儿科住院医师规范化培训医患沟通能力培养方案初探

摘要

To strengthen the pediatric residents' communication ability in rediatric residency standardized training is very important for improving quality of medical provider-patient relationship and prevent medical disputes. At present, in China's pediatric medical units at all levels of medical care for the hospitalized children groups there exist such characteristics as only child, parents doting over their children, excessive stress and fear in diagnosis and treatment and so on. From the analysis of current status, it can be seen that in clinical practice, pediatric physicians' doctor-patient communi-cation is affected by three aspects: children, parents, physicians , and there exist such problems as children's lack of coordination, parents' lack of medical care knowledge, residents' lack of clinical and communication experience. Therefore, it is necessary to strengthen the special training of pediatric residents' doctors and patients in the standardized training period, establish the feedback mechanism of communication between doctors and patients and. make targeted improvements in view of the weak link in the communication between doctors and patients, so as to improve the training program of the pediatric residents' doctor-patient communication ability.%加强儿科住院医师规范化培训期间住院医师的医患沟通能力，对改善医患关系紧张的局面具有重要意义。目前我国各级医疗单位儿科就医群体存在住院患儿为独生子女、家长过度溺爱、诊疗中过度紧张和恐惧等特点。分析现状可见，临床实践中儿科住院医师的医患沟通受到患儿、家长、医师三方面影响，存在患儿不易配合、家长医学护理知识不足、住院医师临床与沟通经验缺乏等问题。因此，有必要在规范化培训期间，加强儿科住院医师医患沟通能力专项培训，建立医患沟通反馈机制，针对其医患沟通存在的薄弱环节加以改进，以完善儿科住院医师医患沟通能力培养方案。