医学生对医患沟通技能学习态度的调查研究

A survey of the learning attitude of medical students towards doctor-patient communication skill

目的:调查安徽医科大学医学生对医患沟通技能的学习态度和影响因素,为改进医患沟通课程教学提供依据。方法:对安徽医科大学第二临床医学院2015级医学本科生采用一般情况调查表和医患沟通技能态度量表(中文版)进行横断面调查和统计分析。结果:共发放问卷400份,回收有效问卷370份,有效回收率92.50%。受调查者积极态度分量表平均得分(50.17±7.25)分,与性别、参加社团活动、热爱医学专业、对毕业后从医的信心和人际沟通能力好等因素有关(P<0.05~P<0.01),热爱医学专业和人际沟通能力好是其独立影响因素(P<0.05)。消极态度分量表平均得分(34.98±5.70)分,与性别、参加社团活动和性格类型等因素有关(P<0.05),而性别是其独立影响因素(P<0.05)。受调查者中从未学习过人际沟通课程者占91.10%,其中255人(75.67%)认为需开设医患沟通技巧必修课。结论:安徽医科大学医学生对学习医患沟通技能积极性高,应开设必修课程,采用先进教学方法和评估手段。临床教师在教学中需特别注意男生、内向性格、不喜欢医学专业、学习信心不足、不参加社团活动、人际沟通能力差学生的学习积极性和负面情绪。

Objective： To investigate the learning attitude and influencing factors of medical students in Anhui Medical University toward the medical communication skills,and provide evidence for improving doctor-patient communication course. Methods： The grade2015 medical undergraduates from the Second Clinical Medical College were investigated using the general condition scale and Chinese version of Communication Skills Attitude Scale（ CSAS）. Results： A total of 400 questionnaires were issued,370 valid questionnaires were recovered,and the effective recovery rate was 92. 50%. The average score of PAS was（ 50. 17 ± 7. 25）,which was related to the gender,participating community activities,loving medicine profession,confidence in becoming a qualified doctor and good interpersonal communication skills（ P〈0. 05 to P〈0. 01）,and the loving medicine profession and good interpersonal communication was the independent influencing factors（ P〈0. 05）. The average score of NAS was（ 34. 98 ± 5. 70）,which was related to the gender,participating community activities and character type（ P〈0. 05）,and the gender was the independent influencing factors（ P〈0. 05）.Among the respondents,91. 10% of students had never studied the interpersonal communication courses,and 255 students（ 75. 67%）believed that the compulsory course of doctor-patient communication skills should be established. Conclusions： The medical students of Anhui Medical University have high enthusiasm in learning doctor-patient communication skills,and the compulsory courses should be established with advanced teaching and evaluation method. The clinical teachers should pay more attention to the male,introverted personality,unlike medicine profession,lack confidence of study,unparticipating in community activities,and learn positivity and negative emotion in poor interpersonal communication skills students to improve the doctor-patient communication skills and related teaching level.