情境教学在全科住院医师医患沟通能力培养中的应用研究

Effect of situational teaching on developing doctor-patient communication skills of residents of general practice

目的 评估情境教学在全科住院医师医患沟通培训中的应用效果。方法 选择浙江大学医学院附属第一医院2019级和2020级全科基地住院医师36人作为研究对象,分为情境教学组与对照组,比较培训前后两组全科住院医师的理论测试成绩及医患沟通能力测试成绩的差异,并对情境教学法的满意度及高质量情境教学实施影响因素进行调查。结果 培训结束后,情境教学组与对照组相比医患沟通能力测试差异有统计学意义(t=2.963,P=0.006)。住院医师参与度评分[(4.89±0.72)分]低于平均分,指导医师的态度和指导医师临床能力是住院医师认为高质量情境教学开展排在首位的两个因素。结论 情境教学有助于提高住院医师医患沟通能力,开展高质量的情境教学需要指导医师与住院医师的共同努力。

Objective To evaluate the effect of situational teaching method on the doctor-patient communication ability of residents of general practice.Methods A total of 36 residents of general practice from general practice bases of the First Hospital of Zhejiang University were selected.They were divided into situational teaching group and control group.The results of theoretical test and doctor-patient communication ability test were compared between the two groups before and after the training,and the satisfaction of situational teaching method and the influencing factors of the implementation of high-quality situational teaching were investigated.Results After the training,there was a statistically significant difference in doctor-patient communication ability between the situational teaching group and the control group(t=2.963,P=0.006).The score of residents' participation was(4.89 ±0.72) points,which was lower than the average score.The residents considered that teachers' teaching attitude(33.33 %) and clinical ability(27.78 %) were the first two factors for developing high-quality situational teaching.Conclusion Situational teaching is helpful to improve the doctor-patient communication ability of residents.To carry out high-quality situational teaching,the joint efforts of teachers and residents are needed.