耳鼻咽喉头颈外科规范化培训医师医患沟通能力现况分析

A questionnaire survey about physician-patient communication ability of residents in department of otolaryngology head and neck surgery

目的了解耳鼻咽喉头颈外科不同年限规范化培训住院医师(简称住培医师)和规范化培训专科医师(简称专培医师)医患沟通能力的现状和对医患沟通培训的需求。方法2020年2月采用问卷星对四川大学华西医院耳鼻咽喉头颈外科42名住培医师和专培医师进行调查,调查内容包括基本情况、医患沟通实践、医患沟通内容和形式、医患沟通认知度和医患沟通培训需求。结果①57.1%(24/42)的住培医师和专培医师认为自己的沟通能力一般;②88.1%(37/42)的住培医师和专培医师认为医患沟通非常重要;③所有医师均认为应当将病情的诊断和治疗方案、手术风险、治疗效果预后和围手术期注意事项等内容与患者及其家属进行沟通;④所有医师认为,医生工作繁忙,没有充足的时间和精力进行沟通是影响医患沟通效果的最重要因素;⑤81.0%(34/42)的住培医师和专培医师希望开设医患沟通技巧的培训课程,其中以经验丰富的上级医生进行讲授的方式最受欢迎。结论住培医师和专培医师的医患沟通能力还需要进一步提升,他们对医患沟通培训的需求较高,在后续培训中应当开展多样化的医患沟通课程教学。

Objective To analyze the residents' ability of physician-patient communication in department of otolaryngology head and neck surgery, and to investigate the needs of courses for physician-patient communication ability training.Methods An online survey was conducted on 42 residents. The questionnaire included five items: the information about participants, the survey on communication practices, the content of communication, the awareness of communication, the training needs for communication ability.Results 57.1% (24/42) of the residents considered their communication skills not very well;88.1% (37/42) of the residents thought that the communication was very important;all residents agreed to communicate with the patients about diagnosis and treatment plan about the disease, risks for surgery, treatment effects and prognosis and perioperative precautions;and the doctors too busy to communicate was the most important influence factor for communication;81.0% (34/42) of the residents wanted to attend courses for improving communication skills. The most popular approach is to be taught by experienced supervisors.Conclusions The physician-patient communication ability need to be improved in residents, and there was a high demand for training courses, the multiform courses for improving physician-patient communication ability would be set up in the future.