上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（公共卫生） • 上一篇    下一篇

应用新测评模式评估治疗性沟通能力培训对实习效果的影响

朱建征1，2， 薛云云3，王韧4，陈津津5   

  1. 1.上海交通大学 医学院团委， 上海 200025； 2.上海交通大学 媒体与设计学院， 上海 200240； 3.上海交通大学 船舶海洋与建筑工程学院， 上海 200240； 4.上海交通大学附属第六人民医院， 上海 200233； 5.上海交通大学附属儿童医院， 上海 200127
  • 出版日期:2015-08-28 发布日期:2015-09-30
  • 作者简介:朱建征（1978—）， 男， 讲师， 硕士; 电子信箱: jzzhu@sjtu.edu.cn。
  • 基金资助:

    2015年度上海学校德育创新发展课题（2015-dycx-301）;国家自然科学基金(30801205);上海市科委自然科学基金（12ZR1425600）;上海市科委医学引导类项目（14411965200）

Effects of training of therapeutic communication skills on the outcome of internship assessed by a new evaluation model

ZHU Jian-zheng1，2, XUE Yun-yun3, WANG Ren4, CHEN Jin-jin5   

  1. 1 CYL Committee, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China; 2.School of Media and Design， Shanghai Jiao Tong University, Shanghai 200240, China; 3.School of Naval Architecture, Ocean and Civil Engineering, Shanghai Jiao Tong University, Shanghai 200240, China; 4.6th People's Hospital, Shanghai Jiao Tong University, Shanghai 200233, China; 5.Hospital of Children, Shanghai Jiao Tong University, Shanghai 200127, China
  • Online:2015-08-28 Published:2015-09-30
  • Supported by:

    Innovational and Developmental Foundation of Schools Moral Education in Shanghai，2015-dycx-301； National Natural Science Foundation of China， 30801205； Natural Science Foundation of Shanghai Science Technology Commission， 12ZR1425600； Medical Guiding Program of Shanghai Science Technology Commission， 14411965200

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摘要：

目的  调查治疗性沟通能力的培养对医学实习生在实习效果上的影响。方法  以儿童保健科参与感觉统合训练的医学实习生为对象，开展岗前治疗性沟通能力的培养，并以实习前后医学生心理量表测量值、实习对象的疗效及依从性为评价指标，进行双轨平行测评。结果  实习前，沟通能力培训组与常规培训组在焦虑水平、沟通能力、心理适应能力3项指标水平上无差异显著性；实习结束时，沟通能力培训组较常规培训组在沟通能力、心理适应能力2项指标水平有明显提高，差异具有统计学意义（P沟通=0.00,P心理适应=0.01,<0.05）。实习后，两组医学生在沟通能力、心理适应能力2项指标水平上均有提高（P沟通=0.002,P心理适应= 0.014,<0.05）。两组医学实习生训练的儿童在康复训练的效果和依从性上也存在差异，沟通能力培训组的实习生所训练的儿童在触觉防御、本体感觉的改善上更为明显，康复的依从性上也表现更好，差异具有显著性（P触觉=0.02,P本体=0.002,P依从性=0.04,<0.05）。结论  实习前系统开展有针对性的临床沟通能力和技巧的培养，将使实习生获得更好的实习效果；双轨平行测评的模式使沟通能力的评估更系统和全面，有利于相关评价体系的建立。

关键词: 沟通能力, 评估, 医学实习生, 康复

Abstract:

Objective  To investigate the effect of training the therapeutic communication skills of interns on the outcome of internship. Methods  Interns of the child healthcare department who participated in training the feeling integration of children were selected as subjects and training for therapeutic communication skills was conducted. The dual-track parallel evaluation was performed according to indexes, i.e. measurements of the psychological scale of interns and curative effect and compliance of children before and after internship. Results  The differences of anxiety level, communication ability, and psychological adaptability between the communication skills training group and regular training group were not significant before internship. Compared with the regular training group, communication ability and psychological adaptability of the communication skills training group significantly improved after internship and the differences were statistically significant (P=0.00 and 0.01, <0.05). Communication ability and psychological adaptability of the two groups were both increased significantly after internship （P=0.002 and 0.014,<0.05）. The curative effect and compliance of children trained by two groups were different. The tactile defense, proprioception, and compliance of children trained by the communication skills training group were better and the differences were statistically significant (P=0.02, 0.002, and 0.04, <0.05). Conclusion  The systematical and purposeful training of clinical communication ability and skills before internship can improve the outcome of internship. The dual-track parallel evaluation model is able to evaluate the communication ability more systematically and comprehensively and facilitates the establishment of relevant evaluation systems.

Key words: communication ability, assessment, intern, rehabilitation