摘要
目的 探讨在住院医师规范化培训中开展社会心理执业技能培训的意义.方法 选择2012年起在湖北医药学院附属人民医院17个住院医师规范化培训基地参加培训的138人,以调查问卷的形式,比较社会心理执业技能培训前后规培医生对医患关系认知情况、社会心理执业技能掌握情况,及医患沟通技能评价、客观结构化临床考试成绩以及专业知识考核成绩.采用SPSS 16.0进行数据分析,计量资料行t检验;计数资料进行卡方检验.结果 ①对医患关系认知情况调查表明,培训后有56.5%的医师（78/138）认为自身存在医患沟通技巧不足,66.7%的医师（92/138）认为良好的沟通是接诊患者中主要的技巧,培训前后差异有统计学意义（P〈0.05）.②对社会心理执业技能掌握情况对比表明,培训后有86.2%的医师（92/138）认为问诊时应该倾听患者的诉说,79.8%的医师（110/138）认为有必要构建良好的沟通气氛,87.7%的医师（121/138）认为培训可以提高沟通技巧,79.8%的医师（110/138）认为住院医师规范化培训是进行社会心理执业技能培训的最佳阶段,培训前后差异有统计学意义（P〈0.05）.③SEGUE问卷评分显示,培训后医师的建立沟通能力、信息收集能力、信息提供能力、评估患者沟通能力、结束谈话能力均明显高于培训前,差异有统计学意义（P〈0.01）.④OSCE评分成绩显示,培训后医师的总成绩及每一项合格率（〉60分）的人数较培训前,均有所提高.⑤培训前后医师笔试部分、技能操作及面试考核成绩中,技能操作考核差异有统计学意义（P〈0.05）.结论 住院医师规范化培训遵循医学教育和医学人才培养规律,加强医师社会心理执业技能的培养,可持续提升医疗卫生服务能力和水平,值得推广.
Objective To discuss the significance of social psychological medical humanities pro-fessional skills training in the resident standardization training. Methods Choosing 138 people to attend the training in 17 resident standardization training in Hubei University of Medical,and carrying out medical humanities professional skills training by the form of questionnaire, comparing social psychological profes-sional skills training rules before and after the doctor cognitive situation of the doctor-patient relationship, the grasped social psychological professional skills, doctor-patient communication skills assessment, assess-ment of objective structured clinical examination results and the professional knowledge. Results ①The cognitive situation of the doctor-patient relationship in a survey showed that 56.5% （78/138） patients after training of physicians thought that they are short of doctor-patient communication skills, 66.7% （92/138） believe that good communication skills was the most important skills,differences were statistical significance （P〈0.05）.②The comparison of the grasped social psychological professional skills showed that 86.2% of the doctors thought inquiry need to listen to every patients,79.8% thought it necessary to build a good commu-nication atmosphere,87.7% thought training could improve the communication skills,79.8% thought resident standardization training was the best stage of social psychological professional skills training,The difference before and after training was statistically significant （P〈0.05）. ③SEGUE questionnaire scores showed that after training physician training of doctor-patient communication was significantly higher than before,having statistically significant differences （P〈0.01）. ④OSCE score showed that after training, the total score and each passing rate （60 points） were higher than those before training. ⑤Before and after the training, there were significant differences in physician skill examination in the part of written examination, skill operation and interview score（P〈0.05）.Conclusions The resident standardization training follows the law of medical education and medical personnel training, strengthens the training of doctors＇ social psychological skills, and promotes the ability and level of medical service,which is worthy to be popularized.
作者
高霞
赵杨
李咏梅
Gao Xia Zhao Yang Li Yongmei(Department of Obstetrics and Gynecology, Renmin Hospital, Hubei University of Medical, Shiyan 442000, Chin)
出处
《中华医学教育探索杂志》
2017年第10期1032-1037,共6页
Chinese Journal of Medical Education Research
关键词
住院医师
社会心理
职业技能
培训
Resident doctor
Social psychological
Medical humanities professional skills
Training
