癌症研究英国沟通技能培训模式对瘤学家的有效性:一个随机对照试验
Lesley Fallowfield1, Valerie Jenkins, Vern Farewell
1Cancer Research UK Psychosocial Oncology Group, School of Biological Science, University of Sussex, Brighton BN1 9QG, UK. L.Fallowfield@biols.susx.ac.uk
Lancet (London, England)
|March 7, 2002
概括
一个为期3天的沟通技巧培训课程显著改善了瘤学家的关键患者交互行为. 这凸显了为医生沟通培训提供更多资源的必要性.
科学领域:
- 医学教育 医学教育
- 在瘤学瘤学.
- 沟通技巧培训 培训 沟通技巧培训
背景情况:
- 医生与病人之间的沟通是一个核心技能,往往缺乏足够的培训.
- 这项研究评估了为瘤学家提供为期3天的密集沟通技巧课程.
研究的目的:
- 评估针对瘤学家的沟通技巧培训课程的有效性.
- 为了确定结构化培训是否能改善癌症护理中的关键沟通行为.
主要方法:
- 一个随机对照试验,采用二乘二因子设计,涉及160名英国瘤学家.
- 视频录制的咨询分析了沟通行为,有2407名患者参与.
- 与对照组相比,干预组包括参加课程,书面反或两者兼而有之.
主要成果:
- 参加课程的受访者显著增加了对焦问题 (34%),开放问题 (27%) 和表达同情心 (69%) 的使用率.
- 对患者线索的适当反应提高了38%,而引领性问题的使用减少了24%.
- 仅仅是书面反就显示出有限的有效性证据.
结论:
- 仅靠临床经验并不能解决高级癌症医生面临的沟通挑战.
- 密集的沟通技巧培训课程显然提高了关键的医生与患者的互动技巧.
- 建议增加资源配置,以满足医生的沟通培训需求.
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