Improving communication skills -: A randomized controlled behaviorally oriented intervention study for residents in internal medicine
Improving communication skills -: A randomized controlled behaviorally oriented intervention study for residents in internal medicine
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DOI：
10.1097/00006842-199805000-00009
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发表时间：
1998-05-01
影响因子：
3.3
通讯作者：
Wössmer, B
中科院分区：
文献类型：
--
作者：
Langewitz, WA;Eich, P;Wössmer, B
目的：我们调查了是否可以通过使用有时限的行为导向干预来教授内科住院医师以患者为中心的沟通技巧。方法：在内科工作的居民被随机分配到干预组（IG; N = 19）或对照组（CG; N = 23）。除了每周6小时的标准医学教育外，IG还在6个月内接受了22.5小时的特定通信培训。最初和10个月后，参与者与模拟患者进行了访谈。访谈由使用马斯特里赫特历史和建议检查表修订版的盲法评定者进行评定。结果：与对照组相比，IG在许多具体的沟通技巧上都有明显的提高。两组患者在“识别的医疗信息量”和“沟通治疗可行性”的能力方面都有所提高。结论：以患者为中心的沟通技巧，如本干预研究中提出的，是可以教授的。获得医疗信息的能力和就医疗方面进行交流的意愿似乎随着更多的专业经验而提高;然而，他们也从干预中受益。
Objective: We investigated whether patient-centered communication skills can be taught to residents in Internal Medicine by using a time-limited behaviorally oriented intervention. Method: Residents working at the Department of Internal Medicine were randomly assigned to an intervention group (IG; N = 19) or a control group (CG; N = 23). In addition to 6 hours of standard medical education per week, the IG received specific communication training of 22.5 hours duration within a 6-month period. Initially and 10 months later, participants performed interviews with simulated patients. Interviews were rated by blinded raters who used the Maastricht History and Advice Checklist-Revised. Results: Compared with the CG, the IG improved substantially in many specific communication skills. Both groups improved in the "amount of medical information identified" and in the ability to "communicate about feasibility of treatment." Conclusion: Patient-centered communication skills such as those presented in this intervention study can be taught. The ability to gain medical information and the readiness to communicate about aspects of medical treatment seem to improve with more professional experience; however, they also profit from the intervention.