人文医学教育:医学生传递坏消息的技巧  

Medical Humanity Education:Teaching Medical Students Skills for Delivering Bad News

作　　者：从志杰[1] 胡良皞[1] 李凌[1] 崔雅菲[1] 冬兰[1] 王志农[1] 

机构地区：[1]第二军医大学附属长海医院外科教研室,上海200433

出　　处：《医学与哲学（A）》2010年第12期61-63,共3页Medicine & Philosophy:Humanistic & Social Medicine Edition

摘　　要：为增强学员传递坏消息的能力。选取五个标准化病人情景案例演练"传递坏消息",并以授课前后问卷评估授课效果。问卷显示,79.6%的学员认为课程有趣,85.7%认为有帮助。授课前后问卷对比显示,对"传递"有策略的比例从50%升至89.6%;对"传递"有信心的比例从31.3%升至73%。由此可见,利用标准化病人进行传递坏消息授课,能显著提升学员的策略和信心。To enhance the ability of delivering bad news for medical student, the course was provided by presenting five standardized patient scenarios practicing bad news delivery. Pre-and post-course questionnaires were administered to deter- mine the effect. The questionnaire showed that 79.6% of the students found the course enjoyable, and 85. 7% of them found it useful. The matched comparing of pre and post-course questionnaires showed that the proportion of students who had a strategy for delivering had risen from 500/00 to 89.6%, and the proportion of students who had confidence in delivery had risen from 31.3% to 73%. A course on bad news delivery with standardized patients can improve students＇ confidence and strategy for delivering.

关 键 词：医学教育 医学生 标准化病人 医患关系 交流技巧 

分 类 号：R-05[医药卫生]