依托叙事医学教育构建医学人文精神研究——基于2145名医务人员的KAP调查报告  

Research on Medical Humanistic Spirit Construction Based on Narrative Medicine Education:Based on KAP Survey Report of 2145 Medical Staff

作　　者：王杉 果彤 孙咏莉[3] 励国 WANG Shan;GUO Tong;SUN Yongli;LI Guo(Beijing Luhe Hospital,Capital Medical University,Beijing 101199,China;The Fifth School of Clinical Medicine,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China;School of Medical Humanities,Capital Medical University,Beijing 100069,China;Department of Emergency,Beijing Fengtai Hospital of Integrated Traditional and Western Medicine,Beijing 100072,China)

机构地区：[1]首都医科大学附属北京潞河医院,北京101199 [2]首都医科大学附属北京天坛医院第五临床医学院,北京100070 [3]首都医科大学医学人文学院,北京100069 [4]北京市丰台中西医结合医院急诊科,北京100072

出　　处：《中国医学伦理学》2022年第12期1376-1384,共9页Chinese Medical Ethics

基　　金：北京市教育委员会社科计划一般项目“叙事医学在医学生临床实习中的应用研究”(SM202110025007);北京市教育科学规划一般项目“医学生平行病历书写能力培养与评估研究”(CEDB2020162)。

摘　　要：目的了解医务人员群体叙事医学教育在中国开展的现状,探索构建新时代医学人文精神实践模式。方法本研究采用横断面研究、方便抽样法,针对国内2145名医务人员对叙事医学的认知、态度和行为情况开展在线问卷调查。结果受访医护人员对于叙事医学相关知识的了解程度处于中等偏下水平;接近70%的医护人员对于学习和运用叙事医学持肯定态度,认同程度较高,但仍有30%的医务人员对平行病历等叙事医学实践持消极态度;医护人员对相关行为的频率较低,对于所设问题评价为行为积极的人数构成比占40%左右,尤其关于叙事医学实践项目评价为行为积极者占30%左右。结论中国叙事医学教育正处于初级阶段,正在面临理论成果的转化实效等诸多考验;叙事医学教育健康可持续发展必须结合国内外医学人文教育实践经验,探讨中国特色叙事方案;叙事医学教育围绕“叙事医学知识、态度、行为”三个环节,紧扣其人文内涵,对丰富创新医学人文教育模式具有重要意义。Objective:To understand the current situation of narrative medical education for medical staff in China,and to explore the construction of the practice mode of medical humanistic spirit in the new era.Methods:The cross-sectional study and convenience sampling method were used to conduct an online questionnaire survey on the knowledge,attitude and behavior of 2,145 medical staff about narrative medicine in China.Results:The knowledge of the surveyed medical staff about narrative medicine was at a lower moderate level.Nearly 70%of the medical staff had a positive attitude toward learning and using narrative medicine,with a high degree of recognition,but 30%of medical staff still had a negative attitude toward narrative medicine practices such as parallel medical records.The frequency of related behaviors among medical staff was low,and the proportion of people who evaluated the questions as positive accounted for about 40%,especially about 30%of the people evaluated as positive in narrative medicine practice projects.Conclusion:Narrative medical education in China is at the primary stage and is facing many tests such as the effectiveness of the transformation of theoretical results.The healthy and sustainable development of narrative medical education must be combined with the practical experience of medical humanities education at home and abroad to explore narrative programs with Chinese characteristics.Narrative medical education focuses on the three links of“narrative medical knowledge,attitude and behavior”and closely links its humanistic connotation,which is of great significance to enrich and innovate the medical humanistic education model.

关 键 词：叙事医学教育 医务人员 知识 行为 态度 医学人文 

分 类 号：R-05[医药卫生]