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[医学中的沟通与人际技能:医院的一项教育干预措施]

[Communication and interpersonal skills in medicine: an educational intervention in hospital].

作者信息

Ghilardi Alberto, Pedrini Laura, Rossini Manuela, Tiraboschi Andrea, Buizza Chiara

出版信息

Recenti Prog Med. 2014 Dec;105(12):479-83. doi: 10.1701/1706.18624.

DOI:10.1701/1706.18624
PMID:25533237
Abstract

The present paper is aimed to describe methods and results of an educational intervention on doctor-patient communication. The intervention was addressed to 26 hospital physicians and lasted 20 hours, and it was formulated according to patient-centred model. At the end of the intervention, participants referred satisfaction for the course, and the proportion of doctors with patient-centred style was higher compared to the one of the initial assessment (Z Wilcoxon=2,236; p=.02). No associations were found between communicative-relational style and sociodemographic variables. For hospital physicians, three main topics seems require future interventions: the communication of bad news, the management of own emotions, the influence of context's factors on doctor-patient relationship.

摘要

本文旨在描述一项关于医患沟通的教育干预措施的方法和结果。该干预措施针对26名医院医生,持续20小时,并且是根据以患者为中心的模式制定的。干预结束时,参与者对该课程表示满意,与初始评估相比,采用以患者为中心风格的医生比例更高(Z Wilcoxon = 2.236;p = 0.02)。在沟通关系风格和社会人口统计学变量之间未发现关联。对于医院医生来说,未来似乎需要进行三项主要干预:坏消息的传达、自身情绪的管理、情境因素对医患关系的影响。

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