首页|舒缓医学教学培训对神经重症医师共情能力培养的探索与实践

舒缓医学教学培训对神经重症医师共情能力培养的探索与实践

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目的 探索舒缓医学教学培训对神经重症专科住院医师共情能力的影响.方法 选取 2021 年 9 月―2022年 12 月在中日友好医院神经外科神经重症亚专科参加培训的 30 名医师作为研究对象,按照随机数字表法分为试验组和对照组,各 15 名.试验组进行基于舒缓医学课程整合的神经重症医学培训,对照组按照常规神经重症医学内容进行培训.在培训前后采用杰弗逊共情量表(Jefferson scale of physician empathy,JSPE)对 2 组进行评分,评估舒缓医学教学培训对共情能力的影响.同时对试验组在培训结束后的 3、6 和 12 个月进行JSPE评分,观察共情能力的变化.结果 试验组在观点采择,怜悯关怀,换位思考维度的JSPE量表评分分别为(50.00±3.21)分、(38.53±3.02)分和(9.60±1.63)分,均高于培训前的评分[(37.87±3.02)分、(27.60±1.64)分和(7.53±1.68)分],差异有统计学意义(P<0.05).试验组在培训后的随访时间内,JSPE的 3 个维度的评分仍有所提升,但差异无统计学意义(P>0.05).结论 舒缓医学教学培训有助于提高神经重症专科住院医师的共情能力,其影响具有持续稳定性.
Exploration and Practice of the Teaching and Training of Palliative Medicine on the Cultivation of Empathy Ability of Physicians in Neuro-Intensive Care Department
Objective To explore the effect of palliative medicine teaching on the empathic ability of physicians in neurological intensive care department.Methods A total of 30 physicians who participated in the training in the neuro-intensive care sub-specialty of the department of neurosurgery of the China-Japan Friendship Hospital from September 2021 to December 2022 were selected as the study subjects,and divided into the experimental group and the control group by random number table method,with 15 physicians in each group.The experimental group conduct the neuro-intensive care medicine training based on the integration of palliative medicine courses,the control group received conventional neurological intensive medicine training.Before and after the training,the Jefferson scale of physician empathy(JSPE)was applied to assess the impact of palliative medicine teaching on empathy between the two group.At the same time,the JSPE scores were performed at 3,6 and 12 months after the training to observe the changes in empathy ability.Results In the experimental group,the JSPE scores in perspective selection,compassion and empathy were(50.00±3.21)points,(38.53±3.02)points and(9.60±1.63)points,respectively,which were higher than the scores before training[(37.87±3.02)points.(27.60±1.64)points and(7.53±1.68)points],the difference were statistically significant(P<0.05).During the follow-up time after training,the scores of the three dimensions of JSPE in the experimental group were still improved,but the difference were not statistically significant(P>0.05).Conclusion The teaching of palliative medicine can improve the empathic ability of physicians in department of neurological intensive care,and can maintain long-term stability.

palliative medicinemedical educationneurocritical carecurriculum integrationJefferson scale of physician empathyteaching methods

杨文强、张筠婷、左颖、李爱民、王琦、张黎

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中日友好医院神经外科,北京 100029

中日友好医院心脏科,北京 100029

舒缓医学 医学教育 神经重症医学 课程整合 杰弗逊共情量表 教学方法

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(23)