Calgary-Cambridge指南在护患沟通技能培训中的应用

摘要

Objective To explore the effects of the Calgary-Cambridge Guide training for practice nurses in promoting the nurse-patient relationship .Methods Totals of 52 practice nurses in our hospital from June 2012 to December 2012 were selected and randomly divided into the experimental group ( 25 cases ) and the control group (27 cases).Communication skills training based on the Calgary-Cambridge Guide was applied in the experimental group, while the general training materials were distributed in the control group .Nurse-patient relationship was assessed with the trust scale and the Calgary-Cambridge Guide Scale .Results After the training , the scores of respect, consistency, the authority of knowledge and technology , the sense of security and the confidence in the future of the experimental group were (3.65 ±0.45),(3.68 ±0.58),(3.62 ±0.51), (3.81 ±0.45) and (3.67 ±0.64), which were significantly higher than the scores before the training (t =-2.664,-2.712,-2.435,-3.429,-3.431, respectively;P<0.05).The scores of respect, consistency, the sense of security in the experimental group were significantly higher than those of the control group after the training ( t=2.560, 2.513, 2.231, respectively;P <0.05 ).The general score and the scores of eight dimensions of Calgary-Cambridge were significantly higher than those before (P<0.05).The general score and the scores of eight dimensions of Calgary-Cambridge of the experimental group were significantly higher than those of the control group (P<0.05).Conclusions The nurse-patient communication skills training based on the Calgary-Cambridge Guide can effectively improve the communication skills of practice nurses , and promote the nurse-patient relationship .%目的：探讨以Calgary-Cambridge 指南为框架的护患沟通技能培训对促进护患关系的作用。方法选择2012年6-12月期间参加实习的52名护士作为研究对象，采用随机数字表法将入选对象分为研究组（25例）和对照组（27例）。研究组采用Calgary-Cambridge指南为理论框架培训，对照组发放一般培训材料。培训后采用护患关系信任度量表、Calgary-Cambridge指南观察量表对两组护生进行评价。结果研究组培训后尊重维度得分（3．65±0．45）分、一贯性维度得分（3．68±0．58）分、对知识和技术的权威性得分（3．62±0．51）分、安心感得分（3．81±0．45）分和未来的信心维度得分（3．67±0．64）分，均明显高于培训前，差异有统计学意义（ t值分别为-2．664，-2．712，-2．435，-3．429，-3．431；P＜0.05）；其中尊重、一贯性、安心感评分高于对照组，差异有统计学意义（t值分别为2．560，2．513，2．231；P＜0．05）。培训后研究组Calgary-Cambridge沟通总分和8个维度评分均高于培训前，差异有统计学意义（P＜0．05）；培训后研究组Calgary-Cambridge 沟通总分和8个维度评分均高于对照组，差异均有统计学意义（P＜0．05）。结论以Calgary-Cambridge指南为框架的护患沟通技能培训可以有效提高实习护士的沟通能力，有利于改善护患关系。