基于SEGUE量表测评住院医师医患沟通能力的评价与思考  

Evaluation and reflection on residents’doctor-patient communication ability based on SEGUE scale

作　　者：王云云[1] 林肖肖 唐东[1] 倪狄荣 朱雨秋 周庆[1] Wang Yunyun;Lin Xiaoxiao;Tang Dong;Ni Dirong;Zhu Yuqiu;Zhou Qing(Education&Training Department,Affiliated Hospital,Nantong University,Nantong 226001,China;Medical College,Nantong University,Nantong 226001,China)

机构地区：[1]南通大学附属医院教育培训处,南通226001 [2]南通大学医学院,南通226001

出　　处：《医学教育管理》2022年第3期361-365,376,共6页Medical Education Management

基　　金：江苏省研究生研究教学改革课题(JGLX19_149)。

摘　　要：目的评价住院医师规范化培训医患沟通能力,分析医患沟通能力培养中存在的问题,为规范化培训工作的整改和提高提供依据。方法采用SEGUE量表从准备阶段、信息收集、信息给予、理解患者、结束问诊5个维度,对2019级79名住院医师规范化培训学员进行医患沟通能力考评,通过SPSS23.0统计软件对各指标得分率采用χ^(2)检验和组间多重比较。结果医患沟通能力满分25分,本项目住院医师医患沟通能力平均得分为16.58±1.80分,准备阶段、信息收集、信息给予、理解患者、结束问诊得分率分别为67.80%、72.90%、49.00%、91.75%、13.50%,准备阶段、信息收集、信息给予以及理解患者4个一级指标内二级指标之间比较差异有统计学意义(P<0.001、P<0.001、P<0.001、P=0.017),部分二级指标得分率存在性别差异。结论住院医师医患沟通能力需要进一步加强系统性培训,在通过改革传统出科考核、年度考核、结业考核等理论考试和技能考核的基础上,增加医患沟通能力考核,以确保和提高住院医师岗位胜任力培养质量。Objective To evaluate the doctor-patient communication ability of standardized training residents,to analyze the problems existing in the cultivation of doctor-patient communication ability,and to provide the basis for further improvement in the process of standardized residents training.Methods The SEGUE scale was used to evaluate the doctorpatient communication ability of 79 residents in 2019 from five dimensions of“set the stage”,“elicit information”,“give information”,“understand patients perspective”,and“end the encounter”.SPSS23.0 statistical software was used to compare the score rate of each index between groups by chi-square test and multiple comparison.Results The full score of residents􀆳doctor-patient communication ability is 25,and the average score of residents in this project is 16.58±1.80.The score rates of“set the stage”,“elicit information”,“give information”,“understand patients perspective”,and“end the encounter”are 67.80%,72.90%,49.00%,91.75%,and 13.50%respectively.There are significant differences among the secondary indicators in the four primary indicators of“set the stage”,“elicit information”,“give information”,and“understand patients perspective”(P<0.001,P<0.001,P<0.001,P=0.017),and there are gender differences in the scores of some secondary indicators.Conclusion It is necessary to further strengthen the systematic training of residents’doctor-patient communication ability.The traditional examination consists of completion assessment,annual examination and graduation examination,overemphasizing theory test and skill examination,so examination of doctor-patient communication ability should be increased,aiming to ensure and improve the quality of residents’post competency training.

关 键 词：医患沟通 住院医师 规范化培训 医患沟通技能评价量表 

分 类 号：G642[文化科学—高等教育学] R4[文化科学—教育学]