摘要
目的调查参与儿科住院医师规范化培训的医师医患沟通能力现状,探讨沟通能力培训在临床工作中的具体需求。方法以首都医科大学附属北京儿童医院培训基地参与儿科住培医师规范化培训的77名住院医师为调查对象,对其进行问卷调查,内容包括基本情况、医患沟通能力自我满意度、医患沟通课程需求等。采用SPSS 20.0统计软件进行数据处理和分析。结果医患沟通能力方面,儿外科住培医师自我满意度高于儿内科住培医师(78.9%vs.58.5%,P=0.108);高年资住培医师自我满意度高于低年资住培医师(78.6%vs.62.5%,P=0.330;78.6%vs.58.9%,P=0.278)。将沟通对象重要性及困难程度排序,重要性前3位分别为家属、上级医师、患儿,困难程度前3位分别为家属、患儿、护士。沟通困难的主要原因为工作繁忙(41.6%)和自身沟通技巧欠缺(46.7%),不同专业和年资住培医师之间差异无统计学意义(P>0.05)。超过80%的住培医师认为有效的医患沟通能促进临床工作的开展。年资越低,对医患沟通培训课程课时分配和授课频次的需求越高。结论儿科住培医师对医患沟通具有良好认知,儿内科和低年资住培医师存在沟通问题,需根据不同专业与年资调整培训内容与方式,提高培训质量,促进临床工作开展及医学教育改革。
Objective:To investigate the current status of doctor-patient communication of pediatric residents,and to explore the specific demand of communication skills training in clinical practice.Methods:A self-made questionnaire was conducted to investigate 77 residents taking standardized residency training of pediatrics in Beijing Children's Hospital training base,including basic information,self-satisfaction of communication ability and the needs of doctor-patient communication courses,etc.SPSS 22.0 statistical software was used for data processing and analysis.Results:In terms of the doctor-patient communication ability,the results showed that the satisfaction degree of pediatric resident surgeons was higher than that of pediatric resident physicians(78.9%vs.58.5%,P=0.108)and the satisfaction degree of high-seniority residents was higher than that of low-seniority residents(78.6%vs.62.5%,P=0.330;78.6%vs.58.9%,P=0.278).Besides,the importance of communication objectives and the degree of difficulty were sorted in order,and the top three were family members,superior and children for importance,and family members,children and nurses for difficulty,respectively.The main reasons of difficult communication included heavy work(41.6%)and lack of communication skills(46.7%),with no statistical difference between different majors and seniorities(P>0.05).More than 80%residents agreed that effective doctor-patient communication could promote the clinical work.The lower of seniority,the higher demands for the class time allocation and teaching frequency of doctor-patient communication training courses.Conclusion:Pediatric residents have a good cognition of medical doctor-patient communication.There are some obvious communication problems in pediatric physicians and low-seniority pediatric residents.Therefore,it's necessary to adjust courses according to different majors and seniorities,so as to improve the training quality,thereby promoting the clinical work and reform of medical education.
作者
王秀娟
严佳虞
王爱华
韩彤昕
焦莉平
李牧寒
熊祎
Wang Xiujuan;Yan Jiayu;Wang Aihuaf;Han Tongxin;Jiao Liping;Li Muhan;Xiong Yi(Department of Education,Beijing Children's Hospital,Capital Medical University,National Center for Children's Health,Beijing 100045,China;Department of Rheumatology and Immunology,Beijing Children's Hospital,Capital Medical University,National Center for Children's Health,Beijing 100045,China)
出处
《中华医学教育探索杂志》
2021年第12期1476-1479,共4页
Chinese Journal of Medical Education Research
基金
中华医学会医学教育分会和中国高等教育学会医学教育专业委员会立项课题(2016B-RW015)
首都医科大学教学模式与方法推进项目(2018JYJX074)。
关键词
儿科住培医师
医学人文
医患沟通
课程培训
Pediatric residents
Medical humanities
Doctor-patient communication
Training courses
