医务人员认为病史在疾病诊断中的重要性

N. S. Sanjeeva Rao, K. Indu
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引用次数: 0

摘要

病史采集是医科学生进行合理诊断的重要工具。临床推理过程有助于全面了解病人的需求,有助于以病人为中心的护理。尽管 43.9%的医学生非常同意诊断是医生的一项重要职能,但只有 18.3%的男性和 10.6%的女性确信仅凭病例记录就能做出正确诊断。总体而言,只有 7.3%的人对病史采集有信心。本研究表明,病史采集和体格检查在诊断中的作用越来越小。与病人的沟通也被认为没有必要。这项描述性研究涉及 164 名医务人员(110 名应届毕业生和 54 名实习生),对他们进行了预先设定的问卷调查。研究结果进行了显著性检验,如 5%显著性水平下的卡方检验。医学本科教育必须确保在沟通、正确病史采集和良好检查技能方面的培训。利用角色扮演开展小组技能研讨会,然后进行有效反馈,是医学院开展可认证培训的途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Importance of case history in disease diagnosis as perceived by medicos
History taking is an important tool available to the medical student to make a reasonable working diagnosis. The process of clinical reasoning helps give a comprehensive view of the patient’s needs and aids in patient centered care. Though 43.9% of the medicos strongly agreed that diagnosis is an important function of a doctor, only 18.3 % of the men and 10.6 % of the women were convinced that a good diagnosis was possible with case taking alone. Overall, only 7.3 % felt confident in taking a good history. The current study shows that history taking and physical examination is taking a lesser role in diagnosis. Communication with the patient is also seen as not necessary. This descriptive study involves 164 medicos (110 final years and 54 interns) who were administered a predetermined questionnaire. Findings were subjected to tests of significance like Chi square at 5% Level of significance.To identify the importance given to history taking in disease diagnosis among medicos. Undergraduate medical education must ensure training in communication, proper history taking and good examination skills. Small-group skills workshops using role-plays followed by effective feedback are ways to certifiable training in medical colleges.
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