中华医学教育杂志

中华医学教育杂志 ›› 2020, Vol. 40 ›› Issue (9): 675-678.DOI: 10.3760/cma.j.cn115259-20200213-00129

• 人文素质教育 • 上一篇    下一篇

耳鼻咽喉头颈外科规范化培训医师医患沟通能力现况分析

吕丹1, 邹卓池2, 赵子仪3, 吉烁宇4, 毛敏姿5, 刘均1   

  1. 1四川大学华西医院耳鼻咽喉头颈外科,成都 610041;
    2四川大学华西临床医学院2019级五年制临床医学专业,成都 610041;
    3四川大学华西临床医学院2018级五年制临床医学专业,成都 610041;
    4四川大学华西临床医学院2018级康复治疗学专业(物理治疗方向),成都 610041;
    5四川大学华西临床医学院2016级五年制临床医学专业,成都 610041
  • 收稿日期:2020-02-13 出版日期:2020-09-01 发布日期:2020-12-08
  • 通讯作者: 刘均,Email:375572059@qq.com,电话:028-85422433

A questionnaire survey about physician-patient communication ability of residents in department of otolaryngology head and neck surgery

Lyu Dan1, Zou Zhuochi2, Zhao Ziyi3, Ji Shuoyu4, Mao Minzi5, Liu Jun1   

  1. 1Department of Otorhinolaryngology, Head & Neck Surgery, West China Hospital, Sichuan University, Chengdu 610041, China;
    2Five-year Program Clinical Medicine Enrolled in 2019, Clinical Medical College of Sichuan University, Chengdu 610041, China;
    3Five-year Program Clinical Medicine Enrolled in 2018, Clinical Medical College of Sichuan University, Chengdu 610041, China;
    4Rehabilitation Therapeutics (Physicotherapeutics) Enrolled in 2018, Clinical Medical College of Sichuan University, Chengdu 610041, China;
    5Five-year Program Clinical Medicine Enrolled in 2016, Clinical Medical College of Sichuan University, Chengdu 610041, China
  • Received:2020-02-13 Online:2020-09-01 Published:2020-12-08
  • Contact: Liu Jun, Email: 375572059@qq.com, Tel: 0086-28-85422433

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摘要： 目的 了解耳鼻咽喉头颈外科不同年限规范化培训住院医师(简称住培医师)和规范化培训专科医师(简称专培医师)医患沟通能力的现状和对医患沟通培训的需求。方法 2020年2月采用问卷星对四川大学华西医院耳鼻咽喉头颈外科42名住培医师和专培医师进行调查,调查内容包括基本情况、医患沟通实践、医患沟通内容和形式、医患沟通认知度和医患沟通培训需求。结果 ① 57.1%(24/42)的住培医师和专培医师认为自己的沟通能力一般;②88.1%(37/42)的住培医师和专培医师认为医患沟通非常重要;③所有医师均认为应当将病情的诊断和治疗方案、手术风险、治疗效果预后和围手术期注意事项等内容与患者及其家属进行沟通;④所有医师认为,医生工作繁忙,没有充足的时间和精力进行沟通是影响医患沟通效果的最重要因素;⑤81.0%(34/42)的住培医师和专培医师希望开设医患沟通技巧的培训课程,其中以经验丰富的上级医生进行讲授的方式最受欢迎。结论 住培医师和专培医师的医患沟通能力还需要进一步提升,他们对医患沟通培训的需求较高,在后续培训中应当开展多样化的医患沟通课程教学。

关键词: 耳鼻咽喉头颈外科, 住院医师, 专科医师, 医患沟通, 规范化培训

Abstract: Objective To analyze the residents' ability of physician-patient communication in department of otolaryngology head and neck surgery, and to investigate the needs of courses for physician-patient communication ability training.Methods An online survey was conducted on 42 residents. The questionnaire included five items: the information about participants, the survey on communication practices, the content of communication, the awareness of communication, the training needs for communication ability.Results 57.1% (24/42) of the residents considered their communication skills not very well; 88.1% (37/42) of the residents thought that the communication was very important; all residents agreed to communicate with the patients about diagnosis and treatment plan about the disease, risks for surgery, treatment effects and prognosis and perioperative precautions; and the doctors too busy to communicate was the most important influence factor for communication; 81.0% (34/42) of the residents wanted to attend courses for improving communication skills. The most popular approach is to be taught by experienced supervisors.Conclusions The physician-patient communication ability need to be improved in residents, and there was a high demand for training courses, the multiform courses for improving physician-patient communication ability would be set up in the future.

Key words: Otolaryngology head and neck surgery, Residents, Specialists, Physician-patient communication, Standardized training of residents

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