医患沟通培训效果影响因素的研究-第三军医大学学报.docVIP

医患沟通培训各要素对培训效果影响的研究 练 燕1，王延江1，Sara Laubscher2，张绍蓉1（1 第三军医大学大坪医院野战外科研究所， 2 Flinders Medical Centre, Flinders University, Adelaide, Australia） 摘要：目的 探讨医患沟通培训各要素对培训效果的影响。方法 收集在1993年1月1日至2009年5月31日期间发表的有关医患沟通培训随机对照研究英文文献；计算各研究培训效果的效应尺度；采用Inverse-variance-weighted oneway ANOVA方法对沟通培训方式、培训对象、研究设计方法和沟通培训内容等各要素与培训效果的关系进行单因素和多因素分析。结果 所纳入研究关于医患沟通培训的总体培训效果为中等强度。在培训对象方面，对医生、护士或医护混合培训的效果无显著差异（P=0.0597）。在培训方式方面，采用的培训方式越多，培训效果越好（P =0.0012），其中在培训中采用演示和反馈对提高沟通培训效果有显著作用（P 0.05）。在培训内容方面，对“医患信息交流和患者教育”和“从生物社会心理角度理解患者问题”沟通技能的培训对提高沟通培训效果有显著影响（P 0.0001） 。结论 当前医患沟通培训的总体效果接近中等强度，在沟通培训各要素中，培训方式（演示和反馈）和培训内容（“医患信息交流和患者教育”和“从生物社会心理角度理解患者问题”）是影响培训效果的重要因素。 关键词：医患沟通；培训；影响因素 A study of components associated with effectiveness of medical staff-patient communication education program LIAN Yan, WANG Yan-jiang, LAUBSCHER Sara, ZHANG Shao-rong. (Daping Hospital and Institute of Field Surgery, Third Military Medical University. Chongqing 400042 China. Flinders Medical Centre, Flinders University, Adelaide, Australia) Abstract: Objectives: To identify the critical components affecting the effectiveness of medical staff-patient communication education program. Methods: The randomized control studies on medical staff-patient communication skill training programs published in English during 1st of January 1993 and 31st of May 2009 were collected. The effect size of the training were encoded or calculated. Inverse-variance-weighted oneway ANOVA were used to analyze the association between effect size and delivery methods， trainee， research design rigidity and training contents. Results: The globe effect size of the enrolled studied was 0.4257±0.0805， which is close to the moderate strength. The trainee did not significantly affect the training effect size. The more the training delivery methods used， the larger the effect size generated (p=0.0012), in particular, demonstration and feedback were associated with larger effect size (p0.05). The training programs containing the “Understand the pr