反思性写作在医学生叙事医学能力培养中的实践研究  

Practice research on cultivating medical students'narrative medicine ability through reflective writing

作　　者：李锐[1,2] 裴学梅[3] LI Rui;PEI Xuemei(Department of Basic Teaching,Anhui College of Traditional Chinese Medicine,Wuhu 241000,China;School of Foreign Languages and Cultures,Nanjing Normal University;School of Foreign Languages and Cultures,Anhui Normal University)

机构地区：[1]安徽中医药高等专科学校基础教学部,安徽芜湖241000 [2]南京师范大学外国语学院 [3]安徽师范大学外国语学院

出　　处：《沈阳医学院学报》2025年第2期211-215,共5页Journal of Shenyang Medical College

基　　金：2021年安徽省高校优秀青年骨干教师国内访学研修项目(No.gxgnfx2021064);2022年安徽省级质量工程教学研究项目(No.2022jyxm896);2023年安徽省高校人文社科重点项目(No.2023AH053183)。

摘　　要：目的:测量医学生叙事医学能力,评价反思性写作对医学生叙事医学能力提升的效果。方法:通过编制叙事医学能力测量表,对医学生叙事医学能力进行分类和测量,并在教学实践中控制对比试验,对照组采用通用话题反思性写作,试验组采用医学话题反思性写作,从叙事医学理念、知识、能力和感知4个维度对写作产出进行测量。结果:2组的后测成绩均高于前测成绩(P<0.05);医学生反思能力的提升与人文关怀理念、人文关怀感知均呈正相关(相关系数分别为0.432和0.744)(P<0.05),与人文关怀能力、人文关怀知识不存在相关性(P>0.05)。结论:反思性写作能够促进医学生反思能力,以医学话题为训练语料的反思性写作能够提升医学生的叙事医学理念和叙事医学感知。Objective:To measure the narrative medicine ability of medical students and evaluate the effectiveness of reflective writing in enhancing this ability.Methods:The narrative medicine ability of medical students was measured and classified by the Narrative Medicine Ability Scale.A controlled comparative experiment was conducted in teaching practice,the control group adopted reflective writing on general topics,while the experimental group adopted reflective writing on medical topics.Writing outputs were measured from four dimensions including narrative medicine concept,knowledge,ability and perception.Results:The post-test scores of the two groups were significantly higher than the pre-test scores(P<0.05).The improvement of medical students'reflection ability was positively correlated with the concept and perception of humanistic care,with correlation coefficients of 0.43 and 0.744,respectively(P<0.05),showed no correlation with the ability and knowledge of humanistic care(P>0.05).Conclusions:Reflective writing can promote the reflection ability of medical students.Reflective writing based on medical topics can enhance medical students'medical narrative concept and perception.

关 键 词：反思性写作 叙事医学能力 教学实践 

分 类 号：H319.3[语言文字—英语] G420[文化科学—课程与教学论]