慢病管理在住院医师人文沟通能力培养中的作用  

The Role of Chronic Disease Management in the Cultivation of Residents'Humanistic Communication Ability

作　　者：屈伟鸽 刘凯[3] 齐月[1] QU Weige;LIU Kai;QI Yue(Department of Hepatobiliary and Pancreatic Medicine,First Hospital of Jilin University,Chuangchun Jilin 130021,China;Department of Ultrasonography,the 989th Hospital of the Joint Logistic Support Force of the People's Liberation Army,Luoyang He’nan 471300,China;Department of Training,First Hospital of Jilin University,Chuangchun Jilin 130021,China)

机构地区：[1]吉林大学第一医院肝胆胰内科,吉林长春130021 [2]中国人民解放军联勤保障部队第九八九医院超声诊断科,河南洛阳471300 [3]吉林大学第一医院培训部,吉林长春130021

出　　处：《中国继续医学教育》2022年第3期88-92,共5页China Continuing Medical Education

基　　金：吉林大学第一医院住培教学及管理改革基金项目(2018007)。

摘　　要：目的探讨慢病管理在住院医师人文沟通能力培养中的作用。方法选择2019年10—12月在吉林大学第一医院肝病科参加住院医师规范化培训的55名住院医师作为研究对象。我们对2019年10月份入肝病科培训的55名住院医师进行问卷调查,在12月培训结束后再次进行问卷调查,问卷调查回收率为100%。每个问题评分为1~9分,再分为1~3分、4~6分、7~9分三个等级,1~3分代表非常不可能,4~6分代表可能,7~9分代表非常可能。结果55名住院医师入我科参与脂肪性肝病随诊系统培训后认为医患沟通和人文关怀重要性的得分明显高于参与前,差异有统计学意义(P<0.05)。针对规培后问题3~8的调查结果显示,问题6评分为4~6分的住院医师明显多于1~3分的,差异有统计学意义(P<0.05),但评分为7~9分的住院医师与评分为4~6分的住院医师数量差异无统计学意义(P>0.05),其余问题评分为7~9分的住院医师明显多于4~6分和1~3分的住院医师,评分为4~6分的住院医师明显多于1~3分的住院医师,差异有统计学意义(P<0.05)。结论慢病管理有助于提高住院医师的医患沟通和人文关怀能力,在一定程度上提高患者的依从性,影响疾病预后。Objective To explore the role of chronic disease management in the cultivation of residents'Humanistic communication ability.Methods 55 residents who participated in the standardized training of residents in the hepatology Department of the first hospital of Jilin University from October to December 2019 were selected as the study objects.We conducted a questionnaire survey on 55 residents who were trained in the Department of hepatology in October 2019.After the training in December,we conducted another questionnaire survey.The recovery rate of the questionnaire survey was 100%.Each question is scored 1~9 points,and then divided into three levels of 1~3,4~6,7~9 points,1~3 points represent very unlikely,4~6 points represent possible,7~9 points represent Very likely.Results After 55 residents participated in the follow-up system training of fatty liver disease,they thought that the scores of communication between doctors and patients and humanistic care were significantly higher than before(P<0.05).According to the survey results of questions 3~8 after the training,there were significantly more residents with 4~6 scores in question 6 than those with 1~3 scores(P<0.05),but there was no significant difference in the number of residents with 7~9 scores and 4~6 scores(P>0.05).Conclusion Chronic disease management helps to improve the ability of communication and humanistic care of residents,improve patients'compliance to a certain extent,and affect the prognosis of the disease.

关 键 词：慢病管理 肝病科 住院医师 规范化培训 医患沟通 人文关怀 教育 

分 类 号：G642[文化科学—高等教育学]