“五习惯”医患沟通继续教育模式的应用研究

The Effectiveness of Five Habits Model Communication Training

目的运用"五习惯"医患沟通继续教育模式对新进医生进行沟通技能培训,评价培训效果。方法互动教学和理论讲授相结合,对75名医生进行为期2天的强化培训,培训前后录制医生与标准化患者的问诊视频,由评价员根据《"五习惯"医患沟通量表》对视频进行评分,医生在培训结束后提交医患沟通培训体验报告。培训前后得分比较采用配对秩和检验或者配对t检验,培训体验报告使用Meta归类法分析。结果 75名新进医生参加了培训,其中73名医生的资料纳入分析。培训后总平均分显著提高[(53.048±6.127)vs.(61.363±6.598),t=-14.328,P=0.000],五个维度的平均分都有所提高,差异均有统计学意义(P<0.05)。培训后学员体验报告提示医生们对"五习惯"模式的接受程度较高。结论 "五习惯"医患沟通培训可以提高医生的医患沟通技能,可考虑将该模式推广应用于医患沟通继续教育,促进医患和谐。

Objective Apply‘Five Habits Model’to the communication skill training for junior doctors,evaluate the effectiveness of the training.Methods Combined with interactive approaches and didactic teaching,two days of intensive DPC training was conducted to 75 junior doctors.Consultations between doctors and standardized patients were videotaped pre and post the training.Five Habits Assessment Scale was used to evaluate the videos and trainees were asked to submit self-reports after the training.Paired-samples t test,Nonparametric test and meta method were uesd.Results 75 junior doctors participated in the training,and 73 of them were included into data analysis.The average total score increased significantly after training[(53.048±6.127)vs.(61.363±6.598),t=-14.328,P=0.000],and the post-training average scores of the five latitudes enhanced with significant differences(P<0.05).The self-reports demonstrated high acceptance of the model.Conclusions The‘Five Habits Model??is helpful to improve doctors??communication skills.More applications of this model to DPC continuing education should be considered,expecting to promote harmonious relationship between medical professionals and patients.