CN103544366A - Doctor-patient communication platform for special department (infectious disease department) - Google Patents

Abstract

The invention discloses a doctor-patient communication platform for a special department. By means of the doctor-patient communication platform for the special department and doctor-patient communication software for the special department, the special function of professional communication staff is utilized, doctors and patients can learn clearly about the whole process of a disease of the special department, the problem that doctor-patient communication for the special department and special disease is hard is solved, and doctor-patient communication factors are humanized and detailed. The doctor-patient communication platform for the special department aims to realize harmonious relationship between doctors and patients and avoid vicious medical events.

Description

Doctor patient communication training platform (contagious department)

Technical field

The present invention relates to a kind of doctor patient communication platform and method, especially particularly relate to a kind of contagious department doctor patient communication platform and method.

Background technology

Patent " the medical archive management system of doctor-patient interaction " (application number 201010278613.3), patent " doctors and patients' remote interaction platform and remote interaction method " (application number 200710118577.2) etc., main object is doctor, requirements at the higher level are removed " blocking up " medical care leak, carry out anti-conflict between doctors and patients conflict, easy like this " overflowing "; Doctor patient communication platform and communication method (application number 201110278087.5) main object is patient, emphasis is " dredging " various conflict between doctors and patients conflicts, links up from the heart, chisels doctors and patients' psychology pimple, dissolve various conflicts, accomplished just to have " when the water comes, a channel is formed " effect; And key object of the present invention is patient, solve training disease that calls for specialized treatment doctor patient communication difficulties, hommization and refinement doctor patient communication key element.

Summary of the invention

In order to overcome above-mentioned the deficiencies in the prior art, the invention provides a kind of doctor patient communication training platform.The technical solution adopted in the present invention is: by doctor patient communication training platform and doctor patient communication training software, full-time staff's special role is linked up in performance, allow doctors and patients be familiar with and know training disease overall process, solve training disease that calls for specialized treatment doctor patient communication difficulties, hommization and refinement doctor patient communication key element, reach that harmony is sought medical advice, doctor-patient relationship is harmonious, stop medical malignant event.

The present invention relates to a kind of doctor patient communication training platform and method, its technical characterictic is mainly by doctor patient communication platform (hardware), medical communication system (software) and the full-time personnel component of linking up.Doctor patient communication platform outside hospital, the pacing items such as economy, culture, social relationships that comprises patient, why realize patient seeks medical advice, object is to reach basic communication outside doctors and patients hospital: the basic state of an illness of patient, friends and family know that state of an illness condition, ward mate inform (hospital of ward mate to this disease treatment approval), the pacing itemss such as patient's family, economy, traffic; The local health resources such as family doctor; Comprehensive above-mentioned actual exchanging information, certainly selects the situation of all-level hospitals diagnosis and treatment such as suitable township, community, county, city, province.The doctors and patients of hematology have the common feature of general doctor-patient relationship, but it also has special feature simultaneously, is mainly manifested in the singularity aspect of patient subject, and its part particular content is as described below.

common disease feature---spectrum of disease is wide, and clinical manifestation is various:

Every kind of infectious disease has pathogen, comprise bacterium, virus, fungi, parasite, mycoplasma, Chlamydia etc., and each pathogen includes a plurality of pathogen, as current known Causative virus just has kind more than 400.The caused clinical manifestation of disease that each pathogen causes is different again, if septicemia is that pathogenic bacteria or conditioned pathogen invade growth and breeding in blood circulation, produce toxin and the caused systemic infection of other metabolic products.The clinical acute process that is more, main manifestations is shiver with cold, high heat, toxemic symptoms, and fash, arthralgia, there are migrating venereal disease kitchen range, infectious shock etc. in part.And virus hepatitis can be caused by multiple hepatitis virus, take clinically weak, to receive poor, hepatomegaly, dysfunction of liver be main manifestations, also can there is jaundice in some case.The course of disease can be acute, can be also chronic.For another example snail fever is to be infected containing the epidemic disease water of cercaria by skin contact, and acute stage shows as heating, hepatomegaly and tenderness, diarrhoea or apocenosis bloody stool; Chronic phase, be take hepatosplenomegaly as main; Become master with fibrotic disease around portal vein late period, and can develop into portal hypertension, megalosplenia and ascites.

common disease feature---there is infectiousness:

Infectious disease is by the communicable disease that has producing after cause pathogeny imcrobe infection human body.One of its essential characteristic is exactly to have infectiousness.The approach infecting can be for respiratory tract be as air, the spittle, dust; Also can be by the water, food or the fly process transmission that pollute; Daily life contact also can spread disease as hand, apparatus, toy; In addition, some disease can cause that blood propagates by blood, body fluid and blood product; Some also can be propagated by entomophila, soil.

common disease feature---age span is large:

Baby starts to contact microorganism from coming into the world with a cry, has at any time infected possibility.People in life more or less all by cause pathogeny imcrobe infection mistake, pathogen is eliminated or subclinical infection state for showing as of just having; What have shows as apparent infection or carrier state; What also have shows as latent infection.The infected spectrum of disease of different age brackets is different.As measles, rubella, meningococal meningitis etc. are more common in infant, children; Snail fever, hemorrhagic fever with renal syndrome etc. are more common in person between twenty and fifty.And Hepatitis E is found in children, person between twenty and fifty, be also found in the elderly.If at infantile period hepatitis b virus infection, likely become hepatitis type B virus persistent infection person.

common disease feature---spectrum of disease constantly changes, and some disease there is no active drug and thoroughly effects a radical cure:

Along with the raising for the treatment of level, many infectious diseases have obtained effective control, and the incidence of disease declines greatly, and some even becomes extinct, as smallpox, polio; But some infectious disease still fails to be effectively treated, as chronic hepatitis B, chronic hepatitis C; Even also there is the infectious disease that is difficult to treatment, serious threat life that some are new, as acquired immune deficiency syndrome (AIDS), rabid ox disease; In recent years, some emerging infectious diseases have been there are again, as SARS, people infect highly pathogenic bird flu etc.

Hospital therapy intercourse platform: comprise hospital's marker, various electronic chart screen, various terminal and software, communication full-time staff, realize doctors and patients and link up face-to-face, forgive outpatient service and the doctors and patients, the head that are in hospital and examine the doctors and patients with further consultation; Specifically comprise " hospital department distribution plan ", " medical process flow diagram ”Deng hospital marker, allows patient " go thereunto "; Various electronic chart screens etc. are understood hospital and section office's feature situation; " man-machine conversation " various terminals and training medical treatment communication system, allow patient know how disease " is seen "; " voluntary medical professionals " specially invites in section office, serves one to one patient, human nature service, harmonious communication.

patient's body and mind feature and social factor---melancholy, dejected, anxiety, anxiety:

The infectious victims, especially chronic infectious disease patient, as chronic viral hepatitis patient, because the course of disease is longer, some patient's state of an illness is outbreak repeatedly again, need to repeatedly treat, in addition others usually talks about " chronic hepatitis is difficult to cure ", and therefore, patient is often full of melancholy, feels depressed.Meanwhile, because the healthy prospect to oneself is worried, too pay close attention to the slight change of self health, patient often shows nervously.Although country has put into effect < < employment of government functionaries health check-up universal standard > >, but chronic viral hepatitis patient is still subject to all restrictions on entering a higher school and obtaining employment, if involve again love, marriage and family problem, more can make patient anxiety uneasy, dejected.

patient's body and mind feature and social factor---lonely, feel oneself inferior, self-accusation, compunction:

Chronic viral hepatitis patient often has such ambivalence, has both been afraid of that the disease transmission of oneself is to relatives and friends, be more afraid of that other infectious diseases pass to own and increase the weight of the state of an illness, meanwhile, worry that again others becomes estranged oneself because oneself has infectious disease.Getting along in process with relatives, colleague or friend, some people has the feared state of mind to this class patient, dare not jointly have dinner with them, the article that contact patients is crossed also dare not go to touch, even dare not speak with this class patient, chronic viral hepatitis patient is afraid of cross-infection again each other and is negligent of contact, often be difficult to set up like that " friendship association's meetings of diabetes ", " friendship association's meeting of ephrosis " etc. and mutually encourage to defeat the serious illness to diabetes, ephrosis, tumour patient, so patient not only feels oneself inferior but also lonely.In addition, after patient is ill, especially acquired immune deficiency syndrome (AIDS), has often produced adverse effect more or less to household, friend or unit, or has cured the disease for a long time, has increased the financial burden of family, patient is felt guilty deeply, and feel guilty.

patient's body and mind feature and social factor---seek medical advice everywhere, blindly treatment:

Some infectious disease, as chronic viral hepatitis, acquired immune deficiency syndrome (AIDS), up to the present treatment there is no breakthrough, patient tries to achieve desirable result for the treatment of, often ask about everywhere and have or not folk prescription, secret recipe, in addition, newspaper, magazine, broadcast often have some similar advertisements, patient often spares no high price, and tries.Result is to have spent many unjust moneys, and disease is not but cured, and some state of an illness increase the weight of on the contrary.

patient's body and mind feature and social factor---participation diagnosis and treatment were realized strong, changed voluntarily therapeutic scheme:

Although there is no at present specific treatment for virus hepatitis, types of drugs is more on the market at present.The treatment of chronic viral hepatitis is a process for a long time, repeatedly, repeatedly, in order to obtain the cooperation of patient to disease treatment, and respect fully patient and know the state of an illness, know medical measure, know the related rights such as medical-risk, and the right of selecting therapeutic scheme under the prerequisite of fully understanding the state of an illness, its state of an illness of the patient that doctor often accuses and therapeutic scheme.Yet, some patient, sense of participation is too strong, only according to self limited medical knowledge or relatives and friends, ward mate's introduction, and the advertising of covering the sky and the earth, or the slant of amateur magazine, without doctor, agree to, arbitrarily change therapeutic scheme, consequently affected treatment opportunity adversely, cause aggravation.

Realizing medical new model---biological, psychological, Social Medicine pattern by " centered by patient ", are not " Disease-based learnings "; Performance doctor team spirit, implement hommization medical services: " divide and examine---shunting "; Training Special Nursing in Special Disease doctor; Hospital guide nurse and omni-doctor, tentative diagnosis, minute examines resident, attending doctor does basic inspection, clarifies a diagnosis, formulates therapeutic scheme; Finally obtain the approvals such as brainstrust and traditional Chinese medical science professor; Attending doctor has shunted most of patient, also for expert saves the time that repeats communication, substantially solves the problem of expert's " No. a difficulty is asked ", " sick ugly ", reduces contradiction incidence.

Hospital sets up three Room: " doctor patient communication chamber ", " complaint chamber " and " police office "; Doctor patient communication chamber facility has the equipment such as shooting, recording, by doctors and patients (or patient entrusted agent), is completed separately; Complain chamber to link up personnel by sole duty full-time on duty, take appointment with certificate, the patient's head of a bed of discussing on extensive issues, rationally solves doctor-patient dispute, allows patient satisfaction; Police office is garrisoned by local local police station, safeguards medical institutions' order.

promote the communicate information of correct diagnosis---important medical history project and meaning:

The collection of medical history is the first step of medical diagnosis on disease, and by disease history inquire, doctor should grasp what this medical principal disease of patient is, once passed through which kind for the treatment of, effect how, also has what other diseases, and the existence of other diseases has or not impact etc. to the treatment of principal disease;

(1) epidemiological history: epidemiologic data occupies critical role in the diagnosis of infectious disease, this is the difference place of infectious disease and other diseases.Some infectious disease and patient's age, season, area etc. are closely related.Therefore, should be appreciated that patient is adult or children, the season of morbidity be in the winter time, spring or summer, patient's life location where, before onset, had or not other place, whether locality has infectious disease to occur, and has recently and there is no contacted the infectious victims etc.;

(2) personal history and family history: patient oneself has free from infection medical history, in family, have or not the infectious victims, whether there are infusion blood product, drug abuse, haemodialysis medical history, have and there is no unclean sexual life history, have and there is no unclean dietary history and exodontia, pedicure history, trauma history etc.;

(3) clinical data: fever patient should inquire that onset is anxious or slow; Be short distance heating or long-range heating, in general short distance is generated heat to infect common, the most common virus infections, is secondly that bacterium infects, and long-range low-heat is common in tuberculosis, is secondly focal infection; Which type of pattern of fever, different patterns of fever is pointed out different diseases conventionally, for example: the typical pattern of fever of typhoid fever is continued fever; Abscess heating is remittent fever; It is intermittent fever or relapsing fever that malaria, Brucella infect; Leptospirosis, dengue fever can have double quotidian fever etc.; Adstante febre simultaneous phenomenon, often different diseases is followed different symptoms;

The patient of jaundice, dysfunction of liver should inquire previously and have or not virus hepatitis medical history, has or not and drinks for a long time or short-term heavy drinking history, has or not long-term prescription history etc.; Have not with symptoms such as heating, symptom of digestive tract, pruitus, uncomfortable liver areas; The color of ight soil, urine; The variation of body weight etc.;

Diarrhoea patient answers emphasis inquiry to have or not unclean dietary history, with trencherman, whether falls ill, and onset emergency, diarrhoea number of times, stool proterties (yellow watery stool, mucopurulent bloody stool, jam just, blood watery stool, rice-water stool), has or not stomachache and tenesmus etc.;

(4) social factor: some infectious disease, if the generation of hepatopathy, development and social factor are (as the restriction of enrollment, recruitment, breaking etc. of marital relations) closely related, thereby history-taking should comprise the content of social factor, as family status (kinsfolk, relatives and friends' situation and the spiritual support that can provide patient and economic aid); Daily life (daily schedule, habits and customs, hobby, character trait); Important experience (go to school, work experience, history in love, martial history, know-how); The degree of understanding of patient to disease; Patient is to the present and following life attitudes etc.

promote the communicate information of correct diagnosis---important health check-up project and meaning:

Detailed physical examination is another important step in diagnosis and treatment process.By detailed physical examination, can find the positive sign that some are important, for the diagnosis of disease provides foundation, and can judge process and the prognosis of disease;

Fever patient is except the height of timely observation, record body temperature, outside judgement pattern of fever, when health check-up, to note emphatically the sign of following of adstante febre, as whether with the enlargement of fash, blutpunkte, lymph node, hepatosplenomegaly, stomachache, meningismus, stupor etc., have or not these to follow sign, when there are these signs, often the important clue of medical diagnosis on disease;

During diarrhoeal diseases people's health check-up, should pay close attention to the position of stomachache, as navel week stomachache is often pointed out chordapsus, lower-left stomachache is more common in bacillary dysentery, and right lower abdominal pain amoebic dysentery is common, and cholera Silent Neuritis diarrhoea often.Meanwhile, pay special attention to the discriminating with Surgical Acute Venter Diseases;

Concerning viral hepatitis, note observing skin and have or not liver palms, spider angioma, blutpunkte, the degree of xanthochromia, the size of liver, spleen, quality etc.

promote the communicate information of correct diagnosis---implement important laboratory examination and meaning:

Laboratory examination is great to the diagnostic significance of infectious disease, and detecting with separated cultivation of pathogen can directly be clarified a diagnosis, and the diagnosis that immunologic test can be disease provides important evidence, and general laboratory examination is also very helpful to the early diagnosis of disease;

Common laboratory inspection comprises blood, stool, urine routine and biochemical analysis.The widest with total white blood cells and classification application in routine blood test, can be used for discriminating bacteria and infect and virus infections; Stool for routine contributes to the diagnosis of diarrhoeal diseases; Biochemical analysis is paid close attention to albumen, enzyme, bilirubin metabolism situation and renal function and is changed, and contributes to the medicals diagnosis on disease such as virus hepatitis;

Etiological examination comprises directly detecting of pathogen; From the separated pathogen of cultivating such as blood, urine, ight soil, marrow, cerebrospinal fluid, phlegm, hydrothorax, ascites, that should notice that the collection of sample should be in disease is early stage, and notes the correct preservation of sample and transport; The detection of specific antigen, as HBsAg, HBeAg, produces evidence for hepatitis b virus infected; And by molecular biology method detection specificity nucleic acid, as detected HBV-DNA, HCV-RNA etc.;

The foundation that also can provide pathogen to exist by detection of specific antibody.As anti-HAV, viral hepatitis type E antibody, c-hepatitis antibody, HIV1/2 antibody etc.;

In addition, can also select ultrasonic examination according to the state of an illness, endoscopy, MRI, CT, biopsy etc.;

Need to tell patient and family members thereof, various laboratories test item, is the situation of ipsilateral reflection disease never, during diagnosis, need to comprehensively judge in conjunction with every inspection.Sometimes, even same test item, method is different, and required expense is also different.As two double, there is common ELISA method, can only qualitative detection, the relatively cheap ，Er Yong of price Abbott Laboratories reagent, concrete content that can every kind of antigen/antibody of quantitative measurement, price is just higher comparatively speaking.

promote the communication main points of efficient treatment---inform the degree of risk of patient's state of an illness:

The intensification of conflict between doctors and patients, medical personnel and patient are less in linking up often, and patient and family members thereof are not enough to the risk understanding of disease.Therefore,, in diagnosis and treatment process, respect fully patient's right to know, inform in time patient and family members thereof, the disease that patient suffers from, the degree that the state of an illness has developed, the prognosis of disease, there is which medical measure can select, respectively have what pros and cons, the risk that may exist, allows patient and family members thereof accomplish to know what's what, in order to avoid while encountering problems, because having no to prepare, and cause resentment, blame.

promote the communication main points of efficient treatment---solicit different therapeutic schemes:

The same with other systemic disease, the therapeutic scheme of infectious disease is not unique, sometimes can there is kinds of schemes to select, in this case, doctor should tell patient by the indication of each therapeutic scheme, dosage, the course for the treatment of, Positive and Negative Aspects etc., allows patient select a kind of therapeutic scheme on to the own state of an illness and therapeutic scheme basis fully in the know.As chronic viral hepatitis, can antiviral therapy, also can " protect the liver " treatment, but so-called " protecting the liver " treatment can not suppress copying of virus, tackles the problem at its root.Therefore, generally acknowledged therapeutic scheme, as long as there is indication, does not have contraindication to answer first-selected antiviral therapy at present.Along with the development of medical science, the medicine of antiviral therapy increases more to some extent, and with interferon, existing long-acting interferon, has again common interferon, and the selection of nucleoside analog can have Lamivudine, adefovirdipivoxil and Entecavir.These medicine method of administration are different, the course for the treatment of, each was variant, indication is also slightly variant, the expense for the treatment of from tens yuan to more than 100 yuan of every days not etc., in the face of these therapeutic schemes, patient may be at a loss as to what to do, even if the information obtaining from amateur newpapers and periodicals, ward mate or network is again unilateral sometimes, some even or wrong, therefore doctor at this moment should be from professional angle, correct patient's understanding mistaken ideas, according to patient's the state of an illness, economic ability to bear etc., help that patient works out reasonably, the therapeutic scheme of science.

promote the communication main points of efficient treatment---guiding patient partner treatment:

Infectious disease, particularly chronic viral hepatitis, due to disease self, need long-term observation, treatment, so patient's compliance is very large to curative effect and influence prognosis, must win patient's positive cooperation, to reaching the object for the treatment of;

Obtain patient's cooperation, first will win patient's trust, and should take different modes for different crowds.The patient that levels of culture is higher, the sick later books that tend to browse, the inspection information of even surfing the Net, or exchange with ward mate by network, to every day, differentiation and the adjustment of doctor's advice of the state of an illness are very responsive, in communication, tackling the change of doctor's advice and patient's enquirement makes reasonable dismissal and suitably uses technical term, inform if desired the patient world, the domestic development situation of this type of disease at present, to show doctor's professional grounding in basic skills and the assurance ability to disease, only in this way just can win patient trust, achieve tangible results; And lower to levels of culture, lack the patient of medical science general knowledge, in communication, use less term as far as possible, with easy-to-understand, simple and clear language, exchange with patient, allow patient understand self the state of an illness and treatment measure, with partner treatment;

Secondly, shorten the psychological distance between doctor and patient.Epidemic victim has often been subject to others' discrimination socially, if can not get doctor's understanding and care, will make them more pessimistic again.Therefore, in diagnosis and treatment process, doctor will respect fully and understand patient, fair play patient, want conscious by language (soft, slowly) and communication way non-language (understanding expression in the eyes, smile, expression of understanding, action etc.), the distance between the doctor that furthers, patient, allows patient feel cordiality, warm, can open your heart, the state of an illness and the idea of reflection in time oneself;

Moreover, obtain patient's family and friends's cooperation.For the patient of those pessimisms, melancholy, anxiety, anxiety, should be actively and its relatives and unit contact.Relatives' comfort, show tender care for, the leader of unit, colleague's care, understanding, play a part very positive to patient's treatment.

promote the communication main points of efficient treatment---strengthen health education:

Epidemic victim, what be afraid of most is exactly to infect.Both be afraid of that the disease transmission of oneself, to household, friend, was afraid of that again others' disease is passed to oneself.Therefore, no matter in outpatient service, or ward, health education should be carried throughout.The object of health education, is not only patient, also should comprise patient's relatives and friends.Tell patient disease's route of transmission and Protection Knowledge, how daily life on ordinary days, normally get along with other people.The route of transmission of infectious disease has a variety of, and in society, a lot of people produce the feared state of mind owing to not understanding the circulation way of infectious disease to epidemic victim.The chronic hepatitis B that we are common and chronic hepatitis C are mainly by infused blood and blood product, or infect by unclean injection system, chronic hepatitis B also can infect by mother-to-baby transmission.As for the contact of daily life, only have close contact, as the contact of property contact and various secretion, just likely infect hepatitis virus, general contact as shake hands etc., is generally can not infect hepatitis virus.For another example AIDS is sick, is mainly to invade human body by modes such as blood transfusion or blood product, drug-addict's intravenous injection mode, property contact, mother-to-baby transmissions, and talk, shake hands etc. may do not propagated AIDS virus.After having understood these reasons, just should there be any repulsion and discrimination in society to epidemic victim, and the infectious victims, as a member of society, they should enjoy all legitimate rights and interests that China citizen should enjoy, and also can make their due contribution for society simultaneously.Therefore, going to school, aspect employment, the only requirement in some special specialty or post, otherwise chronic infection patient in stationary phase can go to school and work completely.Equally, also can love and marriage;

Certainly, also to educate epidemic victim and will respect and protect interests of another.Epidemic victim is to be appreciated that, oneself be what can form others' infection under given conditions, therefore, in daily life, should avoid and the daily living article such as others' common table service, toilet article, shaver as far as possible, also will learn to understand the feared state of mind that others exists epidemic victim simultaneously.

promote the communication main points of efficient treatment---strengthen the contact between patient:

Patients during hospitalization, medical personnel are can those moods of conscious arrangement optimistic, to the own state of an illness, have the patient of correct understanding initiatively to exchange with other patients, and helping each other between patient usually can be played the effect that alleviates and eliminate outpatients mental state pressure.After leaving hospital, on the basis of understanding mutually patient, opportunity, when ripe, chronic hepatitis patient can consider to set up " friendship association's meeting of hepatopathy ", allows and can exchange mutually between patient, encourages mutually, and doctor gives regular guidance;

For some epidemic victim, as patient AIDS, due to a variety of causes, sometimes they are unwilling directly in the face of doctor, but have again a lot of problems to need the consulting Xiang doctor, adopt the mode of telephone counseling, both patient's misgivings can be exempted, patient's problem can be solved again;

Along with the development of network technology, network has been deep into the various aspects of people's lives, has set up at present the friendly website of some hepatopathys, more famous in " loyal-hearted " website.The foundation of the network platform, allows patient have a unfettered communication space, has played an effect for support, mutual understanding mutually.Medical practitioner should regularly be browsed these websites consciously, scientifically answers patient's puzzlement, even participates in patient's discussion, and guiding patient correctly, scientifically treats the disease of oneself.Section office with good conditionsi even can set up the website of oneself, the prevention and control knowledge of publicity disease.

Accompanying drawing explanation

fig. 1 is doctor patient communication system diagram.legend: 1---patient; 2---doctor; 3---link up full-time staff; 4---the intercourse platform of waiting to see the doctor; 5---intercourse platform outside hospital; 6---" three Room; " 7---" divide and examine, shunt " system.

Embodiment

Patient's summary: the patient male sex, 25 years old, undergraduate education, Han nationality, certain company clerk is unmarried.

Diagnosis and treatment overview: patient is hepatitis carrier, two double: HbsAg (+), HbeAg (+), anti-HBc (+), in family, mother and a younger brother are also hepatitis carriers, existing girlfriend before being admitted to hospital.Be this time hepatitis B first attack, show as transaminase rising and jaundice, with weak, receive poor.After patient admission, protected the liver, fall the symptomatic treatments such as enzyme, removing jaundice, it is more satisfied that the state of an illness is improved, and the initial stage patient that is in hospital coordinates the treatment of disease very much, and girlfriend also comes to visit everyday, and band is served the food oneself do it yourself and strengthened nutrition to patient.Along with the passing of hospital stays, patient usually look extremely worried, do not think speech, the mother who looks after its life also usually sheds tears, and more loses girl friend's figure.Through understanding, know girl friend and household thereof for fear the state of an illness repeatedly on work and impact and the impact on offspring of quality of life from now on, broken off and its contacts.

Outpatients mental state and performance: while being admitted to hospital, owing to being first attack, patient and family members thereof, girl friend still know few to the situation of chronic hepatitis B, think similar with common cold, fever, after treatment, can be discharged from hospitals upon recovery.After being in hospital, along with increasing with exchanging of doctor, the interchange between ward mate and patient oneself browse relevant books, and patient has had certain understanding to this disease, but very shallow again, therefore feels very panic, thinks that this disease is incurable disease, has endless trouble; In addition, by with the contacting of other ward mates, the treatment of recognizing chronic hepatitis B is a long-term process, both can dally over one's work, and also will increase extra spending, so patient has obvious Anxiety; Especially leaving away of girl friend, patient feels that problem is serious, has a kind of outcast sensation.Therefore, show as depressed, depressedly, partner treatment is not positive yet.

Communication process and effect:

Fear, anxiety state and inferiority complex in view of patient, first manage bed doctor and higher level doctor and nurse, carried out long talk with patient, explain the profound in simple terms to he explain chronic hepatitis B generation, develop and lapse to, although tell him chronic hepatitis B can't be cured at present, existing a lot of medicines can be controlled the development of its state of an illness, as long as periodic review, medication in time, and suitable self health care, completely can equally live, learn, work to a normal person; When making the rounds of the wards at ordinary times, explain the healthy knowledge of hepatitis B in time to him, previously hepatitis patient is successfully treated example, and at present for the therapeutic advance of chronic viral hepatitis, gives up his misgivings, establishes the confidence for the treatment of disease; In addition, also ask optimistic, the accommodating inpatient of some moods, talking them ill is the state of an illness how to treat oneself afterwards, and how to get along with household, friend.By these measures, patient's pimple is in the heart removed gradually, and mood is also optimistic gradually, positive partner treatment, and liver function is normally left hospital soon very much.Afterwards, regularly hospital's check, the state of an illness is basicly stable so far, and work achievement is fine, gets married, child 3 years old.

Link up main points and analysis:

After hepatitis patient is admitted to hospital; first doctor has the process of an interrogation; it by interrogation, is not only the medical history that will collect patient; also to hear patient's idea more simultaneously, hear themselves to the view ，Dui hospital of disease, doctor is had and there is no special requirement; the more important thing is; by of short duration contact, set up the trust of patient to doctor, this trust can produce very positive effect to treatment from now on as far as possible.Patient is that doctor-patient relationship is set up and keeps harmonious important foundation to Doctors ' Occupational authority's trust, in the world may be without any a kind of relation, as patient, to doctor, wish within the shortest time, set up and trust and close relationship with a stranger not acquainted with each other.Aforementioned patient is the hepatitis B patient of a vertical transmission, mother does not have clinical symptoms to occur always, patient oneself is also first attack, oneself to be used as to " Healthy People " to treat before always, after sick, just find the arduousness for the treatment of of chronic, girlfriend is from him, and oneself has also lost confidence to treatment.At this moment, owing to setting up the trust of patient to doctor, doctor is by the medical knowledge of self, and medical experience, mobilizes other inpatients jointly to convince patient by patient analysis.Obtained good effect.

Claims (5)

1. the present invention relates to a kind of doctor patient communication training platform and method, its technical characterictic is mainly by doctor patient communication platform (hardware), medical communication system (software) and the full-time personnel component of linking up.

2. doctor patient communication training platform according to claim 1 and method, its technical characterictic is: doctor patient communication platform outside hospital, the pacing items such as economy, culture, social relationships that comprises patient, why realize patient seeks medical advice, object is to reach basic communication outside doctors and patients hospital: the basic state of an illness of patient, friends and family know that state of an illness condition, ward mate inform (hospital of ward mate to this disease treatment approval), the pacing itemss such as patient's family, economy, traffic; The local health resources such as family doctor; Comprehensive above-mentioned actual exchanging information, certainly selects the situation of all-level hospitals diagnosis and treatment such as suitable township, community, county, city, province.

3. doctor patient communication training platform according to claim 1 and method, its technical characterictic is: hospital waits to see the doctor and controls intercourse platform: comprise hospital's marker, various electronic chart screen, various terminal and software, communication full-time staff, realize doctors and patients and link up face-to-face, forgive outpatient service and the doctors and patients, the head that are in hospital and examine the doctors and patients with further consultation; Specifically comprise " hospital department distribution plan ", " medical process flow diagram ”Deng hospital marker, allows patient " go thereunto "; Various electronic chart screens etc. are understood hospital and section office's feature situation; " man-machine conversation " various terminals and training medical treatment communication system, allow patient know how disease " is seen "; " voluntary medical professionals " specially invites in section office, serves one to one patient, human nature service, harmonious communication.

4. doctor patient communication training platform according to claim 1 and method, its technical characterictic is: realize medical new model---biological, psychology, Social Medicine pattern by " centered by patient ", are not " Disease-based learnings "; Performance doctor team spirit, implement hommization medical services: " divide and examine---shunting "; Training Special Nursing in Special Disease doctor; Hospital guide nurse and omni-doctor, tentative diagnosis, minute examines resident, attending doctor does basic inspection, clarifies a diagnosis, formulates therapeutic scheme; Finally obtain the approvals such as brainstrust and traditional Chinese medical science professor; Attending doctor has shunted most of patient, also for expert saves the time that repeats communication, substantially solves the problem of expert's " No. a difficulty is asked ", " sick ugly ", reduces contradiction incidence.

5. doctor patient communication training platform according to claim 1 and method, its technical characterictic is: hospital sets up three Room: " doctor patient communication chamber ", " complaint chamber " and " police office "; Doctor patient communication chamber facility has the equipment such as shooting, recording, by doctors and patients (or patient entrusted agent), is completed separately; Complain chamber to link up personnel by sole duty full-time on duty, take appointment with certificate, the patient's head of a bed of discussing on extensive issues, rationally solves doctor-patient dispute, allows patient satisfaction; Police office is garrisoned by local local police station, safeguards medical institutions' order.

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