林梅寧 林藝紅

【摘要】 目的：探析門診導(dǎo)診護(hù)理工作中加強(qiáng)醫(yī)患溝通的臨床意義。方法：選取2019年1-6月筆者所在醫(yī)院門診導(dǎo)診的180例患者，依據(jù)抽簽法分為對(duì)照組（n=90）與試驗(yàn)組（n=90），對(duì)照組給予常規(guī)護(hù)理，試驗(yàn)組在對(duì)照組基礎(chǔ)上加強(qiáng)醫(yī)患溝通。對(duì)兩組干預(yù)前后心理狀態(tài)、投訴率及滿意度進(jìn)行比較。結(jié)果：兩組干預(yù)前焦慮、抑郁評(píng)分對(duì)比，差異均無統(tǒng)計(jì)學(xué)意義（P>0.05）;試驗(yàn)組干預(yù)后焦慮、抑郁評(píng)分均顯著低于對(duì)照組（P<0.05）。試驗(yàn)組投訴率為2.22%，低于對(duì)照組的11.11%（P<0.05）。試驗(yàn)組滿意度為97.78%，高于對(duì)照組的85.56%（P<0.05）。結(jié)論：門診導(dǎo)診護(hù)理工作中加強(qiáng)醫(yī)患溝通的效果顯著，能夠進(jìn)一步改善患者心理狀態(tài)，減少投訴，提高滿意度，值得臨床推廣應(yīng)用。

【關(guān)鍵詞】 門診導(dǎo)診 護(hù)理工作 醫(yī)患溝通 心理狀態(tài) 投訴率

doi：10.14033/j.cnki.cfmr.2020.10.026 文獻(xiàn)標(biāo)識(shí)碼 B 文章編號(hào) 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(yī)院的門面，是醫(yī)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(hù)理質(zhì)量與醫(yī)院整體工作質(zhì)量有著直接關(guān)系[1]。在現(xiàn)代社會(huì)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(fā)揮著十分重要的作用。因此，在門診導(dǎo)診護(hù)理工作中加強(qiáng)醫(yī)患溝通不僅可以增強(qiáng)患者就醫(yī)信心，還可以增強(qiáng)患者及家屬對(duì)醫(yī)護(hù)人員的信任感，樹立良好的醫(yī)患關(guān)系。基于此，本文對(duì)2019年1-6月筆者所在醫(yī)院門診導(dǎo)診的180例患者進(jìn)行分組研究，進(jìn)一步探討醫(yī)患溝通的臨床意義，總結(jié)如下。