Adib Hajbaghery Mohsen, Rezaei Shahsavarloo Zahra
Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, IR Iran.
Nurs Midwifery Stud. 2014 Jun;3(2):e18143. Epub 2014 Jun 20.
Clients with communication impairment are at risk for health disparity. Hence, health care workers should be knowledgeable and skillful in communication. However, no studies are available on Iranian nursing and midwifery students' communication skills with patients with severe communication problems.
The present study was conducted to investigate Iranian nursing and midwifery students' competencies in communication with patients with severe communication problems.
This study was performed on all senior nursing and midwifery students of Kashan University of Medical Sciences in spring 2013. Data were collected through a knowledge questionnaire and two checklists for evaluation of skills needed for communication with patients with severe communication problems. Data analysis was performed through independent samples t test, and Fisher's exact test.
In total, 68.8% of the participants were female, 37.6% had a history of part-time job as a nurse or midwife. The mean score of knowledge were 4.41 ± 1.42 and 4.77 ± 1.77 for nursing and midwifery students, respectively and the difference was not significant (P = 0.312). In addition, the mean score of communication skills with deaf patients was 13.23 ± 4.68 and 11.86 ± 5.55 for nursing and midwifery students, respectively and the difference was not significant (P = 0.258). Also, the mean score of communication skills with stutter patients was 23.91 ± 4.17 and 21.25 ± 3.91 for nursing and midwifery students, respectively but the difference was not significant (P = 0.269).
Nursing and midwifery students did not significantly differ in terms of communication with patients with severe communication problems. Most of the students had low or very low knowledge and skills in communication with patients with hearing impairment. However, they had better skills in communication with patient with speech problem. Special workshops or training programs are recommended to empower nursing and midwifery students in communication with patients with communication problems.
存在沟通障碍的患者面临健康差距风险。因此，医护人员应具备丰富的沟通知识和熟练的沟通技巧。然而，目前尚无关于伊朗护理与助产专业学生与存在严重沟通问题患者沟通技巧的研究。
本研究旨在调查伊朗护理与助产专业学生与存在严重沟通问题患者沟通的能力。
本研究于2013年春季对库姆医科大学所有高年级护理与助产专业学生进行。通过一份知识问卷和两份用于评估与存在严重沟通问题患者沟通所需技能的清单收集数据。数据分析采用独立样本t检验和Fisher精确检验。
总共有68.8%的参与者为女性，37.6%有过护士或助产士兼职工作经历。护理专业和助产专业学生的知识平均得分分别为4.41±1.42和4.77±1.77，差异无统计学意义（P=0.312）。此外，护理专业和助产专业学生与聋哑患者沟通技巧的平均得分分别为13.23±4.68和11.86±5.55，差异无统计学意义（P=0.258）。同样，护理专业和助产专业学生与口吃患者沟通技巧的平均得分分别为23.91±4.17和21.25±3.91，但差异无统计学意义（P=0.269）。
护理与助产专业学生在与存在严重沟通问题患者的沟通方面无显著差异。大多数学生在与听力障碍患者沟通方面知识和技能水平较低或非常低。然而，他们在与言语问题患者沟通方面技能较好。建议举办专门的研讨会或培训项目，以增强护理与助产专业学生与存在沟通问题患者沟通的能力。
