CAJ | 학술논문

在当前医患关系紧张的情况下,提高医学生对医患交流本质的认识和医患交流的能力,已经成为医学教育的核心内容之一.为了深入了解我国慢性病患者与医生的交流现状,探讨患者对医患沟通的认识、评价和期待,进而为医学教育提供启示,本研究选取16例2型糖尿病患者,对其进行一对一半结构式深入访谈,鼓励患者围绕“医患交流”展开叙事.访谈结果显示,患者对医患交流整体评价较为乐观,但对医疗体制、医疗水平、医生态度和交流方式等方面尚存不满.研究发现,当前糖尿病患者与医生的交流仍然存在两个方面的问题:“任务聚焦型”行为不充足,交流信息不充分;交流中的社会情感型行为尚有缺失.基于分析结果,针对提高医学生医患交流能力提出了建议.
재당전의환관계긴장적정황하,제고의학생대의환교류본질적인식화의환교류적능력,이경성위의학교육적핵심내용지일.위료심입료해아국만성병환자여의생적교류현상,탐토환자대의환구통적인식、평개화기대,진이위의학교육제공계시,본연구선취16례2형당뇨병환자,대기진행일대일반결구식심입방담,고려환자위요“의환교류”전개서사.방담결과현시,환자대의환교류정체평개교위악관,단대의료체제、의료수평、의생태도화교류방식등방면상존불만.연구발현,당전당뇨병환자여의생적교류잉연존재량개방면적문제:“임무취초형”행위불충족,교류신식불충분;교류중적사회정감형행위상유결실.기우분석결과,침대제고의학생의환교류능력제출료건의.
In recent years,doctor-patient conflicts occurred frequently in China.It is crucially important to raise medical students' awareness and understanding on the nature of doctor-patient communication and improve their communicative competences.In order to investigate the current situation of communication between doctors and patients of chronic diseases and generate implications on teaching medical students about doctor-patient communication,this study explored type 2 diabetes patients' perceptions and expectations of their communication with doctors.16 Chinese diabetes type 2 patients were enrolled.Semi-structured one-to-one in-depth interviews were conducted.Subjects were encouraged to expand their narration on communication with their doctors.Interview results shows that patients' general evaluation on doctor-patient communication is positive,however dissatisfaction exists in areas including the contemporary medical system,medical advancement,doctor competence,doctor' s attitudes,and manner of communication.It is concluded that communication between diabetes type 2 patients and their doctors is found problematic in two aspects:task-focused behaviors are in need of refinement and enrichment,as the current information exchange is found to be far from enough;the social-emotional behaviors are totally neglected in communication.Suggestions on educating medical students and improving their communication competences are generated from the study.