中国全科医学 ›› 2024, Vol. 27 ›› Issue (16): 1956-1961.DOI: 10.12114/j.issn.1007-9572.2022.0769

• 论著·全科医学教育研究 • 上一篇    下一篇

门诊经验沟通与GLTC沟通对门诊医生情绪状态及沟通细节影响的比较研究

邵建文1,2, 谭港锐1, 王梦婷3, 商卫红4, 王锦帆1,2,*()   

  1. 1.211166 江苏省南京市,南京医科大学马克思主义学院
    2.211166 江苏省南京市,南京医科大学医患沟通研究中心
    3.211166 江苏省南京市,南京医科大学医政学院
    4.210019 江苏省南京市,南京医科大学附属眼科医院科教处
  • 收稿日期:2023-09-19 修回日期:2024-02-02 出版日期:2024-06-05 发布日期:2024-04-08
  • 通讯作者: 王锦帆

  • 作者贡献:

    邵建文负责文章的文献资料收集与整理、论文撰写;谭港锐、王梦婷负责研究的实施、数据的结果与分析;商卫红负责研究执行的管理和协调;王锦帆对文章整体负责,监督管理。

  • 基金资助:
    江苏省社会科学基金项目(20SHD007); 江苏省研究生科研创新项目(KYCX21_1560)

A Comparative Study on the Influence of Outpatient Experience Communication and GLTC Communication on Doctors' Emotional State and Communication Details of Outpatient Doctors

SHAO Jianwen1,2, TAN Gangrui1, WANG Mengting3, SHANG Weihong4, WANG Jinfan1,2,*()   

  1. 1. School of Marxism, Nanjing Medical University, Nanjing 211166, China
    2. Research Center for Doctor Patient Communication, Nanjing Medical University, Nanjing 211166, China
    3. School of Health Policy & Management, Nanjing Medical University, Nanjing 211166, China
    4. Department of Science and Education, Eye Hospital Affiliated to Nanjing Medical University, Nanjing 210019, China
  • Received:2023-09-19 Revised:2024-02-02 Published:2024-06-05 Online:2024-04-08
  • Contact: WANG Jinfan

摘要: 背景 门诊医生是医院诊疗活动主要提供者,门诊医生的积极情绪及有效的医患沟通方式是优质医疗服务的保证。 目的 比较门诊医生经验性沟通与GLTC沟通的医生情绪状态和沟通细节完成情况,为今后提高医生沟通技巧、改善医生情绪状态提供参考。 方法 于2021年7月—2022年1月,在江苏省南京市随机抽取4家三级综合医院中6个科室的24名门诊医生为研究对象,并选取符合患者纳入标准的门诊医患沟通场景作为沟通细节完成情况的观察场景。对所有纳入的同一批次门诊医生先开展个人经验式沟通方案(记为经验沟通组),然后开展门诊GLTC医患沟通方案培训,一周后开展门诊GLTC沟通方案(记为GLTC组),比较经验沟通组、GLTC组沟通前后简明心境量表(BPOMS)各维度的得分情况及沟通细节要点完成率情况。 结果 经验沟通组医生沟通后BPOMS的疲劳维度得分高于沟通前(P<0.05);沟通后GLTC组医生BPOMS的疲劳、困惑维度得分低于经验沟通组(P<0.05);GLTC组的和蔼注视(接待)、礼貌语言(接待)、微笑(接待)、不轻易打断患者、适时点头回应、安抚、告知必要性、耐心(实验检查)、征询患者意见、耐心(诊疗与交流)、通俗讲解、语言安慰、态度友善、起身(结束与交代)、和蔼注视(结束与交代)、礼貌语言(结束与交代)、微笑(结束与交代)等沟通细节要点的完成率高于经验沟通组(P<0.05)。 结论 和门诊经验性沟通相比,门诊GLTC沟通更能改善医生情绪状态,缓解医生疲劳,同时相应沟通细节完成率提高,部分沟通细节完成率仍有提升空间。

关键词: 门诊医疗, 医患沟通, 门诊经验沟通, GLTC医患沟通模式, 医生情绪, 试验研究

Abstract:

Background

In outpatient clinics, physicians serve as the primary providers of medical treatment activities; their positive attitudes and effective patient-physician communication methods are essential for guaranteeing high-quality healthcare services.

Objective

To compare the outpatient doctor's emotional state and completion of communication details between outpatient doctor's experiential communication and GLTC communication. To provide a reference for improving a doctor's communication skills and emotional state in the future.

Methods

From July 2021 to January 2022, 24 outpatient doctors from 6 departments in 4 tertiary general hospitals in Nanjing, Jiangsu Province were randomly selected as the research objects. Outpatient doctor-patient communication scenes meeting the criteria were selected as observation scenes. All of the included outpatient doctors in the same cohort underwent an individual experiential communication program first (recorded as the experiential group). Next, they received training on the outpatient GLTC doctor-patient communication program. Finally, the doctors conducted outpatient GLTC communication one week later (recorded as the GLTC group). The experiential group and the GLTC group were compared in terms of the Brief Profile of Mood States (BPOMS) score before and after communication as well as the completion rate of communication details.

Results

The fatigue dimension score of BPOMS after communication was higher than that before communication in the experiential group (P<0.05) ; After communication, The fatigue and confusion dimension score of BPOMS in the GLTC group were lower than the experiential group (P<0.05) ; the completion rate of communication details in the GLTC group such as kind gaze (reception), polite language (reception), smile (reception), not easily interrupting patients, timely nodding response, appeasement, informing the necessity, patience (experimental examination), consulting patients' opinions, patience (diagnosis and communication), popular explanation, language comfort, friendly attitude, getting up (ending and explaining), kind gaze (ending and explaining), polite language (ending and explanation), smile (ending and explanation) was higher than the experiential group (P<0.05) .

Conclusion

Compared with experiential communication, GLTC communication is more capable of improving doctors' emotional state and relieving doctors' fatigue. At the same time, the completion rate of the corresponding communication details is improved, but there is still room for improvement in the completion rate of some communication details.

Key words: Ambulatory care, Doctor-patient communication, Outpatient experience communication, GLTC doctor-patient communication program, Doctor's emotions, Experimental research

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