医学生的医患沟通技能教育现状调查

目的：了解综合性大学医学生医患沟通教育中，学生的学习态度及医患沟通技能的自我评价现状。方法利用国内外已发表的《医学生沟通技能态度量表》（CSAS）及《医学生医患沟通行为量表（自评）》对某综合性大学的127名医学生进行问卷调查。结果127名学生完成CSAS后其积极态度分量表平均得分为51．43分，消极态度分量表平均得分为32．94分。调查前、后比较，差异有统计学意义（ P＝0．000），而男女、不同学制之间比较差异无统计学意义（ P＞0．05）。95．28％学生同意或完全同意“学习医患沟通技能与学习临床技能同样重要”。127名学生完成《医学生医患沟通行为量表（自评）》，总分150分，127名学生的平均自评得分为104．93分，男生得分高于女生（ P＝0．008）。五年制及八年制学生各项得分比较差异均无统计学意义（ P＞0．05）。结论医学生对医患沟通学习持积极态度，绝大多数学生认为“学习医患沟通技能与学习临床技能同样重要”，且对沟通技能自评不高，医患沟通技能教育亟待加强。

Survey on the doctor-patient communication education of medical student

Objective To explore the Chinese medical students′attitudes towards communication skills learning .And their communication skills are assessed by themselves in this study .Methods The cross-sectional survey of 127 undergraduates was completed in Sichuan University .Students were evaluated using Communication Skills Attitude Scale(CSAS) and Scale of medical student′s doctor-patient communication behavior which had been published at home or abroad .Results The mean PAS score of 127 students was 51 .43 ,which was 18 .50 points higher statistically significant than the mean NAS score 32 .94 .And there were no difference between undergraduates and eight-year medical students ,also between female and male .95 .28% students agree that“learning the doctor-patient communication skills and learning clinical skills are equally important” .Concerning Scale of medical student′s doctor-patient communication behavior ,the mean score for 127 students was 104 .93(total score is 150) .The mean scores for male was higher than male(P=0 .008) ,but the mean score for undergraduates and eight-year students had no statistic differ-ences .Conclusion Medical students have positive attitudes towards communication skills and have low self-assessments ,and we should enhance the communication skills training .