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中华肾病研究电子杂志

中华肾病研究电子杂志 ›› 2021, Vol. 10 ›› Issue (04) : 220 -223. doi: 10.3877/cma.j.issn.2095-3216.2021.04.006

教学园地

传统教学法和心理学思政辅助教学法对肾病科规培生学习效果和医患沟通能力影响的对比研究
王滨1, 陈意志1, 刘天曜2, 何谐2,†()   
  1. 1. 572013　海南三亚，解放军总医院海南医院肾脏病科，海南省院士团队创新中心；100853　北京，解放军总医院第一医学中心肾脏病医学部，解放军肾脏病研究所，肾脏疾病国家重点实验室，国家慢性肾病临床医学研究中心，肾脏疾病研究北京市重点实验室
    2. 400042　重庆，陆军军医大学医学心理系军事认知心理学教研室
  • 收稿日期:2021-05-13 出版日期:2021-08-26
  • 通信作者: 何谐
  • 基金资助:
    海南省财政科技计划，海南省院士创新平台科研专项(YSPTZX202026); 陆军军医大学教育训练改革研究课题(2020B08)

A comparative study on the influence of traditional and psychological-ideological-political-assistant teaching methods in learning effect and communication ability of standardized trainees of nephrology

Bin Wang1, Yizhi Chen1, Tianyao Liu2, Xie He2,†()   

  1. 1. Department of Nephrology, Hainan Hospital of Chinese PLA General Hospital, Hainan Academician Team Innovation Center, Sanya 572013, Hainan Province; Department of Nephrology, Chinese PLA General Hospital, First Medical Center of Chinese PLA Institute of Nephrology, State Key Laboratory of Kidney Diseases, National Clinical Research Center for Kidney Diseases, Beijing Key Laboratory of Kidney Diseases, Beijing 100853
    2. Department of Military Cognitive Psychology, Army Medical University, Chongqing 400042; China
  • Received:2021-05-13 Published:2021-08-26
  • Corresponding author: Xie He
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王滨, 陈意志, 刘天曜, 何谐. 传统教学法和心理学思政辅助教学法对肾病科规培生学习效果和医患沟通能力影响的对比研究[J]. 中华肾病研究电子杂志, 2021, 10(04): 220-223.

Bin Wang, Yizhi Chen, Tianyao Liu, Xie He. A comparative study on the influence of traditional and psychological-ideological-political-assistant teaching methods in learning effect and communication ability of standardized trainees of nephrology[J]. Chinese Journal of Kidney Disease Investigation(Electronic Edition), 2021, 10(04): 220-223.

目的

对比传统教学法与心理学思政教育辅助教学法在肾病科规范化培训生(规培生)带教中对学习效果和医患沟通能力的影响。

方法

纳入本院2019年9月至2020年9月期间在肾脏病科规培生36例，随机均分为两组(观察组接受心理学思政辅助教学法，对照组接受传统教学法)。以理论考试和实践技能考核获得相应成绩，经问卷调查获得患者满意度指标，由带教老师通过SEGUE量表评价学员沟通能力。利用SPSS 20.0软件进行统计分析。

结果

通过4周的带教，与对照组比较观察组规培生的理论知识成绩(P＝0.001)和实践操作成绩(P<0.05)明显提高。观察组的医患沟通能力(建立沟通能力：P<0.001；信息提供能力：P＝0.001；评估患者能力：P＝0.001；结束谈话能力：P<0.05)和患者满意度(P<0.05)也显著提高。

结论

心理学思政教育辅助教学法应用于肾病科规培生带教中，有效提高了规培生学习成绩和医患沟通能力，具有一定的借鉴和教学指导意义。

关键词: 肾内科规范化培训, 心理学思政教育, 医患沟通能力, 患者满意度
Objective

To compare the influence of traditional and psychological-ideological-political-assistant teaching methods in the learning effect and the doctor-patient communication ability of the standardized-training residents of nephrology.

Methods

Thirty-six standardized-training physicians in nephrology department of our hospital from September 2019 to September 2020 were enrolled, and were randomly assigned to control group and observation group with 18 students each. The observation group received the psychological-ideological-political-assistant teaching method, while the control group received the traditional teaching method. The scores of theoretical knowledge and practical operation were achieved via theory test and practical skill assessment. The results of patients′ satisfaction indicators were acquired via questionnaire survey. The SEGUE scale was used by the teachers to evaluate the doctor-patient communication ability of the trainees. The SPSS 20.0 software was used for statistical analysis.

Results

After 4 weeks of teaching, the results of theoretical knowledge (P=0.001) and practical operation (P<0.05) of the observation group were significantly better than those of the control group. The observation group also showed significantly better doctor-patient communication ability, including communication-establishing skills (P<0.001), information-providing skills (P=0.001), patient-evaluating skills (P=0.001), and conversation-ending skills (P<0.05), as well as better patients′ satisfaction (P<0.05).

Conclusion

For physicians of the standardized-training in nephrology, the auxiliary teaching method of psychological-ideological-political education effectively improved their academic performance and doctor-patient communication ability, which may have certain significance for reference and teach-guiding.

Key words: Standardized training in nephrology, Psychological-ideological-political education, Doctor-patient communication ability, Patient satisfaction
表1 两组规培生在理论知识和实践操作的考核成绩(±s)
组别(n＝18) 理论知识考核(分) 实践操作考核(分)
观察组 93.6±4.7 93.7±3.9
对照组 86.7±6.4 89.8±5.7
t值 3.687 2.352
P值 0.001 0.025
表2 SEGUE量表主要内容及两组学员得分情况(±s)
组别(n＝18) 建立沟通(4.0分) 信息收集(10.0分) 信息提供(4.0分) 评估患者(5.0分) 结束谈话(2.0分)
观察组 3.6±0.2 9.2±0.5 3.6±0.3 4.6±0.3 1.7±0.2
对照组 3.2±0.4 8.9±0.7 3.1±0.5 4.2±0.4 1.5±0.2
t值 3.927 1.604 3.702 3.605 2.856
P值 <0.001 0.118 0.001 0.001 0.007
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