摘要
目的 探究医患沟通模拟教学在内科住院医师规范化培训(住培)医生临床实践中的应用价值.方法 选取2022年1月—2023年1月潍坊医学院附属医院临床内科住培医生共54名,采用随机抽签法分为模拟组(n=27)及对照组(n=27),模拟组构建医患沟通场景,进行情景设计,给予模拟实验;对照组仅给予传统临床教学.比较两组患者技能考试成绩、医患沟通能力、临床患者满意度及综合能力评分.结果 模拟组准备、信息收集、信息给予、理解患者等维度评分均高于对照组,差异有统计学意义(P均<0.05);模拟组体格检查、专业理论、临床思维和表达能力、处理危重疑难解患者能力等部分评分及总分均显著高于对照组,差异有统计学意义(P均<0.05);模拟组基本技能操作、模拟场景进行医患沟通、临床接诊等3个部分评分均显著高于对照组,差异有统计学意义(P均<0.05).结论 运用医患沟通模拟教学能有效提高内科住培医生的临床沟通能力,为下一步疾病诊治和患者随访构建良好的协作基础.
Abstract
Objective To explore the application value of doctor-patient communication simulation teaching in the clinical practice of resident physicians in internal medicine.Methods A total of fifty-four resident physicians from the clinical internal medicine department of the Affiliated Hospital of Weifang Medical College from January 2022 to January 2023 were selected and divided into two groups by random drawing method:simulation group(n=27)and con-trol group(n=27).The simulation group constructed the doctor-patient communication scene,carried out the scenario design,and gave the simulation experiment.The control group was only given traditional clinical teaching.Skill test scores,doctor-patient communication ability,clinical patient satisfaction and comprehensive ability scores were com-pared between the two groups.Results The scores in the simulation group were higher than those in the control group in the dimensions of preparation,information collection,information giving and understanding of patients,and the dif-ferences were statistically significant(all P<0.05).Physical examination,professional theory,clinical thinking and ex-pression ability,ability to deal with critical and difficult diseases scores and total scores in the simulation group were significantly higher than those in the control group,and the differences were statistically significant(all P<0.05).The simulation group was significantly higher than the control group in three parts:basic skill operation,doctor-patient communication in the simulation scenario,and clinical reception,and the differences were statistically significant(all P<0.05).Conclusion The application of doctor-patient communication simulation teaching can effectively improve the clinical communication ability of internal medicine resident training doctors,and build a good cooperative founda-tion for the next diagnosis and treatment of diseases and patient follow-up.
基金项目
潍坊医学院教育教学改革与研究项目(2022ZXSJ009)
潍坊医学院研究生课程思政示范课程建设项目(23YKCSZSF09)
NETL
NSTL
万方数据