专科医师规范化培训医师人际沟通能力培养效果分析  

Analysis of Cultivating Interpersonal Communication Competence Effect of Physician in Standardized Training of Specialist Physician

作　　者：石佳琪 肖煜吟 许家宁 李国红[1,2] Shi Jiaqi;Xiao Yuyin;Xu Jianing;Li Guohong(School of Public Health,Shanghai Jiao Tong University,Shanghai,200025,China;不详)

机构地区：[1]上海交通大学公共卫生学院,上海200025 [2]上海交通大学中国医院发展研究院,上海200025

出　　处：《中国医院管理》2025年第2期82-86,共5页Chinese Hospital Management

基　　金：国家自然科学基金面上项目(72074147)。

摘　　要：目的 评价专科医师规范化培训医师10个维度的人际沟通能力与对不同人群时的沟通差异,分析现存的问题与解决方案。方法 采用人际沟通能力量表简版(Interpersonal Communication Competence Scale Short-Form,ICCS-SF)对上海市6个专科医师规范化培训基地的395名医师进行沟通能力评价,采用描述性统计分析、χ~2检验、非参数检验、多元线性回归等方法分析其沟通与培训现状。结果 ICCS-SF满分为50分,总得分为38.0(35.0~41.0)分,培训对评分的影响体现在总体与社交放松、自我肯定上,差异均有统计学意义(P<0.05)。相较于患者与同事群体,专科医师规范化培训医师报告最难胜任来自跨学科团队的沟通挑战。认为沟通能力重要、沟通能力培训提及技能种数更多时,医师ICCS-SF得分更高(P<0.001)。结论 需进一步加强专科医师规范化培训中沟通培训的覆盖率与规范性,在重视医患沟通能力的基础上关注跨学科团队间的沟通能力培养。Objective To evaluate the interpersonal communication competence of doctors in 10 dimensions of standardized training for specialized doctors and their communication differences with various groups,and to analyze the existing problems and solutions. Methods The 10-item short-form version of the Interpersonal Communication Competence Scale(ICCS-SF) was used to assess the communication abilities of 395 physicians undergoing training at six specialized physician training bases in Shanghai. Descriptive statistics, chi-square tests, nonparametric tests,and multiple linear regression of methods were employed to analyze the communication status and training status of specialist physicians. Results The maximum score for interpersonal communication competence is50 points, and the average score for the specialist physicians in this study was 38.0(35.0~41.0) points. The impact of the training on the scores is reflected in the total score and the two sub-dimensions of social relaxation and self-affirmation, with statistically significant differences(P<0.05). Compared to patients and colleagues,specialized training physicians reported the greatest difficulty in communicating with interdisciplinary teams. Physicians who recognized the importance of communication and those whose training included a greater variety of skills achieved higher ICCS-SF scores(P<0.001). Conclusion It is necessary to further strengthen the coverage and standardization of training, and pay attention to the cultivation of communication competence between interdisciplinary teams on the basis of attaching importance to the communication competence between doctors and patients.

关 键 词：人际沟通能力 专科医师 规范化培训 跨学科团队 

分 类 号：R197.323.6[医药卫生—卫生事业管理]