急诊医师沟通能力现状调查及培训效果评价  

Investigation on the Present Situation of Emergency Physicians' Communicational Skills and Assessment of the Training Effect

作　　者：汪建[1] 朱姝姮[2] 曹钰[2] 卿平[2] 唐时元[2] 

机构地区：[1]资阳市第一人民医院急诊科,四川资阳641300 [2]四川大学华西医院急诊科

出　　处：《华西医学》2015年第3期551-554,共4页West China Medical Journal

基　　金：国家自然科学基金(71131006);国家卫生和计划生育委员会卫生行业科研专项项目(201202003);四川大学美国中华医学基金会医学教育研究与发展项目(CMB-00-721)~~

摘　　要：目的探讨急诊医师医患沟通能力现状及干预对策。方法对2010年-2013年参加急诊医师医患沟通能力培训班的66名学员进行沟通能力现状调查,对所有学员进行系统性培训,培训结束后再次进行沟通能力调查,然后进行自身前后对照。结果参加培训的学员中78.8%在本次培训之前未参加过医患沟通培训,51.5%的学员认为沟通能力的提高主要通过长期临床经验的积累;学员自我评价每年发生沟通障碍次数为2、3、4、≥5次的学员分别占10.6%、22.7%、24.2%、34.8%;学员在进行培训前情景模拟角色扮演中得分为(5.374±0.686)分,经过培训后其得分为(6.717±0.517)分,两者相比差异有统计学意义(P=0.024)。结论所调查的急诊医师对医患沟通培训认知不够且普遍医患沟通能力需要改善;经过系统学习后其医患沟通能力能够得到显著提高。Objective To discuss the present situation of emergency physicians’ communicational ability and the intervention measures. Methods We investigated 66 students who participated in continuing medical education of ＂emergency physicians’ communication skills training course＂ from 2010 to 2013. All students accepted systematic training. At er the training, we did the investigation again, and then made a comparison before and after the training. Results A major 78.8% of the students in this training had never taken part in the training of communication skills before; 51.5% of the students thought that the improvement of communication ability could be achieved mainly througThlong-term accumulation of clinical experiences. Students’ self-evaluation showed that communication problem occurred 2 times a year in 10.6% of them, 3 times in 22.7%, 4 times in 24.2%, and five or more times in 34.8%. Students’ role playing score in the scenario training rose from 5.374±0.686 to 6.717±0.517 at er the training, and the dif erence was statistically significant（P=0.024）. Conclusions Emergency physicians lack knowledge of communication skills whicThneeds to be improved. Throug Thtraining, the skills can be improved significantly.

关 键 词：急诊医师 沟通能力 培训 

分 类 号：R197.3[医药卫生—卫生事业管理]