标准化病人在社区医患沟通能力教学中的应用  

Application of standardized patients( SP) curriculum about the cultivation of doctor-patient communication competence for general practitioners in health service center

作　　者：陈慎 李蓉[2] 陈杰[2] 黄浩[2] 施海燕[2] 马玉美[2] 

机构地区：[1]上海市杨浦区五角场街道社区卫生服务中心,200434 [2]上海市杨浦区殷行社区卫生服务中心,200438

出　　处：《中华全科医学》2015年第1期123-125,共3页Chinese Journal of General Practice

基　　金：上海市杨浦区医学重点学科项目(2009AA003-10)

摘　　要：目的评估标准化病人(Standardized Patient,SP)在社区全科医师医患沟通技能培训中的作用。方法选取2010—2011年在社区基地实习4周的全科医师30名,给予SP教学后,分别在第1周与第4周根据SEGUE量表进行医患沟通技能培养的评估。结果 30名全科医师,男性8名,女性22名,平均年龄(26±1)岁,90%对社区医患沟通技能方面的教学表示满意。SP教学后全科医师医患沟通技能较教学前明显提高,主要表现在信息收集(66.6%)、信息给予(53.3%)、结束问诊(53.3%)3个方面(P<0.01),差异具有统计学意义,总体合格率由教学前的23.3%提高到教学后的93.3%。结论社区全科医师医患沟通能力可以通过SP短期教学提高,其中在信息收集、信息给予、结束问诊3个方面的提高较为显著。因此,SP在社区医患沟通能力教学中的应用值得推广。Objective Assessment the role of standardized patients（SP） for teaching about doctor-patient communication competence of general practitioners in health service center. Methods Choose 30 general practitioners who had been giv- en the SP curriculum in 4 weeks in our community health care from 2010 to 2011, and then evaluate the GPs＇ doctor-pa- tient communication competence according to the SEGUE scale. Results 30 general practitioners,the male 8, female 22, with mean age （26 ±1 ） years old. 90% demonstrated their satisfaction with the training of SP about doctor-patient com- munication skills. And GPs＇ doctor-patient communication competence had been greatly improved after 4 weeks. Its basi- cally behave in ：information collection （66.6%）, information given （ 53.3% ）, end of inquiry （ 53.3% ）, P 〈 0.01, there was a significant difference between first week and forth. Overall qualified rate rose from around 23.3% to 93.3%. Con- clusion GPs can increase their ability of doctor-patient communication through SP learning for a short-term. Especially for information collection,information given,end of inquiry. Therefore,the SP curriculum can be applied to the community health service center.

关 键 词：标准化病人 医患沟通 社区教学 SEGUE量表 

分 类 号：R192.3[医药卫生—卫生事业管理] R197.61[医药卫生—公共卫生与预防医学]