我国医学生共情能力现状分析

doi:10.3760/cma.j.cn115259-20201208-01689

摘要/Abstract

摘要： 共情是站在他人角度思考和处理问题。对医学生进行恰当培训使其从医后具备较高的共情能力,是从医者角度入手,改善医患关系、使患者“身心皆愈”的一个重要途径。本文通过文献综述分析了我国医学生共情能力的现状,发现我国医学生共情能力处于中等水平,受性别、年级、专业等因素影响。同时,系统有效提升医学生共情力的培训相对较少。今后应当在更广泛专业的医学生中开展共情能力调查和应用研究,确定能够长期提升共情能力的培训方法,全面提高医学生的共情能力。

关键词: 共情, 医学生, 现状, 培养

Abstract: Empathy means the ability of understanding, being sensitive to the feelings of another object. It's an important factor for the benign doctor-patient relationship and patient's “physical and mental healing”. Empathy cultivation among the medical students helps them to get high empathy ability and will benefit their following career much. This article analyzed the current situation of cultivation and study of empathy in Chinese medical school students and found the common empathy level was in a middle level among medical students. The empathy level was influenced by sex, age, specialties, etc. The systemic cultivation of empathy for students was far from the needs. It is necessary to expand the studies of empathy among more medical specialties, then establish the appropriate cultivation methods for medical students to build up high empathy level.

Key words: Empathy, Medical students, Current situation, Cultivation

中图分类号:

R-05

王琨, 段丽萍. 我国医学生共情能力现状分析[J]. 中华医学教育杂志, 2021, 41(6): 509-513.

Wang Kun, Duan Liping. Current situation of the empathy in Chinese medical school students[J]. Chinese Journal of Medical Education, 2021, 41(6): 509-513.

参考文献

[1] 冯振军,钟志华,隋华杰,等. 医学生共情能力培养方案及评价体系完善的研究[J].科技视界, 2016(26): 18-22. DOI: 10.3969/j.issn.2095-2457.2016.26.013.
[2] Lipps T. Einfühlung, innere Nachahmung und Organempfindung[J]. Archiv Für Die Gesamte Psychologie, 1903, 1(2): 185-204.
[3] 卡尔·罗杰斯. 当事人中心治疗:实践、运用和理论[M].李孟潮,李迎潮,译.北京:中国人民大学出版社, 2013: 144-145.
[4] Gallese V. Before and below “theory of mind”: embodied simulation and the neural correlates of social cognition[J]. Philos Trans R Soc Lond B Biol Sci, 2007,362(1480):659-669. DOI: 10.1098/rstb.2006.2002.
[5] 颜志强, 苏金龙, 苏彦捷. 共情与同情:词源、概念和测量[J].心理与行为研究,2018,16(4):433-440.
[6] 高晓寒, 孙宏伟, 高树宏, 等. 暴力犯罪服刑人员的隐性自恋与共情能力[J].中国健康心理学杂志,2014(11):1688-1689,1690. DOI: 10.13342/j.cnki.cjhp.2014.11.036.
[7] Gladstein GA. Understanding empathy: integrating counseling, developmental, and social psychology perspectives[J]. Journal of Counseling Psychology,1983,30(4): 467-482. DOI: 10.1037/0022-0167.30.4.467.
[8] 杨业, 刘志军, 朱千, 等. 共情的基础研究及临床探索[J].中国现代医生,2020,58(25):187-192.
[9] 鲁琳, 李久辉. 美国医学共情探究及对医学人文教育的启示[J].医学与哲学,2017,38(11):41-44. DOI: 10.12014/j.issn.1002-0772.2017.06a.11.
[10] 张海形, 孙炳海, 黄小忠, 等. 社会心理学视野下共情自我报告量表简评[J].心理研究,2010,3(1):69-73.
[11] Smajdor A, Stöckl A, Salter C. The limits of empathy: problems in medical education and practice[J]. J Med Ethics, 2011,37(6):380-383. DOI: 10.1136/jme.2010.039628.
[12] 吴静吉,詹志禹. 年级、性别角色、人情取向与同理心的关系[D]. 台北:台湾政治大学,1987.
[13] 姜恬, 宛小燕, 刘元元, 等. 中文版杰弗逊同理心量表(医学生版)的信度和效度研究[J].四川大学学报(医学版),2015,46(4):602-605.
[14] 贾楠, 黄珊, 洪江峰, 等. 临床医学生共情能力现状调查——以西安交通大学为例[J].中国医学伦理学,2020,33(9):1144-1149. DOI: 10.12026/j.issn.1001-8565.2020.09.25.
[15] 解方舟, 吴姗姗, 李颖, 等. 五年制临床医学专业学生共情能力现状及影响因素研究[J].现代预防医学,2017,44(2):278-280,292.
[16] 郑冰雅, 孙静, 洪国庆, 等. 湖南两所本科院校医学生共情能力的现状调查[J].安徽医药,2019,23(12):2535-2538. DOI: 10.3969/j.issn.1009-6469.2019.12.050.
[17] 曹晓娜, 王雪. 护生共情能力现状调查及三维共情培育体系的构建[J].中国高等医学教育,2020(1):73-74. DOI: 10.3969/j.issn.1002-1701.2020.01.036.
[18] Hojat M, DeSantis J, Shannon SC, et al. The Jefferson Scale of Empathy: a nationwide study of measurement properties, underlying components, latent variable structure, and national norms in medical students[J]. Adv in Health Sci Educ, 2018, 23(5): 899-920. DOI: 10.1007/s10459-018-9839-9.
[19] Kataoka HU, Koide N, Ochi K, et al. Measurement of empathy among Japanese medical students: psychometrics and score differences by gender and level of medical education[J]. Acad Med, 2009, 84(9): 1192-1197. DOI: 10.1097/ACM.0b013e3181b180d4.
[20] 徐鹏飞, 郭洵溢, 杨凤姣, 等. 规范化培训住院医师共情能力现状及相关影响因素[J].四川精神卫生,2019,32(3):253-257. DOI: 10.11886/j.issn.1007-3256.2019.03.012.
[21] Fields SK, Mahan P, Tillman P, et al. Measuring empathy in healthcare profession students using the Jefferson Scale of Physician Empathy: health provider--student version[J]. J Interprof Care, 2011,25(4):287-293. DOI: 10.3109/13561820.2011.566648.
[22] 刘小珍, 郑亚楠, 唐宏, 等. 赣州市心理学专业学生的情绪体验在成人依恋与共情能力之间的中介作用分析[J].医学与社会,2019,32(10):93-97. DOI: 10.13723/j.yxysh.2019.10.023.
[23] 王婷, 王维利, 洪静芳, 等. 临床护士共情能力对职业倦怠感与主观幸福感间关系的调节作用[J].中国护理管理,2015(3):280-283,284. DOI: 10.3969/j.issn.1672-1756.2015.03.008.
[24] Sng G, Tung J, Ping YS, et al. Complex and novel determinants of empathy change in medical students[J]. Korean J Med Educ, 2016,28(1):67-78. DOI: 10.3946/kjme.2016.11.
[25] 高小芬, 李光兰, 邬维娜. 高职护理专业学生情绪智力水平与共情能力的相关性研究[J].中华护理教育,2017,14(9):703-706. DOI: 10.3761/j.issn.1672-9234.2017.09.016.
[26] Chen D, Lew R, Hershman W, et al. A cross-sectional measurement of medical student empathy[J]. J Gen Intern Med, 2007,22(10):1434-1438. DOI: 10.1007/s11606-007-0298-x.
[27] Clarke D, Coleman J. Balint groups. examining the doctor-patient relationship[J]. Aust Fam Physician, 2002,31(1):41-44.
[28] 蒋连英,黄争,杨燕飞,等. 巴林特小组在医院医护人员技能培训中的临床意义[J]. 中国医刊, 2016, 51(12): 76-79. DOI: 10.3969/j.issn.1008-1070.2016.12.024.
[29] 刘文娟, 叶尘宇, 陈华, 等. 综合医院医师巴林特小组案例的质性研究[J].中国心理卫生杂志,2012,26(2):91-95. DOI: 10.3969/j.issn.1000-6729.2012.02.006.
[30] 薛超, 张绘莉, 许左隽, 等. 巴林特小组改善医学生临床实践中共情与医患沟通能力的研究[J].中华医学教育探索杂志,2018,17(2):201-205. DOI: 10.3760/cma.j.issn.2095-1485.2018.02.023.
[31] 杭荣华, 程灶火, 盛鑫, 等. 巴林特小组模式对医学生共情与人际信任的影响[J].中国临床心理学杂志,2017,25(4):783-788. DOI: 10.16128/j.cnki.1005-3611.2017.04.043.
[32] 骆艳丽, 吴文源, 陆峥, 等. 精神科教学培训中“角色扮演”及“巴林特小组”的应用[J].中国医学伦理学,2010,23(3):92,111. DOI: 10.3969/j.issn.1001-8565.2010.03.039.
[33] 翟春晓, 谢晖. 本科实习护生情绪智力、共情能力与护患沟通能力的相关性研究[J].护理管理杂志,2015,15(2):91-93.
[34] 周仑, 王昭昭. 角色扮演法在《诊断学》病史问诊教学中的应用[J].中国现代医学杂志,2009,19(20):3181-3183.
[35] Lor KB, Truong JT, Ip EJ, et al. A randomized prospective study on outcomes of an empathy intervention among second-year student pharmacists[J]. Am J Pharm Educ, 2015,79(2):18. DOI: 10.5688/ajpe79218.
[36] 卫慧, 许雅芳, 黄莺, 等. 角色扮演法应用于本科护生情商教育[J].护理学杂志,2018,33(8):58-60. DOI: 10.3870/j.issn.1001-4152.2018.08.058.