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叙事医学联合情景模拟教学法在儿科临床见习中的应用

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目的 探讨叙事医学联合情景模拟教学法在儿科临床见习教学中对临床医学见习医师提高医患共情、医患沟通技能及儿科理论掌握程度的效果及可行性.方法 选取中山大学附属第三医院儿科 2022 年 11 月—2023 年5 月接收见习的 71 名中山大学 2019 级临床医学五年制医学生作为研究对象.依据见习批次将见习医生分为研究组 37 名与对照组 34 名.对照组按照儿科见习教学大纲常规进行传统见习.研究组除传统见习外,增加了叙事医学联合情景模拟教学法的内容.见习前后使用量表及闭卷出科考试的形式评估学生的共情水平、医患沟通技能及儿科理论知识掌握程度.结果 见习前,2组学生的共情水平评分比较,差异无统计学意义(P>0.05);见习后,2 组学生共情水平评分均高于见习前;且研究组学生共情水平评分高于对照组,差异有统计学意义(P<0.05).研究组医患沟通技能评分及总分均高于对照组,差异有统计学意义(P<0.05).研究组理论考试成绩为(79.26±8.64)分,高于对照组的(74.21±9.24)分,差异有统计学意义(P<0.05).结论 在临床医学专业儿科见习课程中融入叙事医学联合情景模拟教学法有效、可行,能提高儿科见习质量,对学生的人文素养的培养大有裨益,适合广泛应用于儿科临床教学中.
Application of Narrative Medicine Combined With Scenario Simulation Teaching Mode in Pediatric Clinical Probation
Objective To explore the effect and feasibility of the narrative medicine combined scenario simulation teaching model in pediatric clinical probation for clerks to improve empathy,communication ability,and the degree of pediatric theory mastery.Methods A total of 71 five-year clinical medicine students of grade 2019 of Sun Yat-sen University,who were admitted to the department of pediatrics,the Third Affiliated Hospital of Sun Yat-Sen University from November 2022 to May 2023,were selected as the research objects.The trainee doctors were randomly divided into 37 in the study group and 34 in the control group.The control group received traditional probation according to the pediatric probation teaching outline.In addition to traditional probation,the study group added the content of narrative medicine combined with situational simulation teaching.Evaluated students'empathy level,communication ability,and mastery of pediatric theoretical knowledge using scales and exam before and after probation.Results Before probation,there was no statistical significance in the scores of empathy level between the two groups(P>0.05).After probation,the scores of empathy level of students in both groups were higher than those before probation.The score of empathy level in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).The scores and total scores of doctor-patient communication skills in the study group were higher than those in the control group,and the difference was statistically significant(P<0.05).The theoretical test score of the study group was(79.26±8.64)points,higher than that of the control group(74.21±9.24)points,and the difference was statistically significant(P<0.05).Conclusion The integration of narrative medicine combined with scenario simulation into pediatric probation is effective and feasible,which can significantly improve the quality of pediatric probation and greatly benefit the cultivation of students'humanistic literacy.The new teaching mode is suitable for widespread application in pediatric clinical teaching.

narrative medicinescenario simulation teaching modepediatricsprobationteaching reformhumanistic quality

孔倩、潘莉、罗湘琴、陈惠芹

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中山大学附属第三医院儿科,广东 广州 510630

叙事医学 情景模拟教学法 儿科 见习 教学改革 人文素养

广东省本科高等学校临床教学基地教学改革项目

2018JD005

2024

中国继续医学教育

中国继续医学教育

影响因子:2.564
ISSN:1674-9308
年,卷(期):2024.16(10)
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