首页|不同沟通方式对门诊医生的心理影响研究

不同沟通方式对门诊医生的心理影响研究

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目的 探索门诊经验沟通与医方示善(goodwill)-医方倾听(listening)-医患交流(talking)-医患合作(coopertion)(GLTC)门诊沟通方式对医生的心理影响,为改善门诊医患沟通提供参考。方法 由15名医生在医学人文能力实验室内分别以两类方式与30名患者沟通,全程跟进填写相关情绪量表和问卷,对数据进行Mann-whitney U检验,比较医生不同时间点情绪之间的差异。结果 医生应用门诊GLTC沟通方式后,大部分情绪分值分布显著低于门诊个人经验沟通(P<0。05);医生对患者的需要聚焦于患者配合医生行医;专家评价医生应用门诊GLTC沟通技能评分高于门诊经验沟通(P<0。05)。结论 门诊个人经验沟通后医生负面情绪波动较大,门诊GLTC沟通后医生负面情绪降低,医生在医患沟通中要注意控制负面情绪,医、患、专家三方均反映门诊GLTC沟通方式效果优良,今后需要结合门诊实际,适当减轻门诊医生工作压力。
Research on the Influence of Different Communication Styles on the Psychology of Outpatients Doctors
Objective To explore the impact of the outpatient experience communication and GLTC(Goodwill,Li-stening,Talking,Cooperation)communication in outpatient clinics on doctors communication psychology,and provide reference for improving outpatient doctor-patient communication.Methods 15 doctors communicated with 30 pa-tients in two ways in the medical humanities ability laboratory,followed up and filled out related emotional scales and questionnaires throughout the process.Mann-whitney test was performed on the data to compare whether there were differences in mood between doctors at different time points.Results After the doctors used the outpatient GLTC communication method,most of the emotional score distribution was significantly lower than the outpatient personal experience communication(P<0.05);the doctofs need for the patient focused on the patient's cooperation with the doctor in the practice;the experts rated higher score for the doctor with the outpatient GLTC communication skills than the communication with outpatient experience(P<0.05).Conclusion After personal experience communication in outpatient clinics,doctors'negative emotions fluctuate greatly.After outpatient GLTC communication,doctors'negative emotions decrease.Doctors should pay attention to controlling anger in doctor-patient communication.Doctors,patients,and experts all reflect that the outpatient GLTC communication method is effec-tive.In the future,it is necessary to appropriately reduce the work pressure of outpatient doctors in light of the actual situation of outpatient clinics.

Doctor-patient communicationCommunication methodsOutpatient treatmentDoctors'emo-tionsDoctors needs

邵建文、商卫红、王锦帆

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南京医科大学马克思主义学院,江苏南京,211166

南京医科大学医患沟通研究中心,江苏 南京,211166

南京医科大学附属眼科医院科教处,江苏 南京,210019

医患沟通 沟通方式 门诊就医 医生情绪 医生需要

江苏省研究生科研创新计划课题江苏省社会科学基金项目

KYCX21_156020SHD007

2024

中国社会医学杂志
华中科技大学同济医学院

中国社会医学杂志

CSTPCD
影响因子:1.193
ISSN:1673-5625
年,卷(期):2024.41(4)
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