医患沟通障碍中医务人员因素分析及可行性对策

摘要

[ABSTRACT]Objective: To analyze the related factors of medical personnel doctor-patient communication barriers, and puts forward the feasible countermeasure. Methods: In a tertiary hospital in Beijing in the medical staff questionnaires about doctor-patient communication management, collect relevant information including communication barriers and moral cultivation, communication, communication skills, 68 valid questionnaires were divided into effective communication group of 40 copies, 28 copies of effective communication group. Results:Obtained by chi square test, ethics, communication, listening skills, language skills, language skills than non ineffective communication group in the proportion of effective communication group, P<0.05, morality, communication and communication skills and communication between doctors and patients showed positive correlation; by logistic regression analysis, moral cultivation of the value of OR was 3.25(P<0.01), and moral cultivation compared with other factors and relative large doctor-patient communication.Conclusion:Through strengthening the moral consciousness, strengthen communication, enhance communication skills and self regulating pressure four puts forward to strengthen communication countermeasures.%目的：：分析医患沟通障碍中涉及医务人员的因素，并提出可行性对策。方法：对北京某三甲医院在职医务人员发放关于医患沟通管理的调查问卷，收集包括道德修养、沟通意识、沟通技巧在内的沟通障碍相关信息，68份有效问卷分为有效沟通组40份，无效沟通组28份。结果：由卡方检验得出，道德修养、沟通意识、倾听技巧、语言技巧、非语言技巧在有效沟通组比例大于无效沟通组，P＜0.05，道德修养、沟通意识和沟通技巧均与医患沟通呈正相关；由logistic回归分析得出，道德修养OR值为3.25（P＜0.01），道德修养与其他因素相比与医患沟通相关性相对大。结论：通过加强道德修养、增强沟通意识、提高沟通技巧和调节自我压力四个方面提出加强沟通对策。