五星教学法在住院医师医患沟通教学中的应用研究

摘要

目的：探讨五星教学法在住院医师医患沟通教学中的应用效果。方法全部住院医师按照参加培训时间不同分为2组，传统教学法组（对照组）48人，以教师为中心、书本为中心和课堂为中心的传统教学方式进行教学，穿插案例讲授；五星教学法组（教改组）206人，以聚焦问题、激活旧知识、论证新知识、应用新知识和融会贯通5步进行教学。结果两组间各项得分对比统计，对教学内容兴趣方面差异无统计学意义（P ＝0．788）；教改组对学习后自认为对沟通有策略和信心方面、对课程的兴趣及是否愿意参加后续学习方面得分优于对照组（均 P ＜0．05）。结论将五星教学方法应用于医患沟通的教学中，可以更好地激发学习者的学习热情，有效地改善了住院医师在沟通过程中的畏难情绪，得到了良好的医患沟通效果。%Objective To discuss the application outcome of 5-star teaching method to teaching residents doctor-patient communication.Methods All the trained residents were divided according to training time into traditional teaching method group (control group,n =48)and 5-star teaching method group (reform group,n =206).The control group was taught with teacher-centered,textbook-centered and classroom-centered teaching modes plus case study.The reform group received 5-step teaching:problem-focused,activating old knowledge,verifying new knowledge,applying new knowledge,and mastering new knowledge through a complete study.Results The scores in interest in teaching content were not significantly different between the two groups (P =0.788),and the reform group got higher scores than the control group in post-study perception of communication strategies,confidence,interest in the course and willingness to participate in the follow-up study (all P <0.05).Conclusion Introducing 5-star teaching method into doctor-patient communication teaching can better stimulate the residents 'learning enthusiasm and effectively overcome their fear during communication with patients,which has achieved satisfactory doctor-patient communication effects.