門診導診護理工作中醫患溝通意義

林梅寧 林藝紅

【摘要】 目的：探析門診導診護理工作中加強醫患溝通的臨床意義。方法：選取2019年1-6月筆者所在醫院門診導診的180例患者，依據抽簽法分為對照組（n=90）與試驗組（n=90），對照組給予常規護理，試驗組在對照組基礎上加強醫患溝通。對兩組干預前后心理狀態、投訴率及滿意度進行比較。結果：兩組干預前焦慮、抑郁評分對比，差異均無統計學意義（P>0.05）;試驗組干預后焦慮、抑郁評分均顯著低于對照組（P<0.05）。試驗組投訴率為2.22%，低于對照組的11.11%（P<0.05）。試驗組滿意度為97.78%，高于對照組的85.56%（P<0.05）。結論：門診導診護理工作中加強醫患溝通的效果顯著，能夠進一步改善患者心理狀態，減少投訴，提高滿意度，值得臨床推廣應用。

【關鍵詞】 門診導診 護理工作 醫患溝通 心理狀態 投訴率

doi：10.14033/j.cnki.cfmr.2020.10.026 文獻標識碼 B 文章編號 1674-6805（2020）10-00-02

Significance of Doctor-patient Communication in Nursing Work of Outpatient Consultation/LIN Meining， LIN Yihong. //Chinese and Foreign Medical Research， 2020， 18（10）： -65

[Abstract] Objective： To explore the clinical significance of strengthening doctor-patient communication in nursing work of outpatient consultation. Method： A total of 180 patients in the outpatient department of our hospital from January to June 2019 were selected and divided into the control group （n=90） and the experimental group （n=90） according to the drawing method. The control group was given routine nursing. On this basis， the experimental group strengthened doctor-patient communication. The psychological state before and after intervention， complaint rate and satisfaction were compared between the two groups. Result： The scores of anxiety and depression before intervention were compared between the two groups， and the difference was not statistically significant （P>0.05）. The scores of anxiety and depression in the experimental group after intervention were significantly lower than those of the control group （P<0.05）. The complaint rate was 2.22% in the experimental group， which was lower than 11.11% of the control group （P<0.05）. The satisfaction of the experimental group was 97.78%， which was higher than 85.56% of the control group （P<0.05）. Conclusion： The effect of strengthening doctor-patient communication in nursing work of outpatient consultation is significant， which can further improve the patients psychological state， reduce complaints， and improve the satisfaction. It is worthy of clinical application.

[Key words] Outpatient consultation Nursing work Doctor-patient communication Psychological state Complaint rate

First-authors address： Women and Childrens Hospital Affiliated to Xiamen University， Xiamen 361003， China

門診作為醫院的門面，是醫院中非常重要的科室，也是患者來院后最先接觸的科室，其護理質量與醫院整體工作質量有著直接關系[1]。在現代社會中，溝通是人類感情、思想傳遞與反饋的重要途徑，在日常生活與工作中發揮著十分重要的作用。因此，在門診導診護理工作中加強醫患溝通不僅可以增強患者就醫信心，還可以增強患者及家屬對醫護人員的信任感，樹立良好的醫患關系。基于此，本文對2019年1-6月筆者所在醫院門診導診的180例患者進行分組研究，進一步探討醫患溝通的臨床意義，總結如下。