叙事医学教学在全科住院医师规范化培训中的应用  

Application of narrative medicine teaching in the standardized residents training of general practitioner

作　　者：潘云菲[1] 徐寅 高翔 赵费敏[1] PAN Yunfei;XU Yin;GAO Xiang(Department of General Medicine,Huzhou Central Hospital,Huzhou 313003,China)

机构地区：[1]湖州市中心医院全科医学科,浙江湖州313003

出　　处：《全科医学临床与教育》2022年第10期910-912,共3页Clinical Education of General Practice

基　　金：温州医科大学2020年度高等教育教学改革项目(JG2020154)。

摘　　要：目的探讨叙事医学教学在全科住院医师规范化培训中的应用效果。方法选择60名住培医师为研究对象,进行为期8个月的叙事医学教学,采用医护人员叙事能力量表及医务人员杰弗逊共情量表中文版测量住培医师教学前后的叙事能力及共情能力水平,并通过问卷调查评价全科住培医师对叙事医学教学的了解程度及认可程度。结果叙事医学教学后住培医师的叙事能力评分高于教学前,差异有统计学意义(Z=-6.58,P<0.05),共情能力评分高于教学前,差异有统计学意义(t=-13.36,P<0.05)。问卷调查结果显示,大部分(68.33%)住培医师在接受叙事医学教学前对叙事医学及其相关理念了解程度偏低,但接受了叙事医学教学后对其认可程度较高。结论在全科住院医师规范化培训中应用叙事医学教学可以提高全科住培医师的叙事能力及共情能力,认同程度较高。Objective To explore the effect of narrative medicine teaching in the standardized residents training of general practitioner(GP). Methods A total of 60 GP training residents were selected as subjects for eight months of narrative medicine teaching.The narrative ability and empathy ability level of GP training residents before and after the re-search were evaluated using narrative ability scale and the Jefferson scale of empathy for medical staff.The understanding and satisfaction of narrative medicine teaching in GP training residents was evaluated by questionnaire survey. Results After narrative medicine teaching,the narrative ability of GP training residents was significantly higher than that before(Z =-6.58,P<0.05),and the empathy ability was also significantly higher than that before(t=-13.36,P<0.05).The result of questionnaire survey showed that most of GP training residents(68.33%)had a low understanding of narrative medicine and related concepts before research,but had a high approbation of narrative medicine after trainging. Conclusion The application of narrative medicine teaching in the standardized residents training of GP can improve the narrative ability and empathy ability of GP training residents,with high approbation.

关 键 词：叙事医学 全科医师 叙事 共情 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]