[摘要] 目的 探讨多元三阶段教学模式对呼吸老年病科护患沟通教学中的实施效果。方法 采集该院2018年1月—2019年1月呼吸老年病科护理实习生及患者分别分为参照组和研究组，统计两组实习生考试成绩、护患沟通能力及患者对实习生总体评价情况。结果 研究组自身学习兴趣、沟通合作能力、自主学习能力等考试成绩均高于参照组，差异有统计学意义（P<0.05）;研究组准备、采集资料、信息给予及理解患者护患沟通评分优于参照组，差异有统计学意义（P<0.05）;研究组往询问病史、病情告知与解释、语言及非语言的运用、理解与同情、检查单沟通及满意度评价较参照组更胜一筹，差异有统计学意义（P<0.05）。结论 多元三阶段教学模式能够提高呼吸老年病科护理实习生护患沟通能力，可作为首选的护理教学模式。

[关键词] 多元三阶段教学;呼吸老年病科;护患沟通;价值

[中图分类号] R47 [文献标识码] A [文章编号] 1672-5654（2020）07（b）-0170-03

Evaluate the Application Effect of Multiple Three-stage Teaching Mode in the Nursing-patient Communication Teaching of Respiratory and Geriatrics Department

GUAN Jing

Affiliated Hospital of Jilin Medical College， Jilin， Jilin Province， 132011 China

[Abstract] Objective To explore the effect of the multiple three-stage teaching model on the nurse-patient communication teaching in the Department of Respiratory and Geriatrics. Methods Collecting nursing interns and patients in the Department of Respiratory and Geriatrics from January 2018 to January 2019 in the hospital were divided into a reference group and a research group， and the test scores， nurse-patient communication skills of the two groups of interns， and the overall patient-to-intern evaluation of the situation. Results The test scores of the study group's own learning interest， communication and cooperation ability， and autonomous learning ability were all higher than those of the reference group， the difference was statistically significant（P<0.05）; the study group's scores on preparation， collection of data， information giving and understanding of patient-patient communication were better than the reference group， the difference was statistically significant（P<0.05）; the research group was better than the reference group in asking for medical history， disease notification and explanation， language and non-verbal use， understanding and sympathy， communication with checklists， and satisfaction evaluation， the difference was statistically significant（P<0.05）. Conclusion The multiple three-stage teaching model can improve the communication ability of nurse-patients of respiratory and geriatric nursing interns， and can be used as the preferred nursing teaching model.

[Key words] Multiple three-stage teaching; Respiratory and geriatrics; Nurse-patient communication; Value

現如今，我国社会改革及发展处于非常时期，促使社会矛盾日益突出，医院医疗纠纷事件也随之增加，尤其是呼吸老年病科每年发生医疗纠纷的发生率最高，这与科室本身存在的特殊性有关，加上患者年龄相对较大，若与患者沟通不当或不够时，极易影响护理质量及医院名誉。因此，良好的沟通和交流，不仅体现出护理服务质量的好坏，同时也是确保呼吸内科老年患者预后康复的关键。全力开展实习生护患沟通教育培训，提高人才培养，由必要实施一种具有专业化、系统化及创新化为一体的教学模式，可对呼吸老年病科教学活动起到重要作用[1]。该文对2018年1月—2019年1月间该院呼吸老年病科62名实习生分别实施传统教学模式、多元化三阶段教学模式后的应用价值进行深入研究，现报道如下。

1  资料与方法

1.1  一般资料

对该院呼吸老年病科护理人员、患者划分为参照组和研究组，参照组实习生年龄20～24岁，平均年龄（21.23±0.81）岁;中专学历：6名、大专以上学历25名;男性患者30例，女性患者23例，年龄62～78岁，平均年龄（70.25±1.32）岁。……