摘要
目的:以浙江省医学本科生为例,了解浙江省医学生沟通能力的情况,分析影响因素并提出相应的对策。方法:基于标准化患者模拟门诊就医过程,采用医患沟通技能评价量表(SEGUE)评估浙江省医学本科生的医患沟通能力,然后通过问卷调查法、走访询问法等多种方法了解浙江省医学生沟通能力,最后通过SPSS 24.0分析可能的影响因素并提出对策。结果:浙江省医学生沟通能力总体较好,但仍存在问题。处于实习期的学生沟通能力相比于理论期较好,差异有统计学意义(P<0.05)。女生的沟通能力相比于男生较好,城市学生沟通能力相比于农村学生较好,有临床经验的综合沟通能力好坏高于无临床经验者,差异有统计学意义(P<0.05)。结论:浙江省医学生沟通能力总体较好,但仍存在问题。学生处于理论期或实习期及有无临床经验是影响沟通能力的较大影响因素,据此提出相应对策可改善医患关系。
Objective:Taking medical undergraduates in Zhejiang Province as an example,to understand the communication ability of medical students in Zhejiang Province,analyze the influencing factors and propose corresponding countermeasures.Methods:Based on the standardized patient simulation process of outpatient medical treatment,the doctor-patient communication skills evaluation scale(SEGUE)was used to evaluate the doctor-patient communication ability of medical undergraduates in Zhejiang Province;then,the communication ability of medical students in Zhejiang Province was learned through various methods such as questionnaire survey and interview method;finally,the possible influencing factors were analyzed through SPSS 24.0 and countermeasures were put forward.Results:The communication ability of medical students in Zhejiang Province was generally good,but there were still problems.Compared with the theoretical period,the students in the internship period had better communication ability,and the difference was statistically significant(P<0.05).Compared with boys,the communication ability of girls was better than that of boys,the communication ability of urban students was better than that of rural students,and the comprehensive communication ability with clinical experience was higher than that of those without clinical experience,and the difference was statistically significant(P<0.05).Conclusion:The communication ability of medical students in Zhejiang Province is generally good,but there are still problems.Students in the theoretical period or internship period and whether they have clinical experience or not are the major influencing factors that affect the communication ability.Accordingly,corresponding countermeasures can be put forward to improve the doctor-patient relationship.
作者
叶敬畏
俞宪洪
何依
陈冰冰
洪东智
Ye Jing-wei;Yu Xian-hong;He Yi;Chen Bing-bing;Hong Dong-zhi(Wenzhou Medical University,Wenzhou 325035,Zhejiang Province,China)
出处
《中国社区医师》
2022年第18期165-168,共4页
Chinese Community Doctors
关键词
医患沟通能力
医学生
解决对策
Doctor-patient communication ability
Medical students
Countermeasures