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外科住院医师医患沟通能力现状调查与影响因素分析

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目的 了解外科住院医师的医患沟通能力现状及影响因素,为进一步优化外科住院医师的医患沟通能力培养方案提供参考.方法 采用整群调查的方式,于2022年1月1日-2022年6月30日期间对北京市在培的1903名外科住院医师进行问卷调查.问卷由一般信息问卷、医患沟通能力调查问卷、医患沟通能力影响因素问卷3部分组成.采用描述性统计分析和多元线性回归分析数据.结果 外科住院医师医患沟通能力得分为(3.44±0.25)分.6个维度中,确认信息能力维度得分最高(4.04±0.75)分、体会感受与反馈能力维度得分最低(2.52±0.63)分.多元线性回归模型显示招录届别、人员类型、性别、学历、医患沟通态度、知觉行为控制、沟通意图是影响医患沟通能力的主要因素.结论 外科住院医师的医患沟通能力有待进一步提升,招录届别、人员类型、性别和学历是影响医患沟通能力的人口学因素,医患沟通态度、知觉行为控制和沟通意图是影响医患沟通能力的人文因素.
Investigation on Doctor-patient Communication Ability of Surgical Residents and Analysis of Influencing Factors
Objectives To understand the current situation and influencing factors of doctor-patient communication ability of surgical residents,so as to provide reference for further optimizing the training program of doctor-patient communication ability of surgical residents.Methods From January 1st,2022 to June 30th,2022,a cluster survey was conducted among 1903 surgical residents in Beijing.The questionnaire consists of three parts:general information questionnaire,doctor-patient communication ability questionnaire,and doctor-patient communication ability influencing factors questionnaire.Descriptive statistical analysis and multiple linear regression were used to analyze the data.Results The score of doctor-patient communication ability of surgical residents was 3.44±0.25.Among the six dimensions,the score of confirming information ability dimension was the highest(4.04±0.75),and the score of feeling and feedback ability dimension was the lowest(2.52±0.63).The multiple linear regression model was significant(R2=0.943).The grade(with grade 22 as the control,βgrade 20=0.008,βgrade 21=0.016,P<0.05),personnel type(with social person as the control,graduate=0.021,P<0.05),gender(with male as control,βfemale=0.019,P<0.05),educational background(with undergraduate as control,β postgraduate=0.024,P<0.05),doctor-patient communication attitude(β=0.194,P<0.05),perceived behavioral control(β=0.256,P<0.05),and communication intention(β=0.204,P<0.05)were the main influencing factors of doctor-patient communication ability.Conclusions The doctor-patient communication ability of surgical residents needed to be further improved.Demographic factors such as grade,personnel type,gender,and educational background influenced the doctor-patient communication ability.Humanistic factors impacting doctor-patient communication ability included doctor-patient communication attitude,perceived behavioral control,and communication intention.

Department of surgeryHospitalPhysiciansCommunicationSurveys and questionnaires

董浩、陈超、虞燕波

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首都医科大学附属北京友谊医院教育处,北京市,100050

首都医科大学宣武医院教育处,北京市,100053

外科,医院 医师 人际沟通 调查和问卷

教育部产学合作协同育人项目北京市教育科学"十四五"规划课题北京市卫生健康委员会住院医师规范化培训质量提高项目首都医科大学教育教学改革研究课题

220901285260720CHDB2218920210642021JYY119

2024

中国病案
中国医院协会

中国病案

CSTPCD
影响因子:1.197
ISSN:1672-2566
年,卷(期):2024.25(6)