文章摘要
唐庆来,吕建林.围手术期规范的医患沟通可改善医患矛盾[J].南京医科大学学报(社会科学版),2016,(3):229~232
围手术期规范的医患沟通可改善医患矛盾
Standardized communication in the perioperative period can improve the doctor-patient contradiction
投稿时间:2016-04-15  
DOI:10.7655/NYDXBSS20160315
中文关键词: 医患沟通  医患矛盾  TURP并发症  满意度
英文关键词: doctor-patient communication  doctor-patient contradiction  complication of TURP  satisfaction
基金项目:南京医科大学医患沟通课题校级一般项目“医患沟通在TURP相关并发症致医患纠纷及患者满意度中的作用及相关因素分析”(201316)
作者单位
唐庆来 南京医科大学附属江宁医院泌尿外科,江苏 南京 211100 
吕建林 南京医科大学附属江宁医院泌尿外科,江苏 南京 211100 
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中文摘要:
      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,研究组以增强型卡尔加里—剑桥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(P < 0.001)?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?
英文摘要:
      Objective: To explore communication skills between doctors and patients who undergoing transurethral resection of the prostate (TURP) in perioperative period, to reduce the doctor-patient contradiction resulted from early complication after TURP, and to improve satisfaction of the patients. Methods: A total of 210 patients who undergoing TURP were enrolled in this prospective study. Participants were randomly divided into 2 groups. As the 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. As the 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 differences in the incidence rate of complication of 2 groups patients were found by Chi-square test (P=0.895). However, there was a significant difference in the occurrence rate of doctor-patient contradiction between 2 groups (P=0.015), and satisfaction of patients in the study group was superior than those in control group (P < 0.001). 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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