中华全科医师杂志
中華全科醫師雜誌
중화전과의사잡지
Chinese Journal of General Practitioners
2015年
10期
790-793
,共4页
标准化病人%临床接诊能力%全科医生
標準化病人%臨床接診能力%全科醫生
표준화병인%림상접진능력%전과의생
Standardized patients%Clinical medical capacity%General practitioners
为探讨有效提高助理全科医生接诊能力的培训方法,提高其规范接诊患者的能力,2014年1-4月,上海市嘉定区助理全科医生规范化培养的住院医生30人以接诊标准化病人(SP)的方式进行社区门诊临床接诊能力培训以及医患交流技能培训.培训2个月后,分别由SP和带教老师对助理全科医生的临床技能和医患交流技能进行评价,比较其培训前后临床接诊能力的差异.结果显示,助理全科医生培训后临床技能评分[(72±5)比(56±7)分,t=7.871,P＜0.05],医患交流技能评分[(71±4)比(45±5)分,t=9.573,P＜0.05]均有增加.培训后助理全科医生5项临床技能评价指标中的信息收集[(36±5)比(28±6)分,t=4.352]、临床思维[(17±2)比(14±3)分,t=3.974]、健康宣教[(3±1)比(2±1)分,t=3.090]和门诊病史书写[(13±1)比(8±2)分,t=5.317]4个方面评分均高于培训前(均P＜0.05);而在接诊时间控制方面,培训前后评分[(4 ±0)比(4±0)分,t=1.025]差异无统计学意义(P＞0.05).培训后助理全科医生5项医患交流技能评价指标中的建立医患关系[(20±3)比(15±4)分,t=4.056]、信息收集和反馈[(22±4)比(13±3)分,t=4.682]、从患者角度理解问题[(5±2)比(3±2)分,t=3.107]、信息共享和知情同意[(19±4)比(11±5)分,t=4.322]和结束就诊[(6±2)比(3±1)分,t=2.987]5个方面评分均高于培训前(均P＜0.05).提示接诊SP的培训方式有助于提高助理全科医生的临床技能和医患交流技能.
為探討有效提高助理全科醫生接診能力的培訓方法,提高其規範接診患者的能力,2014年1-4月,上海市嘉定區助理全科醫生規範化培養的住院醫生30人以接診標準化病人(SP)的方式進行社區門診臨床接診能力培訓以及醫患交流技能培訓.培訓2箇月後,分彆由SP和帶教老師對助理全科醫生的臨床技能和醫患交流技能進行評價,比較其培訓前後臨床接診能力的差異.結果顯示,助理全科醫生培訓後臨床技能評分[(72±5)比(56±7)分,t=7.871,P＜0.05],醫患交流技能評分[(71±4)比(45±5)分,t=9.573,P＜0.05]均有增加.培訓後助理全科醫生5項臨床技能評價指標中的信息收集[(36±5)比(28±6)分,t=4.352]、臨床思維[(17±2)比(14±3)分,t=3.974]、健康宣教[(3±1)比(2±1)分,t=3.090]和門診病史書寫[(13±1)比(8±2)分,t=5.317]4箇方麵評分均高于培訓前(均P＜0.05);而在接診時間控製方麵,培訓前後評分[(4 ±0)比(4±0)分,t=1.025]差異無統計學意義(P＞0.05).培訓後助理全科醫生5項醫患交流技能評價指標中的建立醫患關繫[(20±3)比(15±4)分,t=4.056]、信息收集和反饋[(22±4)比(13±3)分,t=4.682]、從患者角度理解問題[(5±2)比(3±2)分,t=3.107]、信息共享和知情同意[(19±4)比(11±5)分,t=4.322]和結束就診[(6±2)比(3±1)分,t=2.987]5箇方麵評分均高于培訓前(均P＜0.05).提示接診SP的培訓方式有助于提高助理全科醫生的臨床技能和醫患交流技能.
위탐토유효제고조리전과의생접진능력적배훈방법,제고기규범접진환자적능력,2014년1-4월,상해시가정구조리전과의생규범화배양적주원의생30인이접진표준화병인(SP)적방식진행사구문진림상접진능력배훈이급의환교류기능배훈.배훈2개월후,분별유SP화대교로사대조리전과의생적림상기능화의환교류기능진행평개,비교기배훈전후림상접진능력적차이.결과현시,조리전과의생배훈후림상기능평분[(72±5)비(56±7)분,t=7.871,P＜0.05],의환교류기능평분[(71±4)비(45±5)분,t=9.573,P＜0.05]균유증가.배훈후조리전과의생5항림상기능평개지표중적신식수집[(36±5)비(28±6)분,t=4.352]、림상사유[(17±2)비(14±3)분,t=3.974]、건강선교[(3±1)비(2±1)분,t=3.090]화문진병사서사[(13±1)비(8±2)분,t=5.317]4개방면평분균고우배훈전(균P＜0.05);이재접진시간공제방면,배훈전후평분[(4 ±0)비(4±0)분,t=1.025]차이무통계학의의(P＞0.05).배훈후조리전과의생5항의환교류기능평개지표중적건립의환관계[(20±3)비(15±4)분,t=4.056]、신식수집화반궤[(22±4)비(13±3)분,t=4.682]、종환자각도리해문제[(5±2)비(3±2)분,t=3.107]、신식공향화지정동의[(19±4)비(11±5)분,t=4.322]화결속취진[(6±2)비(3±1)분,t=2.987]5개방면평분균고우배훈전(균P＜0.05).제시접진SP적배훈방식유조우제고조리전과의생적림상기능화의환교류기능.
Thirty assistant general practitioners (GPs) of Jiading District Shanghai were trained for clinical skills and communication skills by using standardized patients (SP) in outpatient department from January to April 2014.The scores of clinical skills and communication skills were evaluated and compared before and two months after training.The results showed that the score of clinical skills [(72 ± 5) vs (56 ± 7), t=7.871, P＜0.05] and communication skills [(71 ±4) vs (45 ±5), t =9.573, P＜0.05] were significantly improved after training.After training, the scores of medical history taking [(36 ±5) vs (28 ± 6), t =4.352], clinical thinking [(17 ± 2) vs (14 ± 3), t =3.974], health education [(3 ± 1) vs (2 ± 1), t =3.090] and medical record v,riting [(13 ± 1) vs (8 ±2), t =5.317] were significantly higher than those before training (all P ＜ 0.05).But there was no difference in reception time management [(4 ± 0) vs (4 ± 0), t =1.025] before and after training (P ＞ 0.05).After training, the scores and the proportions of the trainees qualified for building physician-patient relationship [(20 ± 3) vs (15 ± 4), t =4.056],collecting information and providing feedback [(22 ±4) vs (13 ±3), t =4.682], understanding complaints from patients' perspective [(5 ± 2) vs (3 ± 2), t =3.107], sharing information and obtaining informed consent [(19 ± 4) vs (11 ± 5), t =4.322] and closing consultation [(6 ± 2) vs (3 ± 1), t =2.987] were higher than before training (all P ＜ 0.05).The results indicate that training by using SP can effectively improve the clinical skills and communication skills of assistant GPs.
