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使用沟通技能态度量表(CSAS)问卷对427名研究生医生学习医患沟通技能的态度进行评估。

Evaluation of Attitudes to Learning Doctor-Patient Communication Skills in 427 Postgraduate Doctors Using the Communication Skills Attitude Scale (CSAS) Questionnaire.

作者信息

Pochrzęst-Motyczyńska Agnieszka, Ostrowski Janusz, Sys Dorota, Pinkas Jarosław, Religioni Urszula

机构信息

School of Public Health, Centre of Postgraduate Medical Education, Warsaw, Poland.

Department of Biochemistry and Molecular Biology, Centre of Postgraduate Medical Education, Warsaw, Poland.

出版信息

Med Sci Monit. 2025 Mar 19;31:e947276. doi: 10.12659/MSM.947276.

Abstract

BACKGROUND Effective communication between doctors and patients is crucial for improving healthcare quality and ensuring patient safety. This study aimed to evaluate attitudes to learning doctor-patient communication skills in 427 postgraduate doctors, using the self-reported 26-item communication skills attitude scale (CSAS) questionnaire. MATERIAL AND METHODS The study was conducted online between October 2023 and May 2024 via the LimeSurvey platform, with 427 physicians (response rate: 21.35%) participating in specialist courses at the Centre of Postgraduate Medical Education in Warsaw. The survey used the Communication Skills Attitude Scale (CSAS), including 26 items divided into positive and negative affect scales. Responses were scored on a 5-point Likert scale, with negative attitude scale items reverse-scored, for a maximum score of 130 points. Descriptive statistics and sociodemographic analysis explored factors influencing attitudes. RESULTS Most participants (55.5%) were under 30 years of age, and 70% were women. Women demonstrated significantly more positive attitudes (M=52.53, SD=8.65) than men (M=50.65, SD=9.74; P=0.048). Physicians aged 41 to 50 years showed the most positive attitudes (M=55.78, SD=6.48), although age differences were not statistically significant (P=0.129). Divorced or separated participants had the highest scores (M=58.00, SD=6.08; P=0.010), while those with longer professional experience had more negative attitudes (P=0.004). CONCLUSIONS Sociodemographic factors, including sex, marital status, and professional experience, influenced attitudes toward learning communication skills. Training programs should consider these factors, to better meet the needs of diverse healthcare professionals.

摘要

背景 医生与患者之间的有效沟通对于提高医疗质量和确保患者安全至关重要。本研究旨在使用自我报告的26项沟通技能态度量表(CSAS)问卷,评估427名研究生医生对学习医患沟通技能的态度。

材料与方法 该研究于2023年10月至2024年5月通过LimeSurvey平台在线进行,427名医生(回复率:21.35%)参加了华沙研究生医学教育中心的专科课程。该调查使用了沟通技能态度量表(CSAS),包括26个项目,分为积极和消极影响量表。回答采用5点李克特量表评分,消极态度量表项目进行反向评分,最高分为130分。描述性统计和社会人口学分析探讨了影响态度的因素。

结果 大多数参与者(55.5%)年龄在30岁以下,70%为女性。女性表现出比男性更积极的态度(M=52.53,标准差=8.65)(M=50.65,标准差=9.74;P=0.048)。41至50岁的医生态度最为积极(M=55.78,标准差=6.48),尽管年龄差异无统计学意义(P=0.129)。离婚或分居的参与者得分最高(M=58.00,标准差=6.08;P=0.010),而专业经验较长的参与者态度更消极(P=0.004)。

结论 社会人口学因素,包括性别、婚姻状况和专业经验,影响了对学习沟通技能的态度。培训项目应考虑这些因素,以更好地满足不同医疗专业人员的需求。

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