规范的医患沟通在TURP术后早期并发症致医患矛盾中的作用
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南京医科大学附属江宁医院

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南京医科大学医患沟通课题校级一般项目201316


The role of normative communication between doctors and patients in reducing the contradiction resulted from early complication after TURP
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Affiliated Jiangning hospital of Nanjing medical university

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    摘要:

    目的:探讨经尿道前列腺电切术(TURP)围手术期医患沟通的技巧,减少术后早期并发症导致的医患矛盾,提高患者满意度。方法:选取210例行TURP术患者,将其随机分为两组,研究组以增强型Calgary-combridge指南扩展的沟通框架进行沟通;基于帕累托定律的决策树模型进行询问;建立医、护、患三方沟通机制,对患者并发症及满意度进行随访,并与对照组进行对比。结果:两组患者术后早期并发症的发生率差异无显著性(P=0.895),两组间因并发症导致医患矛盾的发生率差异具有显著性(P=0.015);患者术后满意度研究组优于对照组。结论:围手术期规范的医护患沟通和耐心的健康教育,可降低TURP术后早期并发症所致医患矛盾的发生率,提高患者的就医满意度。

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    objective: to explore the technique of communication between doctors and patients with BPH and undergoing TURP, to reduce the doctor-patient contradiction, and to improve satisfaction of the patients.Methods: From January 2014 to 2015 September, a total of 210 patients undergoing TURP,ranged in age from 54 to 87, were enrolled in this prospective study.Participants were randomly divided into 2 groups. as study group, group 1 patients received a novel scientific communication method by the application of enhanced Calgary-Cambridge Guide extended communication frame, doctor-patient communication decision tree model based on Parto principle,and doctor-nurse-patient tripartite communication,and as control group,group 2 patients received a traditional communication.Complication and satisfaction of all patients were observed and compared between 2 groups by follow-up.Results:No significant difference in the incidence rate of complication of 2 groups patients was showed by Chi-square test(P=0.895).However, there was significant difference in the occurrence rate of doctor-patient contradiction between 2 groups(P=0.015),and satisfaction of patients in study group was superior than those in control group(P<0.001). Such factors as degree of education, medical insurance and economic income of patients did not showed obvious correlation with doctor-patient contradiction.Conclusion:Scientific,timely and effective communication between doctors and patients could reduce the contradiction resulted from early complication after TURP and improve satisfaction of patients.

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  • 收稿日期:2016-04-10
  • 最后修改日期:2016-05-18
  • 录用日期:2016-06-21
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