《医患沟通》课程对提升医学生医患沟通能力的效果研究

Effectiveness of doctor-patient communication course on improvement of doctor-patient communication ability

目的 分析《医患沟通》课程对提升医学生医患沟通能力的效果.方法 选择上海交通大学医学院2005至2008级临床医学专业八年制医学生360人作为调查对象.其中学习《医患沟通》课程的医学生为课程组（n=180）,未学习该课程的医学生作为对照组（n=180）.教学结束后,应用《医患沟通技能评价表》（SEGUE Framework）进行问卷调查,评价2组医学生的医患沟通能力.运用Excel录入调查表数据,经逻辑查错后形成最终数据库.利用SPSS 16.0软件进行统计学分析,数据正态性检验采用Kolmogorov-Smimov （K-S test）方法,计量资料用（x±s）表示,P＜0.05表示差异有统计学意义.结果 比较2组调查对象在量表5个维度的总体得分均值,课程组的得分均高于对照组.其中,2组调查对象在“维度1：沟通启动”（P=0.001）、“维度2：信息收集”（P=0.002）和“维度4：理解病人”（P＝0.007）方面的得分均值差异具有统计学意义.结论 《医患沟通》课程促进医学生的医患沟通能力由“知理念”向“践行为”转化,但课程内容的设置还有待进一步完善和改进.

Objective To analyze the effectiveness of doctor-patient communication course on improvement of doctor-patient communication ability.Methods Totally 360 eight-year program medical students of clinical medicine from Shanghai Jiaotong University School of Medicine were chosen as the research object and were divided into educational group（n=l80） and control group（n=180）.Students in educational group study doctor-patient communication course while those in control group do not.SEGUE Framework was used to conduct exploratory research between educational group and control group.Accuracy of questionnaire database was examined by Excel software and logical test.KoImogorov-Smimov（K-S test） was applied to analyze the scores and （x ± s） was used to express the data through SPSS 16.0 statistical software.Comparison between group differences are statistically significant（P〈0.05）.Results Overall score was higher in educational group than in control group.Concerning of communication initiation,infomation collection and understanding of patients,scores of educational group were significantly higher than those of control group（P=0.001,P=0.002 and P=0.007,respec-tively）.Furthermnore,KoInogorov-Smimov（K-S test） and （x ± s） statistical results showed that scores of detailed items were higher in educational group than in control group as well.Conclusions Doctor-patient communication course is of great importance to help medical students practice physician-patient communication based on related knowledge learning,but course content setting remains to be further improved.