医患沟通专项培训对提高医学生沟通能力的效果研究

Study on improving the communication ability of medical students by special training of doctor patient communication

目的分析与探讨医患沟通的重要性以及医患沟通专项培训对提高医学生沟通能力的应用效果。方法选取2016年7月~2017年7月于我院实习的在院医学生、研究生及规培医生30名作为观察组,对其实施统一医患沟通专项培训课程;另选取同期30名医学生作为对照组,按一对一导师制进行实习,医患沟通相关知识及技巧的讲解由各导师自行进行。采用医患沟通认知表对两组医学生的医患沟通认知度进行评价与测定,对比两组学生各维度得分及分项得分情况。结果观察组医学生的沟通启动、信息收集、信息给予、理解患者、沟通结束等各分项相关评分[(21.37±4.38)、(44.50±5.13)、(17.89±2.62)、(19.69±2.68)、(9.72±1.78)分]均高于对照组[(17.86±3.15)、(39.19±5.46)、(13.18±2.94)、(15.13±2.89)、(7.02±1.25)分],差异有统计学意义(P<0.05)。结论加强医患沟通专项培训可显著提高医学生的沟通技能,尤其在信息收集及对患者的理解度上有明显提升,临床应用价值较高。

Objective To analyze and explore the importance of communication between doctors and patients and the application effect of medical communication training to improve the communication ability of medical students.Methods From July 2016 to July 2017,30 patients in our hospital and the related practice of graduate students and training doctors were selected as the observation group,the unified communication special training courses were implemented in observation group.30 medical students were selected as the control group,according to the practice of the tutorial system explain the doctor-patient communication related knowledge and skills were carried out by the instructors themselves. Medical communication awareness of two groups of medical students was evaluated and measured by means of doctorpatient communication cognitive table.The scores of each dimension and the scores of two groups were compared. Results The observation group with communication initiation,information collection,information given,understanding patients,communication end and other related items scores [（21.37±4.38）,（44.50±5.13）,（17.89±2.62）,（19.69±2.68） and （9.72±1.78） points] were significantly higher than the control group [（17.86±3.15）,（39.19±5.46）,（13.18±2.94）,（15.13±2.89） and （7.02±1.25） points],and the differences were statistically significant （P〈0.05）.Conclusion Strengthening the special training of doctor-patient communication can significantly improve the communication skills of medical students,especially in the information collection and the understanding of patients,has higher value in clinical application.