儿科住培医师医患沟通能力自我评价及培训需求调查

王秀娟1　严佳虞1　王爱华1　韩彤昕2　焦莉平1　李牧寒1　熊祎1

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儿科住培医师医患沟通能力自我评价及培训需求调查

本期目录 | 更新时间：2024-09-19

- 儿科住培医师医患沟通能力自我评价及培训需求调查
- Self-evaluation of doctor-patient communication ability of pediatric residents and investigation on the training needs of them
- 中华医学教育探索杂志 2021年20卷第12期页码：1476-1479
- 作者机构：
  
  1. 国家儿童医学中心首都医科大学附属北京儿童医院教育处,北京
  2. 国家儿童医学中心首都医科大学附属北京儿童医院风湿免疫科,北京
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- 纸质出版日期：2021，
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王秀娟1　严佳虞1　王爱华1　韩彤昕2　焦莉平1　李牧寒1　熊祎1. 儿科住培医师医患沟通能力自我评价及培训需求调查[J]. 中华医学教育探索杂志, 2021,20(12):1476-1479.

Self-evaluation of doctor-patient communication ability of pediatric residents and investigation on the training needs of them[J]. 2021,20(12):1476-1479.
王秀娟1　严佳虞1　王爱华1　韩彤昕2　焦莉平1　李牧寒1　熊祎1. 儿科住培医师医患沟通能力自我评价及培训需求调查[J]. 中华医学教育探索杂志, 2021,20(12):1476-1479. DOI：

Self-evaluation of doctor-patient communication ability of pediatric residents and investigation on the training needs of them[J]. 2021,20(12):1476-1479. DOI：

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

Abstract

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.

关键词

儿科住培医师　医学人文　医患沟通　课程培训

Keywords

Pediatric residents　Medical humanities　Doctor-patient communication　Training courses

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