临床医学生医患沟通能力现状的调查

An investigation on medical students' doctor-patient communication skill

目的调查临床医学生医患沟通能力的现状,分析其影响因素。方法采用《医患沟通技能评价表(SEGUE量表)》对广州市某三甲医院的155名临床医学生进行调查。结果临床医学生沟通技能总成绩得分率只有58.9%,在5个维度中,沟通结束方面得分率最高,为82.9%,而理解病人方面得分率最低,只有45.5%。性别、接受医患沟通相关培训次数不同的临床医学生,其沟通能力差异有统计学意义(P﹤0.05)。结论临床医学生的医患沟通能力总体水平有待提高,特别是在理解病人方面。性别和参加医患沟通培训次数是临床医学生沟通能力的影响因素,应加强对医学生在共情能力、情感支持、移情等方面能力的培训,以提高医患沟通能力。

Objective To investigate the status of medical students' doctor-patient communication skill and analyze the influencing factors.MethodsAn investigation on 155 clinical medical students in a level 3 hospital in Guangzhou was conducted using the Doctor-patient Communication Skills Evaluation Scale(also called SEGUE Scale).ResultsThe clinical medical students' scoring rate of communication skill was only 58.9%.Among the five dimensions,the scoring rate of communication skill end was the highest,which was 82.9%,while the scoring rate of understanding patients was the lowest,which was only 45.5%.The difference in communication skill between clinical medical students with different gender and the training times related to doctor-patient communication was statistically significant(P<0.005).ConclusionThe overall level of doctor-patient communication skill among clinical medical students was needed to be improved,especially on understanding patients.Gender and training times on doctor-patient communication training were the influencing factors of communication skills of medical students.Medical students' skills include empathy and doctor-patient communication skills,etc.