НАВИЧКИ КЛІНІЧНОГО СПІЛКУВАННЯ У ПРОФЕСІЙНІЙ ДІЯЛЬНОСТІ ЛІКАРЯ

Вячеслав Миколайович Ждан, Людмила Миколаївна Шилкіна, Олена Миколаївна Бєляєва
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Abstract

The article considers some aspects of clinical communication between a doctor and a patient. The doctor’s profession inherently faces an indispensable requirement to possess a high level of communicative competence, because whatever the development of medical science and technology, the real help to patients is provided by a doctor. In this regard, various aspects of communication between doctors and patients are constantly in the focus of interest in natural and humanitarian spheres of research, as evidenced by numerous scientific studies of domestic and foreign scientists. The research is interdisciplinary and covers a range of issues related to medical psychology and medical pedagogy, medical ethics and deontology, sociology and sociolinguistics. The authors emphasize that in a patient-centered approach, the skills of clinical communication belong to basic clinical abilities, which minimize factors that can negatively affect the doctor’s success, promoting patient satisfaction with medical care and improving their psycho-emotional state, patient compliance, increasing the effectiveness of diagnosis, treatment, disease prevention, and palliative care. It is observed that the skills of clinical communication are complex and are manifested by the ability to choose appropriate tactics of communication with patients and their relatives, to create a trusting atmosphere and a comfortable psychological environment for the patient; possession of nonverbal and paraverbal components of communication; the ability to conduct educational work with the patient to maintain a healthy lifestyle and give up bad habits; the ability to maintain and encourage patient’s autonomy, prove information about possible complications; persuade the patient to comply; the ability to avoid conflicts or act adequately in a conflict situation with patients. The conclusions state that the skills of clinical communication should be formed from the first steps at a medical university, consolidating them during the entire period of study at the undergraduate and postgraduate stages, as well as refining them in the future through non-formal and informal education.
制药专业
本文考虑了医患之间临床沟通的一些方面。医生这个职业天生就面临着一个不可缺少的要求,那就是具备高水平的交际能力,因为无论医学科技如何发展,对病人的真正帮助都是由医生提供的。在这方面,医患交流的各个方面一直是自然和人道主义研究领域关注的焦点,国内外科学家的大量科学研究证明了这一点。该研究是跨学科的,涵盖了一系列与医学心理学和医学教育学、医学伦理学和义务论、社会学和社会语言学相关的问题。作者强调,在以患者为中心的方法中,临床沟通技能属于临床基本能力,可以最大限度地减少影响医生成功的因素,提高患者对医疗服务的满意度,改善患者的心理情绪状态,患者的依从性,提高诊断、治疗、疾病预防和姑息治疗的有效性。临床沟通技巧是复杂的,表现在与患者及其家属选择适当的沟通策略,为患者创造信任的氛围和舒适的心理环境的能力;拥有交际的非语言和非语言成分;有能力对患者进行教育工作,以保持健康的生活方式,放弃不良习惯;维持和鼓励患者自主的能力,证明有关可能并发症的信息;说服病人服从;避免冲突或在与患者发生冲突的情况下采取适当行动的能力。结论指出,临床沟通技能应从医科大学的第一步开始形成,在本科和研究生阶段的整个学习期间加以巩固,并在未来通过非正规和非正式教育加以完善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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