背景:如今,医患沟通的研究不仅在中国而且在世界范围内都变得越来越重要。
方法:该研究设计了一种学习软件来训练实习生提高他们的沟通技巧,并评估其在自我对照试验中改善医患沟通的有效性。借助新的学习软件,在183名实习生中进行了自我对照测试,以评估他们的沟通技能获取质量。准备阶段的学习有效性,信息收集,给出的信息,患者理解,在3个月的培训后,使用集引发理解结束(SEGUE)框架评估了调查结束。
结果:更多实习生(37.16%vs.10.98%,P<0.001)可以准确识别导致疾病的心理社会或情感因素。实习生人数增加(42.62%vs.10.40%,P<0.001)能够与患者公开讨论生活方式问题和预防策略。研究还显示,完成培训的实习生倾向于让患者有更多时间描述他们对疾病的感受和担忧。此外,更多训练有素的实习生能够照顾和尊重患者,并表现出同情的沟通行为(53.01%vs.26.59%,P<0.001)。
结论:医患沟通软件可以帮助实习生更多地了解沟通技巧。
BACKGROUND: Nowadays, the research of doctor-patient communication is becoming increasingly important not only in
China but also around the world.
METHODS: The study designs a type of learning software to train the
interns to advance their communication skills, and whose validity for improving doctor-patient communication in self-controlled trials is evaluated. With the aid of the new learning software, the self-controlled tests were carried out among 183
interns to assess the quality of their communication skill acquisition. The learning effectiveness of the preparation stage, information collection, information given, patient understanding, and inquisition ending was evaluated with the Set Elicit Give Understand End (SEGUE) framework after 3 months of training.
RESULTS: More interns (37.16% vs. 10.98%, P < 0.001) could accurately identify the psychosocial or emotional factors contributing to the diseases. An increased number of interns (42.62% vs. 10.40%, P < 0.001) were able to openly discuss lifestyle issues and prevention strategies with patients. The study also revealed that
interns who had completed training tended to allow patients more time to describe their feelings and concerns about their illnesses. In addition, more of the trained
interns roved capable of being caring and respectful to patients and showing empathetic communication behavior (53.01% vs. 26.59%, P < 0.001).
CONCLUSIONS: The doctor-patient communication software may help the interns known more about communication skills.