关键词: health communication interpersonal communication skills (ics) medical education patient-doctor communication professional communication

来  源:   DOI:10.7759/cureus.35818   PDF(Pubmed)

Abstract:
Introduction One of the most fundamental aspects of medicine is the doctor-patient relationship. Many factors influenced this link, including socio-cultural patterns, economic levels, political systems, and health systems. In India, there is an increase in violence toward physicians. Almost every now and then, the newspaper comes with headlines about a doctor being abused by patients or their families. Concerns regarding the absence of good doctor-patient communication among Indian doctors prompted an assessment of the current situation. The major purpose of this study is to assess the confidence of tertiary care hospital interns and post-graduates in their communication skills. Materials and methods In May and June 2021, a cross-sectional survey was conducted among all interns and post-graduates from various departments at a tertiary care hospital and research center in Trichy, Tamil Nadu, India. The questions were designed to measure the confidence of physicians\' communication with patients. The Likert scale was used to rate the \"confidence in using\" and \"actual use\" of communication skills with patients, which constitute two sections in our questionnaire. Google forms were used to collect data. The information was then exported to a Microsoft Excel spreadsheet. SPSS software version 22.0 was used to analyze the data. Results For confidence in their communication skills, the participants obtained a mean score of 2.98 (S.D. = 0.44). Participants obtained an average score of 2.28 (S.D. = 0.89) for practicing confident communication with patients. It was found that persons who had higher confidence levels had a negative correlation (ρ = -0.318) with that during their communication with patients and this was statistically significant (p-value = < 0.001) Conclusion Despite having confident communication skills, medical practitioners in India hardly ever practice them with their patients. This gap must be explored by conducting qualitative studies to address effective communication skills among health professionals.
摘要:
医学最基本的方面之一是医患关系。许多因素影响了这一联系,包括社会文化模式,经济水平,政治制度,和卫生系统。在印度,对医生的暴力行为有所增加。几乎时不时地,报纸上有关于医生被病人或他们的家人虐待的头条新闻。对印度医生之间缺乏良好的医患沟通的担忧促使人们对当前情况进行了评估。这项研究的主要目的是评估三级医院实习生和研究生对沟通技巧的信心。材料和方法2021年5月和6月,在Trichy的三级保健医院和研究中心对来自各个部门的所有实习生和研究生进行了横断面调查,泰米尔纳德邦,印度。这些问题旨在衡量医生与患者沟通的信心。使用Likert量表对与患者沟通技巧的“使用信心”和“实际使用”进行评分,这在我们的问卷中构成了两个部分。Google表单用于收集数据。然后将信息导出到MicrosoftExcel电子表格。采用SPSS软件22.0版进行数据分析。结果对他们的沟通技巧充满信心,参与者的平均得分为2.98(S.D.=0.44).参与者与患者进行自信沟通的平均得分为2.28(S.D.=0.89)。结果发现,具有较高置信水平的人与与患者沟通期间的置信水平呈负相关(ρ=-0.318),这具有统计学意义(p值=<0.001)结论尽管具有自信的沟通技巧,印度的医生很少和病人一起练习。必须通过开展定性研究来探讨这一差距,以解决卫生专业人员之间的有效沟通技巧。
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