住院医师临床沟通能力调查与分析

Investigation and analysis of clinical communication ability in residents

目的调查住院医师临床沟通能力,探讨不同年级、身份及是否为手术科室学员间的表现差异,以期为培养住院医师的临床沟通能力提供参考。方法采用Steyn等研制的临床沟通能力测评量表,从建立和谐关系、敏锐倾听、确认病人问题、共同参与、传递有效信息和验证感受6个维度评估住院医师的临床沟通能力,比较分析不同身份、年级及是否为手术科室学员的临床沟通能力现状。结果住院医师临床沟通能力总分的百分位数为91.5(83,99)分。各年级学员间临床沟通能力(P=0.256)、手术与非手术科室学员间临床沟通能力(P=0.346)无明显差异。不同身份学员间临床沟通能力存在差异,单位人(P=0.012)与行业人(P=0.045)均高于专硕学员。结论不同身份住院医师的临床沟通能力存在差别,单位人和行业人高于专硕学员。在住院医师规范化培训临床沟通能力的培养过程中,需关注不同身份学员的培训心态及想法,强调责任心,同时帮助他们转变心态、树立成长的目标并加强训练。

Objective To investigate the clinical communication ability of residents and explore the differences among students in different grades,identities and whether or not in surgical departments,so as to provide references for the training of residents'clinical communication ability.Methods Using a six dimensional scale invented by Steyn focusing on establishing rapport and respect,listening receptively,confirming the problems of patient,sharing control,informing effectively,checking perceptions to investigate and compare clinical communication ability of residents in different grades,identities and whether or not in surgical departments.Results The median of the total clinical communication score for residents was 91.5(83,99).There is no significant difference in clinical communication between students in different grades and surgical and non-surgical departments.The clinical communication ability of students with different identities was different,and the clinical communication ability of residents in units and industries was higher than that of the master's degree students(P=0.012;P=0.045).Conclusion There are differences in clinical communication ability of residents with different identities.The clinical communication ability of residents in units and industries are higher than that of professional master students.In the cultivational process of clinical communication ability during the standardized residential training,it is necessary to pay attention to the training mentality and thoughts of students with different identities,to stress the sense of responsibility,to help students improve their mentality,set up the goal and strengthen the training.