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儿科学中的沟通技巧:医学生的认知

Communication skills in pediatrics: perception of medical students.

作者信息

Medeiros Glenia Junqueira Machado, Negrão Bruna Junqueira, Sales Manoela Rodrigues Peralva, de Paula Goulart Luísa Rodrigues, Appenzeller Simone

机构信息

School of Medicine of Itajubá, Minas Gerais, Itajubá, Brazil.

Graduate Program in Child and Adolescent Health, School of Medical Sciences, University of Campinas, Campinas, São Paulo, Brazil.

出版信息

BMC Med Educ. 2024 Dec 28;24(1):1545. doi: 10.1186/s12909-024-06578-6.

Abstract

BACKGROUND

Effective communication with patients and their families is a fundamental skill for medical students to cultivate during their undergraduate training. However, communicating with pediatric patients presents unique challenges. This study investigated the perceptions, attitudes, and confidence levels of undergraduate medical students regarding communication skills in pediatrics.

METHODS

A cross-sectional, quantitative, descriptive, and analytical survey was conducted by applying a validated questionnaire, the Housestaff Communication Survey (HCS), to medical students from two higher education institutions in Minas Gerais, Brazil. Data analysis was conducted using SPSS and Excel, employing descriptive statistical tests and multiple logistic regression analyses to evaluate communication, importance, and confidence.

RESULTS

A total of 520 (52%) students participated in the study, with 422 (81.15%) aged from 20 to 29 years and 365 (68.27%) women. While only 113 (21.73%) students reported receiving training in communication skills with both adults and children during their undergraduate studies, over half (270) reported no such training. Those lacking training exhibited lower confidence levels compared with those trained exclusively with adults. Although most students recognized the importance of communication skills, their confidence levels were generally below 60%. Multiple logistic regression analysis identified gender, institution, academic period, and training as significantly associated variables with communication scores.

CONCLUSIONS

Training, gender, and academic period emerged as the most significant variables influencing communication skills. Most students expressed lower confidence in interviewing children. To enhance communication with pediatric patients and their families, comprehensive training in pediatric communication skills during undergraduate studies is imperative.

摘要

背景

与患者及其家属进行有效沟通是医学生在本科培训期间需要培养的一项基本技能。然而,与儿科患者沟通存在独特的挑战。本研究调查了本科医学生对儿科沟通技能的认知、态度和信心水平。

方法

通过应用经过验证的问卷《住院医师沟通调查问卷》(HCS),对巴西米纳斯吉拉斯州两所高等教育机构的医学生进行了横断面、定量、描述性和分析性调查。使用SPSS和Excel进行数据分析,采用描述性统计测试和多元逻辑回归分析来评估沟通、重要性和信心。

结果

共有520名(52%)学生参与了该研究,其中422名(81.15%)年龄在20至29岁之间,365名(68.27%)为女性。虽然只有113名(21.73%)学生报告在本科学习期间接受过与成人和儿童沟通技能的培训,但超过一半(270名)的学生表示没有接受过此类培训。与仅接受成人培训的学生相比,缺乏培训的学生信心水平较低。尽管大多数学生认识到沟通技能的重要性,但其信心水平普遍低于60%。多元逻辑回归分析确定性别、院校、学习阶段和培训是与沟通得分显著相关的变量。

结论

培训、性别和学习阶段是影响沟通技能的最显著变量。大多数学生在与儿童面谈时表现出较低的信心。为了加强与儿科患者及其家属的沟通,本科学习期间进行儿科沟通技能的全面培训势在必行。

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