情景模拟教学法在外科实习医生医患沟通能力提升中的应用

Application of scenario simulation teaching in the improvement of doctorpatients communication ability in surgical interns

目的探讨情景模拟教学法在外科实习医生医患沟通能力培训中的应用效果。方法选取2018年1~12月在首都医科大学宣武医院普通外科轮转的实习医生67名作为研究对象。将2018年1~6月参加培训的32名实习医生作为对照组,采用传统的课堂授课教学;将2018年7~12月参加培训的35名实习医生作为实验组,采用情景模拟教学法。应用利物浦医师沟通能力评价量表(LCSAS)比较培训前后考核得分差异,并调查实习医生对情景模拟教学法和传统授课法的认可程度。结果两组培训后LCSAS评分均明显高于培训前(P<0.05),且实验组培训后明显高于对照组,差异有统计学意义(P<0.05)。调查问卷显示,两组案例典型实用比例比较,差异无统计学意义(P>0.05)。实验组认为情景模拟教学法在新颖生动、调动学习兴趣、增强职业自信、促进临床思维能力、提高应变能力、提高沟通能力者占比均明显高于对照组,差异有统计学意义(P<0.05)。结论与传统授课法比较,情景模拟教学法能够有效提高实习医生医患沟通能力,为成长为合格的临床医生打下坚实的基础。

Objective To explore the application effect of scenario simulation teaching in the training of interns′doctor-patients communication ability.Methods Sixty-seven interns who rotated in the Department of General Surgery of Xuanwu Hospital,Capital Medical University from January to December 2018 were selected as the research objects.The 32 interns who participated in the training from January to June 2018 were taken as the control group,and traditional classroom teaching was adopted.A total of 35 interns who participated in the training from July to December 2018 were selected as the experimental group,and scenario simulation teaching was adopted.Liverpool communication skills assessment scale(LCSAS)was used to compare the assessment scores before and after training,and the approval degree of interns for scenario simulation teaching and traditional teaching method was investigated.Results After training,the LCSAS scores of the two groups were significantly higher than those before training(P<0.05),and the LCSAS score of the experimental group after training was higher than that of the control group,the difference was statistically significant(P<0.05).The questionnaire showed that there was no statistically significant difference of the ratio of typical and practical cases between the two groups(P>0.05),and the proportion of novelty and vividness,mobilizing learning interest,enhancing career confidence,promoting clinical thinking ability,improving strain capacity and improving communication ability in the experimental group was significantly higher than the control group,the differences were statistically significant(P<0.05).Conclusion Compared with the traditional teaching method,the scenario simulation teaching can effectively improve the interns′doctor-patients communication ability,and lay a solid foundation for the interns to grow up into qualified clinicians.