目的 探讨医患沟通培训课程对提升住院医师医患沟通能力的效果。方法 选取北京大学第三医院181名住院医师为研究对象,采取自身前后对照的研究方法,在医患沟通课程培训前后,采用《医患沟通技能评价表》及自制问卷对这些住院医师进行调查。结果 医患沟通培训前后,住院医师在沟通启动、信息收集、信息给予、理解患者及结束问诊5个维度比较,差异具有统计学意义(均P<0.001)。问卷调查结果表明,住院医师对授课教师、教学学时、授课方式及授课内容的满意度较高。结论 今后仍然需要在沟通启动和信息收集2个医患沟通技能方面不断改进教学,以提升住院医师医患沟通能力,构建和谐医患关系。
Objective To explore the effect of doctor-patient communication course on improvement of doctor-patient communication ability of residents.Methods Totally 181residents were chosen as the research object in this self-control study in Peking University Third Hospital, SEGUE framework and questionnaire survey were used to conduct exploratory research at the end of the training of doctor-patient communication on curriculum.Results After the doctor-patient communication skills training, residents in the communication start, information collection, information giving, understand patient and at the end of the interrogation of five modules ability were improved, and the differences are statistically significant (P<0.001). The residents’ satisfaction with the teaching teachers, teaching hours, teaching methods and teaching content was higher.Conclusions In the future, there is need improving the communication start and information collection, enhancing residents’ doctor-patient communication ability and building a harmonious relationship between doctors and patients.
[1] 王锦帆.医患沟通学[M]. 2版.北京:人民卫生出版社, 2007: 1-2.
[2] Roddie IC.The Edinburgh Declaration[J]. Lancet, 1988,2(8616):908.
[3] Makoul G.The SEGUE Framework for teaching and assessing communication skills[J]. Patient Educ Couns, 2001,45(1):23-34.
[4] 李娟.用SEGUE量表对医学生医患沟通技能评价的研究[D]. 沈阳:中国医科大学,2008.
Li J.Using the SEGUE Framework to assess Chinese medical students,communication skills in history-taking [D]. Shenyang: China Medical University, 2008.
[5] 裴益, 徐仲华, 乐虹.医学院校临床医学研究生医患沟通技能培养策略探讨[J]. 医学与社会, 2014,27(9):85-87. DOI: 10.13723/j.yxysh.2014.09.027.
Pei Y, Xu ZH, Le H.Discussion of doctor-patient communication skill education among medical graduate students in medical colleges[J]. Medicine and Society, 2014,27(9):85-87. DOI: 10.13723/j.yxysh.2014.09.027.
[6] 陆琳, 何琳, 陈玮,等.《医患沟通》课程对提升医学生医患沟通能力的效果研究[J]. 中华医学教育探索杂志, 2014,13(4): 360-363. DOI:10.3760/cma.j.issn.2095-1485.2014.04.009.
Lu L, He L, Chen W, et al.Effectiveness of doctor-patient communication course on improvement of doctor-patient communication ability[J]. Chin J Med Edu Res, 2014,13(4): 360-363. DOI: 10.3760/cma.j.issn.2095-1485.2014.04.009.
