应用SEGUE量表评价脑血管病临床见习课中医患沟通技能培养的效果

中国卒中杂志 ›› 2015, Vol. 10 ›› Issue (12): 1054-1056.

应用SEGUE量表评价脑血管病临床见习课中医患沟通技能培养的效果

周衡

100050 北京首都医科大学附属北京天坛医院神经病学中心

收稿日期:2015-06-15 出版日期:2015-12-20 发布日期:2015-12-20
通讯作者: 周衡 zhouheng98@hotmail.com

Effect of Training Physician-patient Communicating Skills in Cerebrovascular Disease Clinical Clerkship with the Evaluation of SEGUE Framework Application

Received:2015-06-15 Online:2015-12-20 Published:2015-12-20

摘要/Abstract

摘要：

目的在医患沟通技能培养课程中融入人文医学理念，通过SEGUE量表检验教学效果。方法依据医师人文医学执业技能教材结合临床实践对在脑血管病临床见习课中在校医学生进行医患沟通技能培养，并通过SEGUE量表对教学结果进行量化检验。结果授课后医学生SEGUE量表得分（17.95±3.56）高于基线得分（12.42±2.80），差异具有显著性。结论人文医学理念可以提高医患沟通技能培养课程的教学效果，SEGUE量表可以为教学效果提供有效的评价手段。

关键词: 医患沟通; 人文医学; SEGUE量表

Abstract:

Objective Combine the physician-patient communication skills course with the concept of medical humanities, and use the SEGUE Framework to assess teaching effectiveness. Methods Develop the medical students' ability of the physician-patient communication skills in cerebrovascular disease clinical teaching, according to medical humanities and clinical practice, and use the SEGUE Framework to assess teaching effectiveness. Results The SEGUE Framework evaluation shows that after teaching the score is (17.95±3.56) , higher than the baseline which the score is (12.42±2.80). The difference was statistically significant. Conclusion The concept of medical humanities can improve the teaching effectiveness of the physician-patient communication skills course, The SEGUE Framework are applicable to assess teaching effectiveness.

Key words: Physician-patient communication; Medical humanities; SEGUE Framework

周衡. 应用SEGUE量表评价脑血管病临床见习课中医患沟通技能培养的效果[J]. 中国卒中杂志, 2015, 10(12): 1054-1056.

ZHOU Heng. Effect of Training Physician-patient Communicating Skills in Cerebrovascular Disease Clinical Clerkship with the Evaluation of SEGUE Framework Application [J]. Chinese Journal of Stroke, 2015, 10(12): 1054-1056.

参考文献

1 丁建, 张少佼, 陈玺华, 等. 实习医生医患沟通现状的多

中心调查与对策[J]. 中国高等医学教育, 2012, 6:58-59.

2 Makoul G. The SEGUE Framework for teaching

and assessing communication skills[J]. Patient Educ

Couns, 2001, 45:23-34.

3 殷大奎. 中国医师人文医学执业技能培训系列教材·初

级. 医患沟通[M]. 北京:人民卫生出版社, 2006:11-12.

4 王丽, 袁钟, 李红英, 等. 我国医患关系紧张的诱因与

对策[J]. 现代医院管理, 2014, 12:10-13.

5 朱淑婷. 医患关系紧张引发的思考[J]. 继续医学教育,

2014, 28:112-114.

6 张静莹, 马新芳. 新医患关系下应大力加强医学生医

患沟通教育[J]. 教育教学论坛, 2015, 3:50-51.

7 Rodriguez HP, Anastario MP, Frankel RM, et al.

Can teaching agenda-setting skills to physicians

improve clinical interaction quality? A controlled

intervention[J]. BMC Medical Education, 2008, 8:3.

8 Stewart M, Brown JB, Donner A, et al. The impact

of patient-centered care on outcomes[J]. J Fam Pract,

2000, 49:796-804.

9 刘志红. 和谐医患关系构建视角下医学生语言沟通能

力培养策略分析[J]. 山东社会科学, 2014, 12:103-104.

10 彭红, 李永国, 陈立章. 医学模式的人文回归与医学人

文素质教育[J]. 中国高等医学教育, 2005, 4:6-7, 16.

11 Rose SH, Bu rk le CM. Ame r i ca n Boa rd of

Anesthesiology Clinical Competence Committee.

Accreditat ion Counci l for Graduate Medical

Education competencies and the American Board of

Anesthesiology Clinical Competence Committee:a

comparison[J]. Anesth Analg, 2006, 102:212-216.

12 Duffy FD, Gordon GH, Whelan G, et al. Assessing

competence in communication and interpersonal

skills:the Kalamazoo Ⅱreport[J]. Acad Med, 2004,

79:495-507.

13 Sk i l l i ng s J L, Po r c e r e l l i JH, Ma r kova T.

Contextualizing SEGUE:Evaluating Residents'

Communication Skills Within the Framework of a

Structured Medical Interview[J]. J Grad Med Educ,

2010, 2:102-107.

14 Lee YH, Lee YM. Development of a patient-doctor

communication skills model for medical students[J].

Korean J Med Educ, 2010, 22:185-195.

15 Lundberg KL. What are internal medicine residents

missing? A communication needs assessment of

outpatient clinical encounters[J]. Patient Educ Couns,

2014, 96:376-380.

16 Schirmer JM, Mauksch L, Lang F, et al. Assessing

communication competence:a review of current

tools[J]. Fam Med, 2005, 37:184-192.

[1]	车锋丽，耿晓坤，赵性泉. 情景式案例分析教学法联合标准化病人在神经内科住院医师医患沟通技能教学中的应用[J]. 中国卒中杂志, 2021, 16(03): 310-313.
[2]	刘艳芳，周衡. 将人文医学理念融入脑血管病临床见习课的实践与探索[J]. 中国卒中杂志, 2014, 9(07): 620-621.
[3]	隋汝波;张磊;臧丽娥. 临床教学中培养学生医患沟通能力的探讨[J]. , 2012, 7(07): 587-590.