中华口腔医学研究杂志(电子版) ›› 2018, Vol. 12 ›› Issue (04) : 246 -250. doi: 10.3877/cma.j.issn.1674-1366.2018.04.008 × 扫一扫
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口腔医学教育
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Qimei Gong1, Sui Mai1, Jingjing Quan1, Xiaoran Yu1, Min Guo1, Xi Wei1,†()
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龚启梅, 麦穗, 权晶晶, 俞笑冉, 郭敏, 韦曦. 基于Simodent数字化接诊系统的"医患沟通教学"在口腔实验教学的应用分析[J]. 中华口腔医学研究杂志(电子版), 2018, 12(04): 246-250.
Qimei Gong, Sui Mai, Jingjing Quan, Xiaoran Yu, Min Guo, Xi Wei. Analysis of'doctor-patient communication teaching' based on Simodent digital consultation system within oral experiment training and clinical practice[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2018, 12(04): 246-250.
探讨基于Simodent数字化接诊系统的"医患沟通教学"在口腔实验培训及临床实习的教学效果。
在中山大学光华口腔医学院2012级五年制本科生的教学中同时开展医患沟通课堂实验和医患沟通追踪实验。课堂实验由学生在使用Simodent虚拟系统前后模拟演示医患沟通，记录每一名学生的主观评分成绩；追踪实验是调用2012级五年制本科生在牙体牙髓病科临床实习期间的平时成绩，与2011级五年制本科生的平时成绩相比较，分析二者之间在总成绩和医患沟通分项成绩的差异。同时，分析中山大学附属口腔医院牙体牙髓病科近三年的医疗纠纷发生率及"医患沟通教学"问卷调查的结果。检验数据正态分布及方差齐性，再以t检验分别对两个年级实习生成绩及其引起的医疗纠纷数据进行统计学检测，以P<0.05为差异具有统计学意义。
应用Simodent虚拟系统学习后学生医患沟通得分总体提高，差异具有统计学意义。2012级五年制本科生相对于2011级五年制本科生，牙体牙髓病科临床实习中医患沟通得分分别为（85.7 ± 3.5）和（81.4 ± 4.5）分，差异有统计学意义（t= 2.39，P= 0.03）。2017年较于2016与2015年，牙体牙髓病科因实习生医患沟通引起的医疗纠纷数明显降低。调查问卷结果显示，80.8%的学生认为实习接诊过程中"医患沟通"是第一位的；90.4%的学生认为实验室教学中提前开展"医患沟通教育"是十分必要的。
基于Simodent虚拟系统开展的早期"医患沟通教学"可极大的提高学生对医患沟通的重视，从而在临床实习中采取相应的处理措施，进而干预临床医疗纠纷的发生。
To investigate the instructive effects of'doctor-patient communication teaching' based on Simodent digital consultation system within oral experiment training and clinical practice.
Both of the'doctor-patient communication' classroom and tracking experiments were proceeded among the 2012 grade five-year BDS students of Guanghua School of Stomatology, Sun Yat-sen University. For the classroom experiment, each student simulated the'doctor-patient communication' before and after using the Simodent virtual simulation system, and the subjective scores were recorded by two teachers. For the tracking experiment, usual performance scores of the 2012 grade five-year BDS students were investigated during their clinical internship of operative dentistry and endodontics, comparing with those of the 2011 grade five-year BDS students. Differences of the total score and the 'doctor-patient communication' score were analyzed. Meanwhile, the incidence of medical disputes over the past three years, as well as the results of the questionnaire on'doctor-patient communication teaching', were collected and analyzed. The normal distribution of the data and the homogeneity of variance were tested, and then the t test was applied, and the difference was statistically significant by P<0.05.
After the use of the Simodent virtual system, the students′ scores of'doctor-patient communication' were improved, and the differences were statistically significant. The'doctor-patient communication' score of 2011 and 2012 grade students were 85.7 ± 3.5 and 81.4 ± 4.5, the differences were statistically significant (t= 2.39, P= 0.03) . The issue of'doctor-patient communication' was still the main reason of medical disputes. Compared with the previous years of 2016 and 2015, the number of medical disputes caused by interns′ 'doctor-patient communication' decreased significantly in 2017. Results of the questionnaire showed that 80.8% of students considered the 'doctor-patient communication' as the primary and extreme important matter during their internship. 90.4% of students perceived the necessity of 'doctor-patient communication teaching' during the head-simulator laboratory study in advance.
The early 'doctor-patient communication teaching' based on the Simodent virtual system could greatly improve the students′ attention to the communication with patients. The corresponding measures could be adopted in clinical practice in order to interfere the occurrence of medical disputes.