依托胸痛中心的情景式医患沟通技能实训课程的研究

On the situational doctor-patient communication skills training course based on chest pain center

目的探讨依托胸痛中心的情景式医患沟通技能实训课程的效果。方法选取临床医学"5+3"一体化学生进行医患沟通实训课程,以胸痛中心典型病例为模块单元编写,按疾病类型和医患沟通培训内容分为3个模块。在授课前和每个模块授课后均进行观察效果评价,包括利物浦医生沟通能力评价量表、大学生共情能力评价量表和情绪智力评价量表。结果通过3个模块的实训课程使学生的沟通能力、共情能力和情绪智力均较授课前显著提高(均P<0.05)。其中,在模块1、模块2、模块3每次授课后,医学生沟通能力均较前有所提高(均P<0.05),较授课前提高84%[(28.2±2.7)vs.(15.3±3.9)];在模块1、模块2每次授课后,医学生共情能力均较前有所提高(均P<0.05),较授课前提高34%[(132.7±12.5)vs.(99.0±17.4)];在模块2、模块3每次授课后,医学生情绪智力均较前有所提高(均P<0.05),较授课前提高34%[(138.5±13.0)vs.(103.0±16.6)]。结论依托胸痛中心的情景式医患沟通技能实训课程,其作为医学生本科阶段医患沟通学的示教课程,能有效提高学生的医患沟通能力、共情能力和情绪智力。

Objective To explore the effect of the situational doctor-patient communication skills training course based on chest pain center.Methods The"5+3"integrated students of clinical medicine were selected to take the doctor-patient communication skills training course.The typical cases of chest pain center were written as module units,and were divided into 3 modules according to the disease types and the training contents of doctor-patient communication.The effect evaluation was performed before the course and after each module course,including the Liverpool doctor communication skills assessment scale,the college student empathy ability scale and emotional intelligence evaluation scale.Results The students'communication ability,empathy ability,and emotional intelligence were significantly improved by three modules of practical training courses(all P<0.05).Among them,the communication ability of medical students was improved after each lecture in module 1,module 2 and module 3(all P<0.05),which was 84%higher than that before the course[(28.2±2.7)vs.(15.3±3.9)].After each lecture in module 1 and module 2,the empathy ability of medical students was improved(both P<0.05),which was 34%higher than that before teaching[(132.7±12.5)vs.(99.0±17.4)].After each lecture in module 2 and module 3,the emotional intelligence of medical students was improved by 34%[(138.5±13.0)vs.(103.0±16.6)](both P<0.05).Conclusion The situational doctor-patient communication skills training course based on chest pain center,as a practical course of doctor-patient communication for medical students at the undergraduate stage,can effectively improve students'doctor-patient communication ability,empathy ability and emotional intelligence.