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| 中文摘要: |
| 目的 探讨迷你临床演练评估（mini-clinical evaluation exercise，Mini-CEX）在神经内科临床实习生医患沟通能力培养中的应用效果。方法 对2016年1月至2017年6月在陆军军医大学第三附属医院神经内科实习的60名临床实习生，在入科时进行医患沟通障碍问卷调查，分析沟通障碍发生的主要原因，通过Mini-CEX教学有针对性地进行沟通能力培训，并评价其应用效果。采用SPSS 23.0进行t检验和卡方检验。结果 培训结束时（1个月后）临床实习生在主动参与医患沟通次数、病史采集完整度、体格检查技能、患者满意度的中位数及合格率均高于培训前（P＜0.05），带教教师及临床实习生对Mini-CEX的满意度高达95%以上。结论 通过Mini-CEX有针对性进行沟通能力培训，能提高神经内科临床实习医生医患沟通能力，兼具教学功能，值得在实习生带教中进行推广。 |
| 英文摘要: |
| Objective To investigate the application effect of Mini-Clinical Evaluation Exercise (Mini-CEX) in the training of patient-doctor communication ability of interns in department of neurology. Methods A total of 60 clinical interns who received practice teaching in Department of Neurology in The Third Affiliated Hospital of Army Medical University from January 2016 to June 2017 were selected, and a questionnaire survey on the communication barriers between patients and doctors was performed on admission to analyze the main causes of these barriers. The Mini-CEX was used for communication ability training of interns, and its application effect was evaluated. Results At the end of training (one month later), the number of patient-doctor communication, completeness of medical history collection, physical examination kills and the median and pass rate of patient satisfaction of interns were significantly improved, as compared with before (P<0.05), and the degree of satisfaction with Mini-CEX reached above 95% among the teachers and clinical interns. Conclusion Mini-CEX for communication ability training can improve the patient-doctor communication ability of interns in department of neurology. Mini-CEX also has a certain teaching effect and thus holds promise for application in practice teaching. |
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