目的

调查北京协和医院超声医学科医务人员的人文素养及医患沟通情况，发掘人文素养教育提升医患沟通的能力。

方法

2023 年6 月采用问卷星在线问卷调查形式，获得北京协和医院超声医学科医务人员人文素养得分与医患沟通自信心和沟通能力自评得分，应用t 检验和方差分析计算人文素养得分的组间差异及医患沟通自信心和沟通能力自评得分的不同人员类别、不同学历、不同职称等的组间差异，了解医务人员的人文素养及医患沟通情况。采用Spearman 相关分析医患沟通自信心和沟通能力自评得分与人文素养得分、学历、职称的相关性。

结果

共获得92 份有效问卷。55.4%（51/92）的医务人员曾经获得过医患沟通方面的正向经历，12.0%（11/92）的医务人员曾经遇到负面经历。人文素养得分：医师高于医辅人员［（10.0±1.2）分 vs （8.5±1.8）分］；博士研究生学历医务人员高于硕士、本科与专科及以下学历者［（10.3±1.1）分 vs （9.8±1.2）分 vs （9.0±1.7）分 vs （8.5±1.7）分］；高级职称医务人员高于中级、初级者［（11.0±1.0）分 vs （10.2±1.1）分 vs （9.8±1.2）分］；未经历过医患沟通负面事件医务人员高于经历过者的得分［（9.8±1.3）分 vs（9.2±1.3）分］，差异均具有统计学意义（t=4.459，P=0.001；F=6.117，P=0.001；F=4.904，P=0.010；t=-2.173，P=0.032）。医患沟通自信心和沟通能力自评得分：博士研究生学历医务人员高于硕士、本科与专科及以下学历者［（8.0±1.1）分 vs （7.2±1.2）分 vs （7.1±1.2）分 vs （7.1±1.2）分］；高级职称医务人员高于中、初级职称者［（8.4±1.2）分 vs （7.4±1.0）分 vs （7.3±1.2）分］，差异均具有统计学意义（F=3.796，P=0.013；F=3.607，P=0.031）。医患沟通自信心和沟通能力自评得分与人文素养得分（r=0.441，P ＜0.001）、学历（r=0.300，P=0.004）、职称（r=0.266，P=0.044）呈正相关。

结论

医患沟通教育对超声科医务人员非常重要，通过提高医学人文素养和协和精神传承，有助于提高医务人员医患沟通能力。

Objective

To investigate the status of humanistic literacy and doctor-patient communication in the Ultrasound Department of Peking Union Medical College Hospital， and explore the potential of humanistic literacy education to enhance doctor-patient communication competence.

Methods

In June 2023， an online questionnaire survey was conducted to obtain the scores of humanistic literacy and the self-evaluation scores of doctor-patient communication confidence and communication ability among the medical staff in the Ultrasound Department of Peking Union Medical College Hospital.The t-test and analysis of variance were used to calculate intergroup differences in humanistic literacy scores and in self-evaluation scores of doctor-patient communication confidence and communication ability， to investigate the current status of humanistic literacy and doctor-patient communication among the medical staff.

Results

A total of 92 valid questionnaires were obtained. About 55.4% of medical staff had positive experiences in doctor-patient communication， and 12.0% had experienced negative events. Doctors scored higher on humanistic literacy than medical assistants （10.0±1.2 vs 8.5±1.8， t=4.459， P=0.001）. Medical personnel with a doctoral degree scored higher in humanistic literacy than those with a master， undergraduate，or associate degree or below （10.3±1.1 vs 9.8±1.2 vs 9.0±1.7 vs 8.5±1.7， F=6.117， P=0.001）. The scores of humanistic literacy were higher in medical personnel with senior professional titles than in those with intermediate and junior titles （11.0±1.0 vs 10.2±1.1 vs 9.8±1.2， F=4.904， P=0.010）. Medical personnel who had not experienced negative events in doctor-patient communication had higher humanistic literacy scores than those who had experienced （9.8±1.3 vs 9.2±1.3， t=-2.173， P=0.032）. The self-evaluation scores of doctor-patient communication confidence and communication ability of medical personnel with a doctoral degree were higher than those with a master， undergraduate， or associate degree or below （8.0±1.1 vs 7.2±1.2 vs 7.1±1.2 vs 7.1±1.2， F=3.796， P=0.013）. The self-evaluation scores of doctor-patient communication confidence and communication ability were higher in medical personnel with senior professional titles than in those with intermediate and junior professional titles （8.4±1.2 vs 7.4±1.0 vs 7.3±1.2， F=3.607， P=0.031）.The self-evaluation scores of doctor-patient communication confidence and communication ability were positively correlated with the scores of humanistic literacy （r=0.441， P＜0.001）， educational background（r=0.300， P=0.004）， and professional title （r=0.266， P=0.044）.

Conclusion

Doctor-patient communication education is very important for medical personnel in ultrasound department. Improving medical humanistic literacy and inheriting the spirit of harmony may help improve the doctor-patient communication competence among medical personnel.