全科医学硕士研究生医患沟通能力现状及导师对其的作用研究  

The Current Status of Doctor-Patient Communication Skills among General Practice Master's Students and the Role of Supervisors'Influence

作　　者：赵铁夫[1] 张彬[1] 韩红亚[1] 罗鸿池 马涵英[1] ZHAO Tiefu;ZHANG Bin;HAN Hongya;LUO Hongchi;MA Hanying(Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China)

机构地区：[1]首都医科大学附属北京安贞医院,北京市100029

出　　处：《中国全科医学》2025年第13期1590-1594,共5页Chinese General Practice

基　　金：北京市教育科学“十四五”规划课题(CDDB-21179)。

摘　　要：背景医学生的医患沟通能力培养愈加受到重视,提高全科医学硕士研究生的医患沟通能力是全科医学人才培养的需要。目的探讨全科医学硕士研究生医患沟通能力现状及导师对其影响的作用。方法2023年1—12月选择首都医科大学全科与继续教育学院66名全科医学专业型硕士研究生导师(以下简称导师)指导的在读全科医学统招专业型硕士研究生(以下简称研究生)72名作为研究对象,应用医患沟通技能评价量表(SEGUE量表)对研究生及其导师的医患沟通能力进行测评,并评价其与北京市全科医生、三级甲等医院门诊医生的差距;导师与研究生医患沟通能力的相关性分析采用Pearson相关性分析。结果全科医学专业型硕士研究生的SEGUE量表在准备维度、信息收集维度、信息给予维度、理解患者维度、结束问诊维度和总得分低于北京市全科医生(P<0.05),在信息收集、信息给予、结束问诊维度和总得分低于北京市三级甲等医院门诊医生(P<0.05);按照主要临床培养单位是否是导师所在单位分组,将研究生分为随同导师组和不随同导师组,随同导师组SEGUE量表的准备阶段、信息收集维度得分和总得分高于不随同导师组(P<0.05);随同导师组中研究生与其导师SEGUE量表的准备阶段、信息收集、信息给予、理解患者、结束问诊维度得分和总得分呈正相关(P<0.05)。不随同导师组中研究生与其导师SEGUE量表的理解患者和结束问诊维度得分呈正相关(P<0.05)。结论全科医学专业硕士研究生的医患沟通能力有待进一步提升,研究生的医患沟通能力与其导师密切相关,适当优化全科医学专业硕士研究生培养方式能够有助于改善全科医学专业硕士研究生医患沟通能力。Background More and more attention has been paid to the training of medical students'doctor-patient communication skills.It was necessary to improve the doctor-patient communication skills of general medicine postgraduates.Objective To explore the current situation of doctor-patient communication ability of postgraduates in general medicine and the influence of mentors on it.Methods A total of 72 full-time postgraduate students majoring in general practice,who were being supervised by 66 full-time postgraduate supervisors from the School of General Practice and Continuing Education of Capital Medical University from January to December 2023,were selected as the research subjects.The doctor-patient communication skills of the postgraduate students and their supervisors were evaluated using the SEGUE scale,and evaluate the gap between them and Beijing general practitioners and outpatient doctors in tertiary hospitals;the correlation analysis between the communication ability of the supervisors and the students in Pearson.Results The professional master's degree students majoring in general practice scored lower than Beijing general practitioners in the dimensions of preparation,information collection,information provision,understanding patients,ending the consultation and the total score(P<0.05),and scored lower than the general practitioners in the tertiary grade A hospitals in Beijing in the dimensions of information collection,information provision,ending the consultation and the total score(P<0.05).According to whether the main clinical training unit is the supervisor group,the graduate students are divided into the accompanying supervisor group and the not accompanying tutor group.The preparation stage,information collection dimension score and total score of the accompanying tutor group were higher than the unrelated tutor group(P<0.05).With the supervisor group,the preparation stage,information collection,information giving,patient understanding,end of the SEGUE scale and the total score were positively corr

关 键 词：全科医学 研究生 导师 医患沟通 影响因素 

分 类 号：R192[医药卫生—卫生事业管理]