The so-called doctor-patient refers to medical personnel, including doctors, nurses, medical technicians, medical administrative and logistics personnel, and patients (including patients themselves, their relatives, guardians, unit organizations, etc.), and doctor-patient communication is an important part of the entire medical process. Strengthening doctor-patient communication can increase patients' trust in medical personnel and hospitals, increase information exchange and mutual understanding between doctors and patients, enhance patients' confidence in overcoming diseases, obtain patients' maximum close cooperation, and resolve many medical disputes or eliminate medical disputes in their infancy. Different patients have different social backgrounds and psychological characteristics, and there are diverse differences in their understanding of medical activities and needs for medical services. It is these differences that affect communication between doctors and patients. Communication between doctors and patients in psychiatric hospitals is more important. Through practice, I have shared the following experiences on communication skills between doctors and patients.
One is the communication skills with psychiatric patients, using different communication methods at different stages of treatment. Newly admitted patients are unfamiliar with the surrounding environment, psychologically fragile, and exhibit tension, fear, anxiety, and unease. Therefore, nursing staff should actively communicate with patients, understand their interests, hobbies, lifestyle habits, etc., and provide care and attention to patients from multiple aspects. Guide patients to comply with treatment and achieve the goal of accepting hospitalization. During the hospitalization and treatment of patients, attention should be paid to the attitude, style, tone, and intonation of conversation, creating a harmonious atmosphere, stimulating patients' desire to talk, and timely understanding of patients' treatment status. Avoid using "interrogation style" questions and simple, stiff, and rude language, and make sure that patients feel respected, cared for, and taken care of by the hospital. For patients in the recovery period, we should provide them with a reasonable and effective rehabilitation plan, strive to eliminate pessimistic psychology, and gradually establish their confidence in returning to society and family. You can also find topics to communicate with. Patients may have many unfounded thoughts due to their illness, which are often unrealistic. When communicating with patients, you should find a topic that the patient is interested in. You can find a topic from some details of the patient's life, find a breakthrough, and communicate with the patient to enrich the topic, so that the patient can express their own thoughts and situation. Nursing staff should constantly control the shift of the topic and understand their situation more, so as to make the communication more detailed. When communicating with patients, attention should be paid to promoting patients' self disclosure to enhance their insight into their own problems, feelings, and behaviors, and to facilitate nurses' observation and evaluation of patients' conditions. For patients with poor proactive contact, nurses can use open-ended topics. But when the patient's conversation deviates from the topic, nurses should cleverly shift the conversation. During the communication process, nonverbal communication such as appropriate eye contact, facial expressions, and appropriate physical contact is used to convey the care of nursing staff for patients. For patients with mobility difficulties, gently turning over, changing positions, or helping them get out of bed can make them feel the kindness of nursing staff, stimulate the enthusiasm of patients and nursing staff to transmit information, and achieve more effective communication goals.
The second is to explore the communication skills between doctors and patients in psychiatric psychotherapy. Listen attentively and accurately analyze the emotions and feelings behind the information. When treating patients psychologically, psychiatrists should first pay attention to listening as much as possible and speaking less. For doctors, active listening is an effective way to collect patient information during the initial stage of psychotherapy, in order to discuss and develop personalized psychotherapy plans with patients. In order to avoid and minimize the omission of important information as much as possible, doctors should use open-ended and neutral questioning methods, which can enable patients to express their relevant information and concerns to doctors as much as possible in less stressful communication. Secondly, maintain a neutral attitude and carefully consider whether to give advice. When conducting psychological therapy with patients, doctors should maintain a value neutral attitude as much as possible, avoiding judgment, blame, or interference. They should encourage patients to make their own value judgments and choices, and believe that patients can solve their problems based on their own potential. Another thing is to try to empathize and express unconditional positive attention and understanding. During the treatment process, attention should not be focused on what problems the patient has, how these problems arise, and what techniques are used to cure them. But rather, we should try to establish an ideal counseling relationship, create a special atmosphere of communication, actively communicate, and have the courage to correct patients' unreasonable beliefs and cognition.
The third is to focus on solving the problems that medical staff face in doctor-patient communication. Most patients in psychiatric hospitals are involuntarily hospitalized, and it is common for guardians to fail to fulfill their duties after emergency admission. Especially for patients with mental disabilities, most of them come from economically disadvantaged families and have serious hospitalization arrears. Some medical staff subjectively lack communication awareness, and due to poor communication and inadequate information transmission, disputes outside of medical technology often arise. Enhance the awareness of the importance of communication among medical personnel, cultivate their enthusiasm for learning and using communication skills, and fundamentally improve their communication skills. The emergence of doctor-patient conflicts objectively requires medical personnel to take on more social responsibilities, strengthen doctor-patient communication, build a harmonious doctor-patient relationship, empathize with patients' pain and difficulties, and through effective communication, reshape mutual respect, understanding, trust, and harmonious doctor-patient relationships.