Communication is connotation, accomplishment and art. The effect of trained communication is different from that of untrained communication. When communicating, the doctor's words, manners, demeanor and clothes will affect the effect of communication. Doctors should master two kinds of weapons, one is scalpel, and the other is communication ability. In foreign countries, doctor-patient communication often starts from the early stage of medical education, runs through it, and even continues education after graduation. There is a general lack of education in this field in China, and students often lack this awareness and ability after graduation. Therefore, in clinical work, while paying attention to the improvement of medical technology, we should pay more attention to the cultivation of doctors' communication ability, cooperation ability and affinity with patients.

Strengthening doctor-patient communication requires medical staff to have good communication skills and skills, so as to achieve one skill, two proficiency, three attentions and four avoidance. One skill is to respect each other and listen to each other patiently when communicating with patients or their families. Listen to the patients or their families to say a few words, let them vent and talk as much as possible, and explain the patient's condition as accurately as possible. Two mastery, that is, mastering the condition, examination results and treatment; To master the medical expenses of patients and the social and psychological status of patients and their families. Three notes: First, pay attention to the cultural level, emotional state and feelings of the communication object; The second is to pay attention to the cognitive degree of the communication object to the disease and the expectation of communication; Third, pay attention to your emotional reaction and learn to control yourself. Four taboos, that is, avoid using tones, intonations and sentences that stimulate the other person's emotions; Avoid suppressing each other's emotions and deliberately change each other's views; Avoid using too many technical words that are difficult for the other party to understand; Avoid forcing the other party to accept the doctor's opinion and facts immediately. Only the joint efforts and friendly participation of both doctors and patients can achieve harmonious communication. According to the actual situation, our hospital adopts effective methods such as ward round communication, preventive communication, written communication, hierarchical communication, centralized communication, indirect communication (communication between relatives and friends, protective communication) and direct communication to strengthen doctor-patient communication.

Ward round communication

When the doctor in charge makes rounds, he will communicate with the patient or his family in time about the condition, initial diagnosis, treatment plan and further examination plan, so that the patient or his family can understand the condition and the treatment plan will be recognized by the patient or his family.

Preventive communication

If patients who may have problems or disputes are found, prevention should be given priority, and they should be taken as the key communication objects to communicate in a targeted manner. During the shift change, the shift change is an important content, so that the next class of medical staff can know fairly well, communicate with them in a targeted manner, and eliminate patients' doubts.

Written communication.

Communicate in writing with patients who need some special examination, treatment and major surgery, patients or their families who do not cooperate or understand medical behavior, or some special patients (such as language barriers).

Grade communication.

When a junior doctor refuses to explain a disease on a regular basis, he should first ask the superior doctor for instructions or communicate with the patient. Communication between superior doctors and patients can often achieve twice the result with half the effort. When the responsible physician has difficulty communicating with the patient or his family members or the family members of the patient are emotional, the communicator should be changed. That is, communicate with other medical staff or superior doctors and department directors.

Concentrate on communication.

When the diagnosis is unknown or the condition is aggravated, doctors, doctors and nurses should discuss it collectively before communication, and the family members should be explained by the doctor at the next higher level after unified understanding. Special major events (special patients, sudden mass casualties, accidents, etc.). ) should report to the relevant departments in a timely manner, and communicate with doctors, nurses, experts and hospital leaders after collective discussion when necessary. Avoid the distrust and doubts of patients and their families caused by disagreement. In case of emergency, the doctor with the highest professional title is present to communicate.

Direct communication.

Communicate directly with the patient when the patient's condition and psychological endurance allow.

Indirect communication

Considering the protection of patients' privacy and protective medical measures, communication can be achieved through protective communication or communication with relatives or clients.