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医患沟通情景模拟教学模式用于泌尿外科住院医师规范化培训中的价值
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R197.3

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The value of doctor-patient communication situational teaching model in standardized training for urology residents
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    目的?研究医患沟通情景模拟教学模式用于泌尿外科住院医师规范化培训中的价值,为临床培训提供参考。 方法?选取 2019 年 1 月至 2021 年 12 月在内蒙古自治区人民医院泌尿外科进行规范化培训的 52 名住院医师作为研究对象, 按照随机数字表法分为观察组和对照组,各 26 例。对照组医师采用传统以授课为基础学习(LBL)的教学方法,观察组医 师采用医患沟通情景模拟教学模式。比较两组医师培训前后医患沟通技能评价量表(SEGUE)评分、模拟场景考核评分、 教学质量、学员对本次教学的满意度。结果?培训后,两组医师信息收集、信息给予、理解患者、结束问诊评分均高于培 训前(P<0.05),培训后,观察组医师信息给予、理解患者评分高于对照组(P<0.05),观察组医师谈话技巧、应变能力、 谈话内容、人文关怀、谈话效果评分高于对照组(P <0.05),观察组医师认知领域、精神运动领域、情感领域评分及总 分均高于对照组(P <0.05),观察组医师对本次教学满意度高于对照组(P <0.05)。结论?医患沟通情景模拟教学模 式用于泌尿外科住院医师规范化培训有利于提高住院医师的医患沟通技巧和沟通能力,并且住院医师认为该教学模式教学 质量较高,满意度较高。

    Abstract:

    Objective To study the value of doctor-patient communication situational teaching mode in the standardized training of urology residents, and to provide reference for clinical training. Methods?Fifty-two resident physicians who received standardized training in the department of urology of Inner Mongolia People’s Hospital from January 2019 to December 2021 were selected as the study subjects, and divided into observation group (26 cases) and control group (26 cases) by random number table method. The doctors in the control group used the lecture-based learning (LBL) teaching method, and the doctors in the observation group used the doctor-patient communication situational teaching model. The scores of SEGUE, simulation scene assessment score, teaching quality and students’ satisfaction with the teaching were compared between the two groups before and after training. Results?After the training, the scores of doctors’ information collection, information giving, understanding of patients and ending consultation in the two groups were higher than those before the training (P < 0.05). After the training, the scores of doctors in the observation group on giving information and understanding patients were higher than those in the control group (P < 0.05). The scores of doctors in the observation group on conversation skills, adaptability, conversation content, humanistic care and conversation effect were higher than those in the control group (P < 0.05), the scores and total scores of doctors in the observation group on cognitive domain, psychomotor domain and emotional domain were higher than those in the control group (P <0.05), and the satisfaction of doctors in the observation group on this teaching was higher than that in the control group (P <0.05). Conclusion?The application of doctor-patient communication scenario model in the standardized training of urology residents is conducive to improve the doctor-patient communication skills and communication ability of residents. Resident physicians believe that the teaching quality of this teaching model is high and the satisfaction of residents is high.

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  • 在线发布日期: 2022-08-08
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