首页|巴林特小组在精神科住院医师规培中的作用及对医患沟通能力、焦虑抑郁及职业倦怠的影响分析

巴林特小组在精神科住院医师规培中的作用及对医患沟通能力、焦虑抑郁及职业倦怠的影响分析

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目的 探究巴林特小组在精神科住院医师规范化培训中的应用效果.方法 回顾性分析2021年9月~2023年12月于新疆医科大学第二附属医院接受常规规范化培训模式的住院医师31例相关资料纳入对照组;回顾性分析同时间乌鲁木齐市第四人民医院精神科住院医师在对照组基础上联合巴林特小组模式干预的住院医师31例相关资料纳入观察组,比较干预前及干预3个月后两组住院医师医患沟通能力(职业道德和交流沟通能力的360度评价量表)、心理状态(焦虑自评量表、抑郁自评量表)、职业倦怠感(职业倦怠量表)变化.结果 干预3个月后,观察组360评分、个人成就感消失维度职业倦怠感评分明显高于对照组(P<0.05);情感衰竭、去人性化倾向维度职业倦怠感评分、心理状态相关评分明显低于对照组(P<0.05).结论 巴林特小组对精神科住院医师规范化培训作用效果良好,能够有效改善精神科住院医师心理状态,提高其医患沟通能力,降低其职业倦怠感,应用效果良好.
Role of Balint group in the standardized training of residents in department of psychiatry and its influence on doctor-patient communication ability,anxiety,depression and job burnout
Objective To explore the application effect of Balint group in the standardized training of residents in department of psychiatry.Methods The related data of 31 residents who received conventional standardized training model in the Second Affiliated Hospital of Xinjiang Medical University from September 2021 to December 2023 were ret-rospectively analyzed and the residents were included in control group.The related data of 31 psychiatric residents in the Fourth People's Hospital of Urumqi who were treated with Balint group model intervention on the basis of the control group were retrospectively analyzed and the residents were enrolled as observation group.The changes of doctor-patient com-munication ability(360-degree rating scale for professional ethics and communication skills),psychological status[Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)],and job burnout(job burnout scale)were compared between the two groups before intervention and after 3 months of intervention.Results After 3 months of intervention,the 360 scores and score of dimension of personal accomplishment disappearance of job burnout scale in observation group were significantly higher than those in control group(P<0.05),while the scores of dimensions of emotional exhaustion and depersonalization tendency of job burnout scale and psychological symptoms-related scores were significantly lower than those in control group(P<0.05).Conclusion Balint group has a good effect on the standardized training of psychiatric residents.It can effectively improve the psychological status of residents in department of psychiatry,enhance the doctor-patient communication ability,and reduce the job burnout,with good application effect.

Balint groupResidentsDoctor-patient communication abilityPsychological statusJob burnout

王芳、张芳、姜荷

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乌鲁木齐市第四人民医院感染管理科(乌鲁木齐,830002)

乌鲁木齐市第四人民医院儿童心理科

巴林特小组 住院医师 医患沟通能力 心理状态 职业倦怠感

乌鲁木齐市卫生健康委科技计划项目

202122

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(5)