儿科医护人员医学叙事能力影响因素及与心理弹性的相关性分析
Factors influencing medical narrative competence and its correlation with psychological resilience in pediatric staff
周雪莲 1黄轲 1林胡 1张黎 1邬兆元 1孟源源 1吴蔚 1董关萍 1贾俊君 2傅君芬1
作者信息
- 1. 浙江大学医学院附属儿童医院内分泌科,国家儿童健康与疾病临床医学研究中心,杭州 310052
- 2. 浙江大学医学院附属第一医院肝胆胰外科,杭州 310003
- 折叠
摘要
目的 调查儿科临床医护人员的医学叙事能力,分析其影响因素及与心理弹性的相关性,并探讨提高叙事能力的应对策略.方法 通过便利抽样方法,于2022年1月11日至2月25日期间,对浙江大学医学院附属儿童医院及在该院进修的儿科医护人员进行一般资料、医学叙事能力量表、心理弹性量表问卷调查.利用SPSS 26.0软件分析比较不同群体叙事能力差异,利用Pearson相关性及多元回归分析探究叙事能力的影响因素.结果 本研究共纳入361份有效问卷,不同年龄、职称、工作年限、收入水平及是否书写平行病历的医护之间叙事能力得分差异具有统计学意义(P<0.05).儿科医护人员医学叙事能力总分为(147.13±18.76)分,与心理弹性总分及各维度得分均呈显著正相关(P≤0.001).多因素回归分析显示,书写平行病历、心理弹性可解释医学叙事能力53.10%的变异水平(P<0.001).结论 儿科医护人员的医学叙事能力处于中等偏下水平,通过平行病历书写、心理弹性训练提升医学叙事能力,可促进医患和谐.
Abstract
Objective To investigate the medical narrative competence of pediatric staff,and analyze its influencing factors and correlation with psychological resilience,and to discuss strategies to improve narrative competence.Methods From January 11 to February 25,2022,by convenience sampling,we sampled pediatric personnel and those on refresher training at Children's Hospital,Zhejiang University School of Medicine for a questionnaire survey involving general information,the narrative competence scale,and the 14-item resilience scale.With the use of SPSS 26.0,the narrative competence of different populations was compared,and factors affecting narrative competence were determined through Pearson correlation analysis and multiple regression analysis.Results A total of 361 valid questionnaires were included in this study,and there was significant differences in the narrative competence score between different ages,professional titles,working years,income levels,and whether they wrote parallel charts(P<0.05).The total score of narrative competence of pediatric staffs was(147.13±18.76),and positively correlated with the total resilience score and the score of each dimension(P≤0.001).The regression analysis showed that writing parallel charts and resilience could explain 53.10%of the variation in narrative competence(P<0.001).Conclusions Pediatric staff's narrative competence is at low or intermediate levels.Parallel chart writing and resilience training can improve narrative competence and promote a harmonious doctor-patient relationship.
关键词
医学叙事能力/心理弹性/医学人文/儿科/医护Key words
Medical narrative competence/Resilience/Medical humanity/Pediatrics/Medical staff引用本文复制引用
基金项目
浙江省研究生教育学会课题(Y202146219)
浙江大学研究生教育研究课题(20220317)
浙江省教育科学规划一般规划课题(2023SCG250)
出版年
2024
NETL
NSTL
万方数据