广州医药 ›› 2019, Vol. 50 ›› Issue (1): 113-117.DOI: 10.3969/j.issn.1000-8535.2019.01.030

• 医学教育 • 上一篇    下一篇

临床医学生医患沟通能力现状的调查

刘灵芝, 沈秀英, 张晶, 朱瑞云, 樊浩, 蔡丹   

  1. 广州市第一人民医院(广州510180)
  • 收稿日期:2018-10-22 出版日期:2019-01-20 发布日期:2021-12-21
  • 通讯作者: 刘灵芝,E-mail:156428427@qq.com
  • 基金资助:
    2017年高校创新强校工程资金(Q17024006)

An investigation on medical students’ doctor-patient communication skill

LIU Lingzhi, SHEN Xiuying, ZHANH Jing, ZHU Ruiyun, FAN Hao, CAI Danyan   

  1. Guangzhou First People's Hospital,Guangzhou 510180,China
  • Received:2018-10-22 Online:2019-01-20 Published:2021-12-21

摘要: 目的 调查临床医学生医患沟通能力的现状,分析其影响因素。方法 采用《医患沟通技能评价表(SEGUE量表)》对广州市某三甲医院的155名临床医学生进行调查。结果 临床医学生沟通技能总成绩得分率只有58.9%,在5个维度中,沟通结束方面得分率最高,为82.9%,而理解病人方面得分率最低,只有45.5%。性别、接受医患沟通相关培训次数不同的临床医学生,其沟通能力差异有统计学意义(P﹤0.05)。结论 临床医学生的医患沟通能力总体水平有待提高,特别是在理解病人方面。性别和参加医患沟通培训次数是临床医学生沟通能力的影响因素,应加强对医学生在共情能力、情感支持、移情等方面能力的培训,以提高医患沟通能力。

关键词: 临床医学生, 医患沟通能力, 现状

Abstract: Objective To investigate the status of medical students' doctor-patient communication skill and analyze the influencing factors. Methods An investigation on 155 clinical medical students in a level 3 hospital in Guangzhou was conducted using the Doctor-patient Communication Skills Evaluation Scale (also called SEGUE Scale). Results The clinical medical students’ scoring rate of communication skill was only 58.9%. Among the five dimensions, the scoring rate of communication skill end was the highest, which was 82.9%, while the scoring rate of understanding patients was the lowest, which was only 45.5%. The difference in communication skill between clinical medical students with different gender and the training times related to doctor-patient communication was statistically significant (P<0.005). Conclusion The overall level of doctor-patient communication skill among clinical medical students was needed to be improved, especially on understanding patients. Gender and training times on doctor-patient communication training were the influencing factors of communication skills of medical students. Medical students’skills include empathy and doctor-patient communication skills, etc.

Key words: Medical student, Doctor-patient communication skill, Status