门诊经验沟通与GLTC沟通对患者情绪影响的比较研究  

Comparative study on the impact of experiential communication and GLTC communication in outpatient settings on patients’emotions

作　　者：邵建文 王梦婷[3] 谭港锐 商卫红[5] 王锦帆 SHAO Jianwen;WANG Mengting;TAN Gangrui;SHANG Weihong;WANG Jinfan(School of Marxism,Nanjing Medical University,Nanjing 211166,China;Research Center for Doctor Patient Communication,Nanjing Medical University,Nanjing 211166,China;Personnel Department,Nanjing Medical University,Nanjing 211166,China;School of Public Health,Southeast University,Nanjing 210009,China;Department of Science and Education,the Affiliated Eye Hospital of Nanjing Medical University,Nanjing 210019,China)

机构地区：[1]南京医科大学马克思主义学院,江苏南京211166 [2]南京医科大学医患沟通研究中心,江苏南京211166 [3]南京医科大学人事处,江苏南京211166 [4]东南大学公共卫生学院,江苏南京210009 [5]南京医科大学附属眼科医院科教处,江苏南京210019

出　　处：《中国医学伦理学》2024年第12期1503-1511,共9页Chinese Medical Ethics

基　　金：江苏省研究生科研创新计划课题“门诊医生沟通方式影响医患双方情绪与需求的实验研究”(KYCX21_1560);江苏省社会科学基金项目“情绪智力理论视阈下医护人员情绪劳动对医患关系的影响研究”(20SHD007)。

摘　　要：目的从患者情绪角度,比较研究门诊医生经验性沟通与GLTC沟通效果,了解影响患者情绪的主要沟通细节因素,为今后改善患者情绪、提高医生医患沟通技巧提供参考。方法2021年7月—2022年1月,对江苏省内4家三级综合医院共计24个科室开展门诊GLTC沟通方案试验研究,并对相关数据进行描述性分析、独立样本t检验、多元线性回归等分析。结果门诊经验性沟通后,患者紧张、疲惫、困惑、抑郁等维度情绪有所改善,但患者活力下降(P<0.05);门诊GLTC沟通后,患者六个维度情绪均有改善(P<0.05),同时GLTC组沟通后患者情绪优于经验组(P<0.05);医生经过培训后,相同单位时间内,GLTC组相关沟通细节完成率大部分明显高于经验组(P<0.05);多元线性回归显示,微笑、语言安慰、和蔼注视是影响患者总体情绪的主要因素。结论门诊经验性沟通具备一定的沟通效果,但与门诊GLTC沟通相比,仍有很大提升空间,门诊GLTC沟通更能够改善患者情绪,医生的微笑、语言安慰等是门诊中需要重视的沟通细节,如何提高门诊GLTC医患沟通方案执行力是今后研究的重要方向。Objective:From the perspective of patients’emotions,to compare and study the effectiveness between experiential communication and GLTC communication of outpatient doctors,understand the main communication details that affect patients’emotions,and provide a reference for improving patient emotions and enhancing doctor-patient communication skills in the future.Methods:From July 2021 to January 2022,a pilot study of GLTC communication program in outpatient settings was conducted in a total of 24 departments from 4 tertiary comprehensive hospitals in Jiangsu Province.Descriptive analysis,independent sample t-test,multiple linear regression and other analyses were conducted on the relevant data.Results:After experiential communication in outpatient settings,patients showed improvements in dimensions of emotion such as anxiety,fatigue,confusion,and depression,but there was a decrease in patient vitality(P<0.05).After GLTC communication in outpatient settings,patients’emotions in all six dimensions improved(P<0.05).Meanwhile,the GLTC group had better emotions than the experiential group after communication(P<0.05).After training,the completion rate of relevant communication details of doctors in the GLTC group was mostly significantly higher than that in the experiential within the same unit time(P<0.05).Multiple linear regression showed that smiling,comforting language,and kind gaze were the main factors affecting patients’overall emotions.Conclusion:Experiential communication in outpatient settings has certain communication effects,but there is still a lot of room for improvement compared to GLTC communication in outpatient settings.GLTC communication in outpatient settings can improve patients’emotions,and doctors’smiles,comforting language,and other communication details need to be emphasized in outpatient settings.How to improve the execution of GLTC communication in outpatient settings plans is an important direction for future research.

关 键 词：门诊经验沟通 医患沟通 患者情绪 医患关系 

分 类 号：R-052[医药卫生]