医患沟通教育在口腔临床实习中的作用

Effect of doctor-patient communication education on oral clinical practice

目的:评价医患沟通教育在口腔临床实习中的作用。方法:将2007级口腔医学专业61名医学生临床实习分为2个阶段,第1阶段沿用传统的教学模式进行带教,第2阶段在传统教学模式中增加了医患沟通教育内容。分别在实习第1阶段和第2阶段结束后,口腔实习医师针对自己在第1阶段、第2阶段的表现,通过医学生医患沟通行为自我评价表,进行自我评价。带教老师使用SEGUE量表,对口腔实习医师在第1阶段和第2阶段的表现进行评价。应用SPSS 13.0软件包进行数据分析。医学生医患沟通行为自评结果采用Fisher精确检验或χ2检验,采用t检验对SEGUE量表得分进行组间比较。结果:医患沟通行为自我评价表显示,医患沟通教育前,只有37.71%的学生认为能与患者建立良好的信任关系。经过培训后,75.4%的学生能与患者建立良好的信任关系。SEGUE量表显示,经过医患沟通教育,医学生医患沟通技能总成绩由16.066±3.308提高至21.867±2.456,差异显著(P<0.05)。结论:医患沟通教育能提高口腔实习医师的沟通技巧,帮助建立良好的医患关系。

PURPOSE： To evaluate the effect of doctor-patient communication education on dental clinical practice.METHODS： The process of 61 dental interns’ clinical practice was divided into two stages.The dental interns were taught with traditional teaching method in the first stage.Doctor-patient communication and communication skill training were added to the second stage.Scale of medical student’s doctor-patient communication behavior was used to evaluate the dental interns’ behavior by themselves after two stages.The SEGUE frame work was used to evaluate the dental interns’ behavior by teachers after two stages.All statistical analysis was performed using SPSS 13.0 software package.The result of scale of medical student’s doctor-patient communication behavior was analyzed using Fisher exact test or Chi-square test.The score of the SEGUE frame work was analyzed using Student’s t test.RESULTS： The result of Scale of medical student’s doctor-patient communication behavior showed only 37.71% of dental interns could establish good doctor-patient relationship in the first stage.After doctor-patient communication and communication skill training,the percentage became 75.4%.The result of the SEGUE frame work showed the score was raised from 16.066±3.308 to 21.867±2.456,and a significant difference was found between the two stages.CONCLUSIONS： Doctor-Patient communication education can improve dental interns’ communication skills and help to establish a good doctor-patient relationship.