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。

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.

目的 探讨运用巴林特沟通模式对老年住院患者满意度的影响。方法 选取我院2016年1月—2016年12月老年科收治的120名患者作为对照组,实施常规护理;另选取2017年1月—2017年12月间老年科接收的120名患者作为观察组,在对照组的护理基础上运用巴林特沟通模式,对比两组患者满意度评价。结果 运用巴林特培训后临床护士的沟通能力（包括困难情景沟通能力、情感感知能力、情感支持能力、基本语言沟通能力、基本非语言沟通能力、团队沟通能力）得分较培训前有提高,且观察组患者对护理人员的工作态度、疑问解答、业务指导以及沟通反馈等方面的满意度评价均优于对照组,差异有统计学意义（P<0.05）。结论 运用巴林特沟通模式不仅能够显著提升老年患者对住院医疗服务的满意度评价,同时能够提高护士的沟通能力,为提升医院医疗服务水平和良好的社会形象奠定有利基础,值得推广。

Objective To study Communication mode of Balint group in elderly inpatient's satisfaction. Methods 120 patients undergoing the conventional nursing care from January 2016 to December 2016 in our geriatric department were selected as control group;120 patients undergoing the conventional nursing care plus Balint communication mode from January 2017 to December 2017 were selected as observation group. The clinical satisfaction was evaluated. Results After the Balint training,the communication abilities including communication ability at the difficult scenes,emotional perception ability,emotional support ability,basic verbal communication ability,basic non-verbal communication ability,team communication ability were higher than before;the clinical satisfaction on the nurse's working attitude,frequently asked question,professional guidance,and communication and feedbacks in the observation group was higher than that of control group （P<0.05）. Conclusion The Balint communication mode may remarkably improve the patient's satisfaction on the nursing services and the nurse's communication abilities. It is of great importance to increase the hospital's medical service and establish a good social image. It is worthy of promotion.