医患沟通技巧培训在呼吸科住院医师临床教学中的实践  

Practice of Doctor-patient Communication Skills Training in Clinical Teaching of Respiratory Residents

作　　者：卜小宁[1] 周雨燕 黄克武[1] Bu Xiaoning;Zhou Yuyan;Huang Kewu(Department of respiratory and critical care medicine,Beijing Chaoyang Hospital,Capital Medical University,Beijing,100020,China;不详)

机构地区：[1]首都医科大学附属北京朝阳医院呼吸与危重症医学科,北京市100020

出　　处：《中国病案》2022年第11期88-90,共3页Chinese Medical Record

摘　　要：目的通过对呼吸科住院医师临床教学中有关医患沟通技巧课程的创新实践,探索适合的培养模式和评价方式。方法对某院2020年11月2日-2021年2月26日在呼吸科轮转的50名住院医师,采用医疗影视剧观摩、情景模拟联合角色扮演、现场实践以及小组讨论等形式进行临床医患沟通技巧的教学。应用利物浦医师沟通能力评价量表评估上述培养模式的效果,并在课程结束后对50名住院医师进行问卷调查。结果培训后利物浦医师沟通能力评价量表评分(27.54±1.95)较培训前(14.60±1.50)有提高(P<0.05)。全部住院医师认为强化临床沟通技巧培训十分必要,45名(占90%)住院医师认为通过培训后自己的临床沟通技巧得到提高,主要培养了自己对患者的理解和关爱,44名(占88%)住院医师认为通过这种教学方法可以寻找自己沟通方面的不足。45名(占90%)住院医师认为这种多种形式相结合的培养模式能够激发学习兴趣,记忆深刻。结论在呼吸科住院医师临床教学中,开展医患沟通技巧能力培训应采用多种模式相结合的授课形式,能够激发学习兴趣,提高沟通能力。Objectives This study aims to explore the training mode of communication skills for the clinical teaching of respiratory residents and explore suitable training models and evaluation methods.Methods For the 50residents who rotated in the respiratory department in a hospital from November 2,2020 to February 26,2021,the clinical doctor-patient communication was conducted in the form of medical film and television drama viewing,scenario simulation joint role-playing,on-site practice,and group discussions.The effect of the above training model was evaluated by the Liverpool Physician Communication Ability Evaluation Scale,and a questionnaire survey was conducted among 50 residents after the course Results After training,the score of the Liverpool communication Skills Assessment Scale was significantly higher than that before training((27.54±1.95)vs(14.60±1.50),P<0.05).All residents believed it was necessary to strengthen the training of clinical communication skills.45(90%)residents thought that their clinical communication skills were improved after the training,which mainly cultivated their understanding and cares for patients.44(88%)residents thought that they could find their communication deficiencies through this teaching method.45(90%)residents believed that this combination of various forms of training modes could stimulate learning interest and deep memory.Conclusions In the clinical teaching of respiratory residents,the training of doctor-patient communication skills should adopt a combination of teaching forms,which can stimulate interest in learning and improve communication skills.

关 键 词：医患沟通技巧 临床教学 培养模式 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]