某大学不同专业医学生叙事素养现状及原因分析  

Analysis of the current situation and reasons for narrative literacy among medical students in different majors in a university

作　　者：刘潞 李明今[2] 金贞爱 LIU Lu;LI MingJin;JIN Zhen’ai(Medical College of Yanbian University,Yanji 133000,China;School of Nursing,Yanbian University,Yanji 133000,China;Yanbian University Affiliated Hospital Perinatal Neonatal/Child Family Clinic,Yanji 133000,China)

机构地区：[1]延边大学医学院,吉林延吉133000 [2]延边大学护理学院,吉林延吉133000 [3]延边大学附属医院围产新生儿/儿童家庭门诊,吉林延吉133000

出　　处：《中国医学伦理学》2024年第11期1340-1347,共8页Chinese Medical Ethics

基　　金：延边大学重点教育科学规划项目“社会主义核心价值观导向下培养医学生叙事素养的实践与研究”(2023-2024)。

摘　　要：目的调查某大学不同专业医学生叙事素养现状并分析其原因,为有效开展叙事医学素养培训提供数据。方法采取方便抽样法于2023年1—3月抽取某大学医学院和护理学院学生共1274名,进行一般资料调查表、人际反应指针量表、社会自我效能感量表、人际交往能力评估量表及医学生沟通能力量表的问卷调查。采用SPSS26.0进行统计分析,对医学与护理专业学生在共情能力、社会自我效能感、人际交往能力和医患沟通能力方面是否存在差异及其可能原因进行比较。结果共情能力中,医学专业学生的观点采择维度得分高于护理专业学生;人际交往能力中,医学专业学生的主动交往、适当拒绝、冲突管理与情感支持维度的得分均高于护理专业学生,差异均有统计学意义(P<0.05);医患沟通能力中,医学专业学生态度及服务能力、传递和采集能力、互动与达成共识能力、表达能力、确认信息能力、体会感受与反馈能力维度得分均高于护理专业学生,差异均有统计学意义(P<0.05);社会自我效能感得分中,女性高于男性,差异有统计学意义(P<0.05);人际交往能力得分中,医学专业和第一志愿学生的得分高于护理专业和非第一志愿学生,差异有统计学意义(P<0.05);医患沟通能力得分在性别、民族、专业、是否为第一志愿及籍贯上有统计差异(P<0.05);共情能力、社会自我效能感、人际交往能力及医患沟通能力之间呈正相关(P<0.05)。结论医学专业学生的共情、人际交往、医患沟通能力较护理专业学生高,接受医学人文课程教育与否、生源地、是否独生子女等可能是其影响因素。叙事素养各维度之间呈正相关,且受大学生的性别、专业、是否为第一志愿及籍贯的影响。Objective:To investigate the current situation of narrative literacy among medical students in different majors in a university and analyze its reasons,providing data for effective implementation of narrative medicine literacy training.Methods:Using the convenience sampling method,a total of 1,274 students from the Medicine College and the School of Nursing of a university were selected from January to March 2023.A questionnaire survey was conducted using the General Information Questionnaire,the Interpersonal Reactivity Index,the Social Self-efficacy Scale,the Interpersonal Communication Skills Assessment Scale,and the Communication Skills Assessment for Medical Students.SPSS 26.0 software was used for statistical analysis to compare whether there were differences in empathy ability,social self-efficacy,interpersonal communication skills,and doctorpatient communication skills between medical and nursing students and their possible reasons.Results:In terms of empathy ability,medical students scored higher than nursing students in the perspective-taking dimension.In terms of interpersonal communication skills,medical students scored higher than nursing students in the dimensions of proactive communication,appropriate rejection,conficet management,and emotional support,and the differences were statistically significan(t P<0.05);In terms of doctor-patient communication skills,medical students scored higher than nursing students in terms of attitude and service ability,transmission and collection ability,interaction and consensus reaching ability,expression ability,information confirmation ability,experience and feedback ability,and the differences were statistically significant(P<0.05).With regards to social self-efficacy scores,females scored higher than males,and the difference was statistically significant(P<0.05).Regarding the scores of interpersonal communication skills,medical students and first-choice students scored higher than those nursing students and non-first-choice students,and the difference was stati

关 键 词：叙事医学 医学 护理 人文服务 

分 类 号：R-05[医药卫生]