医患沟通技巧课件.ppt
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1、This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer.The core components of the system are AT89C51 microcontroller a
2、nd DS18B20 temperature sensor.急诊医患沟通技巧This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer.The core components of th
3、e system are AT89C51 microcontroller and DS18B20 temperature sensor.急诊服务沟通项目培训案例5案例题目:惊恐发作(发作性焦虑)患者沟通案例场景:沈先生,36岁,私企老板。某日独自一人在家,晚11时,突然感到心前区难受,呼吸困难,紧张恐惧,感觉是心脏病发作,自己快成都画室;成都家教This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperatur
4、e measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer.The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.要死了,呼叫120求救。急救医生赶到,即刻心电图检查结果为:大致正常。因患者自我感觉症状严重,强烈要求送入医院急诊。在急诊室进行与心梗相关的检查,结果均正常,未作特殊处理。大约40分钟后,患者
5、症状消失,不肯离开医院,担心“心脏病”再次发作。成都画室;成都家教This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer.The core components of the sys
6、tem are AT89C51 microcontroller and DS18B20 temperature sensor.如何处理?This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomp
7、uter.The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.向患者交待疾病的性质(经过相关的检查,没有生命危险)说服患者转到精神心理科继续治疗(需要、要求)成都画室;成都家教This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and c
8、ontrol by using single bus digital temperature sensor DS18B20 and single chip microcomputer.The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.医生:耐心,自信解释惊恐发作的疾病性质(属于焦虑障碍,是由于神经递质代谢紊乱引起,与心肌梗死有本质区别),对患者感觉到的躯体症状表示理解,建议到心理科或精神科就诊。This paper mainly introduces the
9、design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer.The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.急诊沟
10、通培训项目急诊沟通培训项目医患沟通技巧课程内容医患沟通技巧课程内容 学习目标 医患沟通概论 关键四环节模式的应用 医患沟通六步骤 医患沟通的误区7This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip micr
11、ocomputer.The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.8 学习目标了解当前中国和世界各国的医患沟通问题掌握以病人为中心的策略进行医疗活动掌握“倾听感受需要请求”模式了解怎样回避与病人沟通中常见的问题成都画室;成都家教This paper mainly introduces the design of an intelligent temperature control system which realizes the function of
12、temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer.The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.9 医患沟通概论存在问题吗?日 本1-73患绝症病人想了解自己的预后,-其中90更希望从医生那里直接得到答复-60的医生选择的是向病人家属告诉病情澳大利亚2-癌症已转移的患
13、者中,91的人认为,如果医生讨论病情时显得急燥或焦虑,自己就会“不抱以希望”美 国3-研究表明,参与诊疗的要求常由病人提出,而不是由医生提出建立合作关系的要求1.Miyashita,et al.Palliat Support Care.2006;4:389.2.Hagerty,et al.J Clin Oncol.2005;23:1278.3.Street,et al.Med Care.2005;43:成都画室;成都家教This paper mainly introduces the design of an intelligent temperature control system whi
14、ch realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer.The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.10 医患沟通概论中国有这样的问题吗?中 国1-癌症病人非常需要相关信息和得到精神支持-病人将医生、护士、家庭成员和
15、病友看作自己的支柱-病人需要鼓励、同情、医疗信息和实用的指导2-病人不需要悲观的态度、冷漠和亲属的过度保护2中国家庭医生在进行沟通技能评估3-分数:24%78%-毕业时间越长的医生得分最低1.JE Liu,et al.J Adv Nurs.2005;52:262-270.2.JE Liu,et al.Cancer Nurs.2005;28:348-354.3.CS Chan,et al.Med Educ.2003;37:514-成都画室;成都家教This paper mainly introduces the design of an intelligent temperature contr
16、ol system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer.The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.11 医患沟通概论医患沟通培训有意义吗?沟通问题既重要,也普遍存在1 医生未使病人说出完整
17、的主诉 多数病人并不抱怨医生的能力,而是抱怨医患沟通高质量的医患沟通产生的积极结果1 当病人感到被倾听和理解时,即使问题没得到解决,也能减轻他们的焦虑 病人参与医疗的程度提高可以增进:-满意度 -改善医生工作环境-依从性 -心理压力-治疗结果 -愉快感 -减少纠纷 1.Simpson,et al.BMJ.1991;303:1385-成都画室;成都家教This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperat
18、ure measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer.The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.12 医患沟通概论医患沟通培训有效吗?医生可通过学习显著改善沟通技能1 带示范的演讲 角色扮演 自我剖析录下的诊疗训练 课程前后测验显示,可有60提高分数护士也能通过培训改善沟通技能2 对
19、护理癌症病人的护士强化学习课程 临床单位实习 培训前、培训后1月和6月分别评估1.CS Chan,et al.Med Educ.2003;37:514-526.2.JE Liu,et al.Nurs Res.2007;56:202-209.This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital
20、temperature sensor DS18B20 and single chip microcomputer.The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.13 医患沟通概论医生与病人不同的角度医生想尽快听到病人的病史和主诉得到相关“事实”,以准确地作出诊断确定病人明白家庭护理和服药的医嘱病人依从自己的医嘱病人想要确信医护人员愿意帮助自己了解自己的主要健康问题听到自己疾病的预后知道自己的疾病如何治疗,自己是否可以选择医患对沟通目的理解与要求有偏差Thi
21、s paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer.The core components of the system are AT89C51 microcontroller and
22、DS18B20 temperature sensor.医患沟通概论医患沟通的目标(医患沟通概论医患沟通的目标(1)建立信任建立信任取得患方信任l 仪容仪表整齐l 态度认真负责l 患者呵护备至l 对患者如兄弟鼓励患者战胜疾病l 消除患者紧张情绪l 及时化解敌意态度l 尽早建立信任关系14This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by us
23、ing single bus digital temperature sensor DS18B20 and single chip microcomputer.The core components of the system are AT89C51 microcontroller and DS18B20 temperature sensor.医患沟通概论医患沟通的目标(医患沟通概论医患沟通的目标(2)通报情况通报情况了解病情l 耐心细致的询问病史与查体l 确定需要辅助检查项目告知诊断和治疗的思路l 让病人了解为什么如此诊断l 讲明诊疗的原则和注意事项争取病人和亲属的配合l 讲明病人依从性的重
24、要性l 治病需要信心和耐心l 何时需到医院随诊l 感谢病人的信任成都画室;成都家教This paper mainly introduces the design of an intelligent temperature control system which realizes the function of temperature measurement and control by using single bus digital temperature sensor DS18B20 and single chip microcomputer.The core components of
25、 the system are AT89C51 microcontroller and DS18B20 temperature sensor.医患沟通概论医患沟通的目标(医患沟通概论医患沟通的目标(3)相互理解相互理解 及时进行科普教育l 让病人能够以科学的态度对待疾病l 让病人了解同疾病相比医疗还是相对落后的l 让病人了解其所患疾病的病情及其发病原理l 让病人了解治病需要过程和时间l 让病人了解所选治疗措施有可能失败l 让病人了解医生是人不是神,不可能治愈所有疾病 通报患方你为他所做的一切l 你天天在关心患者的病情变化l 你及时采取了新的诊疗方法l 新的诊疗方法可能的风险和医护人员的努力l
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