医学生医患沟通表现、沟通技巧、沟通意愿与环境感知的关系研究

Zhongming Chen, Mengqi Tang, Haiyi Jia, Lili Zhu, Haihong Cao, Muye Ma, Hui Tan, Wenqiang Yin
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引用次数: 0

摘要

目的:分析医学生沟通能力、沟通意愿、环境感知与医患沟通绩效的关系。方法:在定性访谈和理论研究框架命题的基础上,采用回归分析分析不同变量之间的往复关系,并对相关命题进行验证。结果:医学生医患沟通能力得分为3.49±0.41分。交际倾向为3.62±0.72。环境感知得分为3.46±0.68。交际表现为3.60±0.66。综上所述,城市地区独生子女医学生在医患沟通方面表现更好。沟通能力对绩效和倾向的回归系数分别为0.763和0.660。交际倾向对绩效的回归系数为0.562。环境感知与交际技能交互项对交际倾向和交际表现的回归系数分别为0.430和0.619。结论:沟通技巧对医患关系的沟通表现有正向影响。交际倾向在交际技巧与表现之间起中介作用。环境知觉对技能与倾向、交际技能与绩效的关系有上调作用
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Relationship study on doctor-patient communication performance, communicative skills, willingness and environmental perception of medical students
Objective: Analyze the relationship among medical students’ communication skills, communication willingness, environmental perception and the performance of doctor-patient communication. Methods: Based on the qualitative interview and theoretical research framework proposition, the study adopted regression analysis to analyze the reciprocate relationship among different variables and verified related propositions. Results: The score of medical students’ doctor-patient communicative skills is 3.49±0.41. That of communicative tendency is 3.62±0.72. That of environmental perception is 3.46±0.68. And that of communicative performance is 3.60±0.66. In conclusion, single-child medical students in urban areas perform better in communication between doctors and patients. The regression coefficient of communicative skills to performance and tendency is 0.763 and 0.660 respectively. The regression coefficient of communicative tendency to performance is 0.562. The regression coefficient of interaction item between environment perception and communicative skills to communicative tendency and performance is 0.430 and 0.619 respectively. Conclusions: Communicative skill has a positive effect on communicative performance of doctor-patient relationship. Communicative tendency plays a role of intermediary agent between communicative skill and performance. Environmental perception has an up-regulated effect on the relation between skills and tendency, and that of communicative skills and perfor-
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