Volume 20 Issue 1
Jan.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(1): 134-137,168
PENG Tao, TANG Zhen-hai, ZOU Chuan, XU Leng-lan, ZHANG Jing-yi, YUAN Hui, SHEN Hua-lin, DAI Hong-xun. Investigate on status quo of doctor-patient communication skills in standardized training of general practice[J]. Chinese Journal of General Practice, 2022, 20(1): 134-137,168. doi: 10.16766/j.cnki.issn.1674-4152.002295
Citation: PENG Tao, TANG Zhen-hai, ZOU Chuan, XU Leng-lan, ZHANG Jing-yi, YUAN Hui, SHEN Hua-lin, DAI Hong-xun. Investigate on status quo of doctor-patient communication skills in standardized training of general practice[J]. Chinese Journal of General Practice, 2022, 20(1): 134-137,168. doi: 10.16766/j.cnki.issn.1674-4152.002295
shu

Investigate on status quo of doctor-patient communication skills in standardized training of general practice

doi: 10.16766/j.cnki.issn.1674-4152.002295
  • 1.

    Department of General Medicine, the Fifth People's Hospital of Chengdu, Chengdu, Sichuan 611130, China

Funds:

 18PJ526

  • Received Date: 2021-05-08
    Available Online: 2022-03-03
    Abstract
  •   Objective  To investigate the doctor-patient communication level of resident physicians in standardized training of general practice, and to provide reference for the construction of doctor-patient communication training system.  Methods  On December 27, 2019, the standardized patient (SP) mode was adopted for admissions. Total 103 resident physicians in standardized training in the Department of General Medicine of Chengdu Fifth People's Hospital were observed and scored using the doctor-patient communication evaluation scale (SEGUE) to evaluate their doctor-patient communication ability.  Results  The total score of SEGUE scale was 4-22 points, with an average of (13.5±4.8) points. The preparation stage score was (2.7±1.2) points, the information collection stage score was (5.5±2.1) points, the information giving stage score was (2.5±1.1) points, the comprehend patient stage score was (2.3±1.1) points, and the end questioning stage score was (0.5±0.7) points. The score of SEGUE scale of senior standardized training physicians was higher than that of lower grade (P < 0.05). The scores of general practitioners in the following communication items were low: protecting patient privacy (29.1%), letting patients tell their views on the process of disease development and/or health problems (26.2%), understanding the impact of diseases on their lives (35.0%), verifying the information obtained (34.0%), encouraging patients to ask questions and verifying whether patients understand (22.3%), recognizing the patient's efforts, changes and difficulties (17.5%), asking patients if there are any other problems to be discussed (22.3%).  Conclusion  The clinical communication skills of resident physicians in standardized training of general practice need to be further improved, and an effective training course of doctor-patient communication is urgently necessary.

     

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    • References(23)
  • [1]
    张志峰, 袁岳鹏, 杜兴旺. 某院10年医疗投诉及纠纷分析[J]. 卫生职业教育, 2018, 36(22): 123-125. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDYX201822068.htm
    [2]
    杨荆, 李利华, 洪仕君. 医学生医患沟通能力培养路径探析[J]. 西部素质教育, 2019, 5(1): 68-69. https://www.cnki.com.cn/Article/CJFDTOTAL-XBSJ201901039.htm
    [3]
    宋雪静, 牛润桂. 浅谈医患沟通在医患关系中的重要性[J]. 医学食疗与健康, 2020, 18(24): 190-191. https://www.cnki.com.cn/Article/CJFDTOTAL-YXSL202024120.htm
    [4]
    王美荣, 张丹丹, 刘英杰, 等. 全科医疗中医患沟通评价工具研究现状[J]. 中华全科医师杂志, 2017, 16(12): 969-972. doi: 10.3760/cma.j.issn.1671-7368.2017.12.017
    [5]
    张晨昕, 刘宏斌, 康明明, 等. SEGUE量表对于医学本科生临床沟通能力的调查及评价[J]. 齐齐哈尔医学院学报, 2020, 41(3): 351-353. doi: 10.3969/j.issn.1002-1256.2020.03.035
    [6]
    王爱英, 夏吉凯. 医学生医患沟通能力现状调查及其培养策略[J]. 学校党建与思想教育, 2019, 36(11): 87-89. doi: 10.3969/j.issn.1007-5968.2019.11.025
    [7]
    段锦绣, 叶财德, 方静, 等. 香港家庭医学医患沟通技巧及对内地全科医学发展的启示[J]. 中国社区医师, 2020, 36(20): 188-189. https://www.cnki.com.cn/Article/CJFDTOTAL-XCYS202020109.htm
    [8]
    汤镇海, 邹川, 戴宏勋, 等. 成都市全科规范化培训住院医师医患沟通培训现状研究[J]. 中华全科医学, 2020, 18(12): 2103-2105, 2116. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202012034.htm
    [9]
    孔燕. 基于微视频的角色扮演教学法在医患沟通教学中的应用[J]. 现代医药卫生, 2020, 36(22): 3671-3673. doi: 10.3969/j.issn.1009-5519.2020.22.046
    [10]
    吴君, 修子冉, 张金小, 等. PBL+CBL+TBL联合SP教学法在住院医师规范化培训医患沟通执业技能中的应用研究[J]. 中国中医药现代远程教育, 2020, 18(4): 12-14. doi: 10.3969/j.issn.1672-2779.2020.04.009
    [11]
    SUN C, ZOU J K, ZHAO L B, et al. New doctor-patient communication learning software to help interns succeed in communication skills[J]. BMC Medical Education, 2020, 20(1): 8. doi: 10.1186/s12909-019-1917-z
    [12]
    谷士贤, 张爱京, 霍刚, 等. 医患沟通技能评价表在住院医师规范化培训中的应用[J]. 中华医学教育杂志, 2018, 38(3): 435-438, 454. doi: 10.3760/cma.j.issn.1673-677X.2018.03.027
    [13]
    徐鹏飞, 郭洵溢, 杨凤姣, 等. 规范化培训住院医师共情能力现状及相关影响因素[J]. 四川精神卫生, 2019, 32(3): 253-257. https://www.cnki.com.cn/Article/CJFDTOTAL-WANT201903014.htm
    [14]
    杨健, 宁玉文, 殷进功. 基于SEGUE量表的医学生医患沟通能力评价[J]. 医学教育研究与实践, 2018, 26(3): 419-421, 442. https://www.cnki.com.cn/Article/CJFDTOTAL-XBYX201803019.htm
    [15]
    郑妍. 基于SEGUE量表的门诊医生医患沟通技能评价研究[J]. 吉林医学, 2020, 41(6): 1427-1429. doi: 10.3969/j.issn.1004-0412.2020.06.071
    [16]
    张晨昕, 刘宏斌, 康明明, 等. SEGUE量表对于医学本科生临床沟通能力的调查及评价[J]. 齐齐哈尔医学院学报, 2020, 41(3): 351-353. doi: 10.3969/j.issn.1002-1256.2020.03.035
    [17]
    赵铁夫, 邹晓昭, 周洪丹, 等. 北京市全科医生门诊医患沟通技能水平现状调查[J]. 中国全科医学, 2019, 22(4): 413-416. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201904014.htm
    [18]
    陈捷, 李会芳, 乐小婧, 等. 教师标准化病人联合案例教学法在医患沟通技能提升中的研究[J]. 昆明医科大学学报, 2020, 41(2): 158-162. https://www.cnki.com.cn/Article/CJFDTOTAL-KMYX202002032.htm
    [19]
    李超然, 秦杰. 生物-心理-社会医学模式下医患沟通课程教学思考[J]. 卫生职业教育, 2020, 38(17): 48-49. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDYX202017026.htm
    [20]
    杜望春, 叶熊, 蔡巧玲. 构建基于全科医师社区工作场景的医患沟通课程体系的探索与实践[J]. 教育教学论坛, 2020, 11(25): 54-55. https://www.cnki.com.cn/Article/CJFDTOTAL-JYJU202025025.htm
    [21]
    汪卓赟, 王静, 朱雷, 等. 住院医师医患沟通态度和能力现状调查及其影响因素研究[J]. 中华医学教育杂志, 2019, 39(2): 105-111.
    [22]
    李佳钋, 侯悦, 黄岭, 等. 情景模拟联合角色扮演+互换在医学生产科医患沟通能力培养中的应用研究[J]. 现代医药卫生, 2020, 36(8): 1240-1242. https://www.cnki.com.cn/Article/CJFDTOTAL-XYWS202008044.htm
    [23]
    Royal College of General Practitioners. MRCGP Clinical Skills Assessment (CSA)[EB/OL]. (2020-05-19)[2020-09-01]. https://www.rcgp.org.uk/training-exams/mrcgp-exam-overview/mrcgp-clinical-skills-assessment-csa.
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