团队学习模式下巴林特小组活动在专科医师培训中的尝试  

Attempt of Balint group activities in specialized physician training under team learning mode

作　　者：张燕[1] 赵海燕[1] 叶珊[1] 樊东升[1] Zhang Yan;Zhao Haiyan;Ye Shan;Fan Dongsheng(Department of Neurology,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学第三医院神经内科,100191

出　　处：《中华脑血管病杂志（电子版）》2024年第5期506-509,共4页Chinese Journal of Cerebrovascular Diseases(Electronic Edition)

基　　金：北京大学医学部专科医师培训研究课题立项课题(2019ZP40)。

摘　　要：目的探索团队学习模式下巴林特小组活动在专科医师培训中的应用。方法以2019年5月至2022年10月在北京大学第三医院进行专科培训的医师为研究对象,每月开展1次巴林特小组活动,共持续6个月,在团队学习模式下进行巴林特小组活动,并逐渐建立和完善巴林特小组活动病案库,采用杰弗逊共情量表(JSE-HP)和医患沟通技能(SEGUE)评估量表评价活动前后共情能力及沟通能力的变化,应用配对t检验对专科医师培训前后的差异进行比较。结果JSEHP量表总分在团队学习模式下进行巴林特小组活动后较参加小组活动前增加[(105.36±6.27)分vs(89.43±5.60)分],差异具有统计学意义(t=-8.795,P<0.001);SEGUE量表总分在团队学习模式下进行巴林特小组活动后较参加小组活动前增加[(22.14±1.61)分vs(20.57±1.70)分],差异具有统计学意义(t=-7.778,P<0.001)。结论团队学习模式下巴林特小组活动的开展可提高专科医师的共情能力及沟通能力,有利于专科医师的培养。Objective To explore the application of Balint group activities within a team learning framework for enhancing the training of specialist physicians.Methods Physicians who received specialized training at Peking University Third Hospital from May 2019 to October 2022 were enrolled as subjects.Balint group activities were conducted once a month for a total of 6 months in a team learning mode,leading to the gradual development and refinement of a comprehensive medical record database for Balint group activities.The JSE-HP Scale and SEGUE Scale were used to evaluate the changes in empathy and communication abilities after the activities.Paired t-tests were used to compare the differences before and after training for specialized physicians.Results The total score of the JSE-HP scale increased significantly after participating in the Balint group activity in team learning mode(105.36±6.27)compared to before participating in the group activity(89.43±5.60),with the difference statistically significant(t=-8.795,P<0.001).Similarly,the total score of the SEGUE scale increased significantly after participating in the Balint group activity in team learning mode(22.14±1.61)compared to before participating in the group activity(20.57±1.70),with the difference also being statistically significant(t=-7.778,P<0.001).Conclusion Incorporating Balint group activities in team learning mode can improve empathy and communication skills,which is advantageous for their professional development.

关 键 词：团队学习模式 巴林特小组 杰弗逊共情量表 SEGUE量表 

分 类 号：R741.05[医药卫生—神经病学与精神病学]