctor-patient communication skills in standardized training of residents in department of nephrology

Gu Lijie¹, Wang Ling¹, Zhu Nan¹, Rong Shu¹, Zhang Weili¹, Yang Man¹, Zhou Xu², Yuan Weijie¹

¹Department of Nephrology, Shanghai General Hospital Affiliated to Shanghai Jiao Tong University,Shanghai 200080, China;
²Education Department, Shanghai General Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200080, China

Received:2019-11-29 Online:2020-10-01 Published:2020-12-08
Contact: Yuan Weijie, Email: ywj4169@163.com, Tel: 0086-21-63240090-5635
Supported by:
Medical Education Research Project of Shanghai Jiao Tong University School of Medicine (yb150734)

摘要/Abstract

摘要： 目的探讨在肾内科住院医师规范化培训中进行医患沟通(doctor-patient communication,DPC)技能培训的效果。方法选取2018年1月至2018年12月在上海交通大学附属第一人民医院肾内科参加住院医师规范化培训的49名住院医师为研究对象,在为期一个月的肾内科住院医师规范化培训中增加5个学时的DPC技能教育讲座,并进行实时实践指导。培训前后采用SEGUE量表对住院医师的DPC能力进行评估,采用住院患者对医疗服务满意度的调查表进行患者满意度评价。结果 SEGUE评分结果显示,进行了理论实践相结合的住院医师DPC技能培训后,住院医师的SEGUE总评分有所提高[(21.90±2.00)分比(17.52±1.90)分],其差异具有统计学意义(t=-10.98, P<0.01)。患者或陪护家属评价结果显示,接受DPC培训后的住院医师患者满意度高于既往住院医师水平[(24.42±1.27)分比(19.84±2.49)分],其差异具有统计学意义(t=11.34, P<0.01)。结论在住院医师规范化培训中进行肾内科DPC技能培训,有助于住院医师树立明确的道德意识、形成个人的医德观和处理医患关系的原则、提高DPC能力、建立和谐的医患关系。

关键词: 医患沟通, 肾内科, 住院医师规范化培训, 慢性肾脏病

Abstract: Objective This study aimed to evaluate the effectiveness of a doctor-patient communication (DPC) training program designed for standard training of resident in nephrology department. Methods A total of 49 residents who participated in the resident standardized training in Department of Nephrology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine between January 2018 and December 2018 were recruited. Residents were recruited to participate in a doctor-patient communication skills training program. The residents were evaluated by the “SEGUE Scale” (Set the stage, Elicit information, Give information, Understand the patient's perspective, End the encounter; SEGUE) before and after the program. The patients' satisfaction was evaluated by the “Questionnaire on Satisfaction of Hospitalized Patients with Medical Services”. Results SEGUE scale evaluation results showed that the total score of SEGUE increased after the DPC skill training[(21.90±2.00) vs (17.52±1.90), t=-10.98,P<0.01)]. Patient satisfaction survey showed that patients' satisfaction was improved after the DPC training program[(24.42±1.27 )vs (19.84±2.49), t=11.34, P<0.01]. Conclusions This training program of doctor-patient communication skills in nephrology Department improved DPC competency of residents and effectively enhanced the levels of patients' satisfaction.

Key words: Doctor-patient communication, Department of Nephrology, Standardized resident training, Chronic kidney disease

中图分类号:

R192.3
R0

谷立杰, 王玲, 朱楠, 戎殳, 张维莉, 杨满, 周栩, 袁伟杰. 医患沟通技能培训在肾内科住院医师规范化培训中的应用[J]. 中华医学教育杂志, 2020, 40(10): 817-820.

Gu Lijie, Wang Ling, Zhu Nan, Rong Shu, Zhang Weili, Yang Man, Zhou Xu, Yuan Weijie. The training of doctor-patient communication skills in standardized training of residents in department of nephrology[J]. Chinese Journal of Medical Education, 2020, 40(10): 817-820.

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医患沟通技能培训在肾内科住院医师规范化培训中的应用

The training of doctor-patient communication skills in standardized training of residents in department of nephrology

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