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目的探讨心脏外科医生术前沟通技能现状。方法应用SEGUE量表分析68位医生的2 151次术前谈话,根据病种、医生学位、医生职称和从业年限分析其沟通技能。结果按照病种分组,沟通得分无差异;按照医生学位分组,学士及在读研究生得分低于硕士及博士医生;按照职称分组,住院医师得分低于其他医生;按照从业年限分组,从业5年以内的医生得分低于其他医生。结论临床沟通技能是一种独立于临床专业知识以外的技能,临床医生沟通技能大多是通过临床实践获得的,而且这种技能在培养过程中,专业水平优秀的医院无明显优势。
Objective To investigate the status of cardiac surgeon preoperative communication skills. Methods The SEGUE scale was used to analyze 2,151 preoperative conversions of 68 doctors, and their communication skills were analyzed based on the type of illness, doctor’s degree, doctor’s job title and length of service. The results were grouped according to disease types, and there was no difference in communication score. According to the doctor’s degree grouping, the scores of bachelor’s and postgraduate students were lower than that of master’s and doctor’s physicians. The doctors’ scores were lower than those of other doctors according to job titles. Doctors scored lower than other doctors. Conclusion Clinical communication skills are a kind of skills independent of clinical professional knowledge. Most of the communicative skills of clinicians are obtained through clinical practice, and there is no obvious advantage in the cultivation of this skill in hospitals with excellent professional standards.