传统教学法和心理学思政辅助教学法对肾病科规培生学习效果和医患沟通能力影响的对比研究

A comparative study on the influence of traditional and psychological-ideological-political-assistant teaching methods in learning effect and communication ability of standardized trainees of nephrology

目的对比传统教学法与心理学思政教育辅助教学法在肾病科规范化培训生(规培生)带教中对学习效果和医患沟通能力的影响。方法纳入本院2019年9月至2020年9月期间在肾脏病科规培生36例,随机均分为两组(观察组接受心理学思政辅助教学法,对照组接受传统教学法)。以理论考试和实践技能考核获得相应成绩,经问卷调查获得患者满意度指标,由带教老师通过SEGUE量表评价学员沟通能力。利用SPSS 20.0软件进行统计分析。结果通过4周的带教,与对照组比较观察组规培生的理论知识成绩(P=0.001)和实践操作成绩(P<0.05)明显提高。观察组的医患沟通能力(建立沟通能力:P<0.001;信息提供能力:P=0.001;评估患者能力:P=0.001;结束谈话能力:P<0.05)和患者满意度(P<0.05)也显著提高。结论心理学思政教育辅助教学法应用于肾病科规培生带教中,有效提高了规培生学习成绩和医患沟通能力,具有一定的借鉴和教学指导意义。

Objective To compare the influence of traditional and psychological-ideological-political-assistant teaching methods in the learning effect and the doctor-patient communication ability of the standardized-training residents of nephrology.Methods Thirty-six standardized-training physicians in nephrology department of our hospital from September 2019 to September 2020 were enrolled,and were randomly assigned to control group and observation group with 18 students each.The observation group received the psychological-ideological-political-assistant teaching method,while the control group received the traditional teaching method.The scores of theoretical knowledge and practical operation were achieved via theory test and practical skill assessment.The results of patients′satisfaction indicators were acquired via questionnaire survey.The SEGUE scale was used by the teachers to evaluate the doctor-patient communication ability of the trainees.The SPSS 20.0 software was used for statistical analysis.Results After 4 weeks of teaching,the results of theoretical knowledge(P=0.001)and practical operation(P<0.05)of the observation group were significantly better than those of the control group.The observation group also showed significantly better doctor-patient communication ability,including communication-establishing skills(P<0.001),information-providing skills(P=0.001),patient-evaluating skills(P=0.001),and conversation-ending skills(P<0.05),as well as better patients′satisfaction(P<0.05).Conclusion For physicians of the standardized-training in nephrology,the auxiliary teaching method of psychological-ideological-political education effectively improved their academic performance and doctor-patient communication ability,which may have certain significance for reference and teach-guiding.