Traditional Culture Encyclopedia - Traditional customs - What are the skills of doctor-patient communication?
What are the skills of doctor-patient communication?
What are the skills of doctor-patient communication?
Pay attention to communication skills
As a doctor, you should first put your position right and put down your shelf. Like Sun Simiao, an ancient famous doctor, we should treat patients as relatives, regardless of rank, affinity, attitude, affection, enthusiasm and sympathy, so as to obtain the cooperation of patients. Proper address of patients by medical staff is the beginning of establishing good communication, so as to observe carefully, listen patiently, talk skillfully, encourage enthusiastically and explain carefully. The tone, volume, audio and sound quality in the language are all very important, and the attitude is kind.
Select the communication target and pay attention to the communication effect.
For cancer and dying patients, do not communicate directly with patients, so as not to increase their psychological burden, but communicate with their families. Doctor-patient communication should put communication into action, improve communication efficiency and keep communication going.
Inform the choice of content
Including the whole process of diagnosis and treatment, that is, the patient's examination, treatment, surgery and treatment plan changes, should explain the necessity, purpose and prognosis of each diagnosis and treatment, including possible risks and complications, precautions, adverse reactions and medical expenses that will occur. Eliminate the worries of patients, explain the medical risks, uncertain factors and the division of risks in treatment, and let patients believe that the doctor's notification is not to shirk responsibility, but to share the risks.
Language requirements in the notice
When communicating, try to describe the development or risk of the disease with metaphors or metaphors that patients can understand. For example, the obstruction of sewer is used to compare intestinal obstruction, and the connection part of pipeline is used to compare the weakness of intestinal anastomosis; Rusty water pipes and poor water flow are used to compare cardiovascular and cerebrovascular ischemic diseases. Patients will have perceptual knowledge from life experience, so as to understand that some accidents are not all caused by man, but the result of disease development. When informing in writing, we should pay attention to explaining one by one, use common language (try not to use medical terms), express clearly, do not mislead, and fill it out well to ensure that patients can correctly understand the contents of the informed consent form.
Proper use of nonverbal communication
First of all, the doctor's appearance modification, dressing and manners should be decent, giving the other party a feeling of trust and making the patient feel the respect of the doctor. A smile or a simple gesture can make patients feel warm and close; Dedicated eyes and sincere eyes can double the trust of patients and make patients feel that doctors are really anxious for patients and think about what patients think. Because patients are particularly eager for the care, warmth and consideration of medical staff when they see a doctor, they are extremely concerned and sensitive to the language, expressions, gestures and behaviors of medical staff, and even induce medical disputes. If the doctor is slightly negligent, it may cause misunderstanding.
Good at rejection and clever avoidance
Doctors are not omnipotent, and it is impossible to meet all the requirements of patients. In communication, let the patient know the range of help he (she) can provide, and explain to the patient what is reasonable but not within his/her scope of authority, and indicate who the patient seeks service. We should clearly refuse the unreasonable things of patients and explain the reasons for refusal, but we should pay attention to the tone of speech, and we should not talk nonsense and be emotional, giving people an opportunity in disputes.
In a word, doctor-patient communication is an art, and communication plays an important role in the doctor-patient relationship, which directly affects the diagnosis and treatment of diseases, the recovery of patients' physical and mental health, and the image-building of medical workers. Through communication, we can win the cooperation of patients and the support of their families.
Doctor-patient communication should be the basic norm of hospital management. Today, with the rapid development of medicine, the modern medical model has changed from taking medicine as the center to taking patients as the center, and from the traditional biomedical model to the bio-psychological-social medical model. Doctors should show humanistic care for patients in the whole medical service process. Only in this way can a new harmonious doctor-patient relationship of mutual respect, understanding and trust be established.
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