文章摘要
邵建文,王锦帆.中高年资医生对临床医患沟通要素的判断与实施研究[J].南京医科大学学报(社会科学版),2019,(3):189~192
中高年资医生对临床医患沟通要素的判断与实施研究
Study on the judgment and implementation of the factors in clinical doctor⁃patient communication by middle and senior doctors
投稿时间:2018-11-05  
DOI:10.7655/NYDXBSS20190304
中文关键词: 临床医疗  医患沟通  医患关系  医学人文
英文关键词: clinical care  doctor⁃patient communication  doctor⁃patient relationship  medical humanities
基金项目:南京医科大学人文医学协同创新中心横向创新项目“医学与人文融合的教案教学式医患沟通方案研究”
作者单位
邵建文 南京医科大学医政学院江苏 南京 211166 
王锦帆 南京医科大学医政学院江苏 南京 211166 
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中文摘要:
      以自设计咨询表,对南京7家三级医院的中高年资医生进行咨询,调查中高年资医生对临床医患沟通知识与技能要素的判断与实施情况,为优化医患沟通质量及医疗服务水平提出有效建议。结果显示,各科室医生对医患沟通中的诸多要素看法具有一致性(P>0.05);不同科室的医生对沟通要素表达的重要性的看法差异具有统计学意义(P<0.05);医生感知患者心理的判断与实施有出入,69.11%的医生认为感知患者心理重要;医生对准备沟通方案的判断与实施有出入,67.48%的医生认为准备沟通方案重要。医生需掌握临床医患沟通的重点和难点,注重沟通要素的表达,注意感知患者心理,应精心准备沟通方案,医院要优化患者反馈机制,提高医疗服务质量,降低医患纠纷发生率。
英文摘要:
      This study aimed to investigate the judgment and implementation of middle and senior doctors on the communication knowledge and skills in their daily medical activities, and to provide effective suggestions for optimizing the quality of medical communication and medical service. The self?designed consultation questionaire was used to consult the middle and senior doctors of seven tertiary hospitals in Nanjing, and descriptive analysis and χ2 test were performed on the relevant data. The results showed that the various departments have consistent views on many elements of doctor?patient communication(P > 0.05). The doctors in different departments had different judgments on the expression of humanities in communication(P <0.05); The doctor’s perception of the patient’s psychological judgment was different from the implementation. 69.11% of the doctors thought that the patient’s psychological awareness was important; the doctor’s judgment and implementation of the preparation of the communication plan were different, and 67.48% of the doctors thought that it was important to prepare the communication plan. It is recommended that all doctors need to grasp the key points and difficulties of clinical doctor?patient communication. They also need to pay attention to communication of humanistic expression, and patient psychology and prepare communication programs. The hospital needs to optimize the mechanism to get patient’s feedback so that the quality of medical services can be improved and the incidence of medical disputes can be reduced.
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