缓和医疗教学在内科住院医师人文医学技能培训中的应用研究

doi:10.3760/cma.j.issn.1673-677X.2017.04.029

中华医学教育杂志 ›› 2017, Vol. 37 ›› Issue (4): 611-614.DOI: 10.3760/cma.j.issn.1673-677X.2017.04.029

缓和医疗教学在内科住院医师人文医学技能培训中的应用研究

孙倩美, 常晶, 姜珊, 李琳, 李利红

100020 首都医科大学附属北京朝阳医院综合科(孙倩美、常晶、姜珊),教育处(李琳、李利红)

出版日期:2017-04-01 发布日期:2020-12-09
通讯作者: 李利红, Email:chaoyanghos@126.com

Application of palliative care in training of resident physicians for humanistic medicine

Sun Qianmei, Chang Jing, Jiang Shan, Li Lin, Li Lihong

Department of Internal Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China(Sun QM, Chang J, Jiang S);
Department of Medical Education, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China(Li L, Li LH )

Online:2017-04-01 Published:2020-12-09
Contact: Li Lihong, Email:chaoyanghos@126.com

摘要/Abstract

摘要： 目的探讨缓和医疗教学在内科住院医师人文医学技能培训中的应用效果。方法采用实验对照方法。选取2016年6月至2016年12月在首都医科大学附属北京朝阳医院综合科进行住院医师规范化培训的46名内科住院医师为研究对象。将这些内科住院医师随机分为实验组和对照组,每组23人。对实验组开展住院医师规范化培训+缓和医疗教学,对照组开展住院医师规范化培训,其中,规范化培训中包括人文医学内容。培训结束后,对两组内科住院医师进行人文医学技能考试和问卷调查,分析缓和医疗教学在内科住院医师人文医学技能培训中的应用效果。结果实验组内科住院医师的人文医学技能考核总成绩优于对照组,差异具有统计学意义(t=2.231,P=0.031);问卷结果表明,实验组内科住院医师在人文医学技能提高程度、处理临终患者能力方面高于对照组(均P<0.05)。结论缓和医疗教学与实践能够提高内科住院医师人文医学技能。

关键词: 缓和医疗, 内科住院医师, 医学人文能力, 研究

Abstract: Objective To discuss the application of palliative care in the training of resident physicians for humanistic medicine.Methods Resident physician who has standardized trained in Beijing Chaoyang Hospital was invited in this study. 46 cases were in this study, then, were randomized to two groups, experiment group (n=23) and control group (n=23). The experimental group was given a course of palliative care, and the control group was given a regular resident training program for internal medicine. All the cases had the medical humanities skills test and questionnaire.Results It was found that the result of the medical humanities skill's examination in the experiment group were higher than that in the control group (all P<0.05), Through the questionnaire, we found that the students focused in the medical humanities, practical ability to improve doctor-patient communication, and better deal with dying patients project than the control group, with the high satisfaction.Conclusions Palliative care teaching and practice in the training of resident physicians could improve the humanistic medical skills.

Key words: Palliative care, Resident physician, Medical humanities, Studying

孙倩美, 常晶, 姜珊, 李琳, 李利红. 缓和医疗教学在内科住院医师人文医学技能培训中的应用研究[J]. 中华医学教育杂志, 2017, 37(4): 611-614.

Sun Qianmei, Chang Jing, Jiang Shan, Li Lin, Li Lihong. Application of palliative care in training of resident physicians for humanistic medicine[J]. Chinese Journal of Medical Education, 2017, 37(4): 611-614.

参考文献

[1] Kelley AS, Morrison RS. Palliative care for the seriously ill[J].N Engl J Med,2015,373(8):747-755.DOI:10.1056/NEJMra
1404684.
[2] Temel JS, Greer JA, Muzikansky A, et al. Early palliative care for patients with metastatic non-small-cell lung cancer[J]. N Engl J Med, 2010,363(8):733-742. DOI: 10.1056/NEJMoa
1000678.
[3] Sweeney C, Lynch G, Khashan A, et al. The impact of a medical undergraduate student-selected module in palliative care[J]. BMJ Support Palliat Care, 2014,4(1):92-97. DOI: 10.1136/bmjspcare-2012-000283.
[4] 姜珊, 孙倩美. 浅谈在医学教学实践中开展缓和医疗[J].中华医学杂志,2016,96(28):2212-2213.DOI:10.3760/cma.j.issn.0376-2491.2016.28.002.
Jiang S, Sun QM. Palliative care in medical teaching practice[J].National Medical Journal of China,2016,96(28):2212-2213. DOI: 10.3760/cma.j.issn.0376-2491.2016.28.002.
[5] Centeno C, Noguera A, Lynch T, et al. Official certification of doctors working in palliative medicine in Europe: data from an EAPC study in 52 European countries[J]. Palliat Med, 2007,21(8):683-687. DOI: 10.1177/0269216307083600.
[6] 李纾, 杜安琪, 赵秀娟, 等. 临终关怀教育对临床医学专业学生心理健康和职业认同度的影响[J].中华医学教育杂志,2016,36(1):70-72,100.DOI:10.3760/cma.j.issn.1673-677X.2016.01.019.
Li S, Du AQ, Zhao XJ, et al. The effect of hospice care education on psychological health and professional identity of clinical medical students[J].2016,36(1):70-72,100.DOI:10.3760/cma.j.issn.1673-677X.2016.01.019.
[7] 王锦帆, 尹梅. 医患沟通[M].北京:人民卫生出版社,2013:22-22.
[8] 管园园, 王锦帆, 沈洪兵. 医学生医学人文实践能力培养探讨[J]. 医学与哲学, 2014, 35(9A): 88-90.DOI: 10.3969/j.issn.1002-0772.2014.17.026.
Guan YY, Wang JF, Shen HB. On the training of practical ability for medical students on medical humanities[J]. Medicine & Philosophy, 2014, 35(9A): 88-90. DOI: 10.3969/j.issn.1002-0772.2014.17.026.
[9] 赵霁阳, 赵光,杨琳丽,等.医学人文素质评价在客观结构化临床考试中的应用研究[J].中华医学教育杂志,2015,35(4):638-640.DOI:10.3760/cma.j.issn.1673-677X.2015.04.045.
Zhao JY, Zhao G, Yang LL, et al. The application of medical humanistic quality assessment in objective structured clinical examination[J].Chin J Med Edu, 2015,35(4):638-640. DOI: 10.3760/cma.j.issn.1673-677X.2015.04.045.
[10] 管园园, 郑爱明, 沈洪兵, 等. 医学生医学人文能力评价标准的研制与分析[J].中华医学教育杂志,2015,35(2):216-218,243.DOI:10.3760/cma.j.issn.1673-677X.2015.02.017.
Guan YY, Zheng AM, Shen HB, et al. The development and analysis of evaluation standard for students' ability on medical humanities[J].Chin J Med Edu, 2015,35(2):216-218,243. DOI: 10.3760/cma.j.issn.1673-677X.2015.02.017.

[1]	梁思宇, 李红滟, 王巍, 郑莹, 葛楠, 曲璇, 邵亚娟, 秦瑛, 王磊, 刘薇, 宁晓红. 护理学专业实习生对缓和医疗的知识和认知及需求[J]. 中华医学教育杂志, 2020, 40(9): 679-683.
[2]	张琴, 范一丁, 程春燕. 医学研究生心理健康水平与学业任务和社会支持的关系研究[J]. 中华医学教育杂志, 2020, 40(9): 684-687.
[3]	陈扬霖, 沈琳, 崔爽, 王青, 吴昊, 张艺宝. 北京大学放射治疗物理学硕士研究生培养模式的探索[J]. 中华医学教育杂志, 2020, 40(9): 709-712.
[4]	吴恒璟, 李金慧, 吴静, 钱曙蕾, 赵艾霞, 陈琳. “双一流”高校医学研究生导师评价指标体系初探[J]. 中华医学教育杂志, 2020, 40(9): 713-716.
[5]	刘畅, 董越, 张子旬, 胡畅, 彭志勇. 我国医学教育期刊论文中部分问卷调查的质量分析[J]. 中华医学教育杂志, 2020, 40(9): 721-725.
[6]	张进, 杨立斌, 郭庆峰, 曹德品. 形成性评价在本科临床医学教育中的应用研究综述[J]. 中华医学教育杂志, 2020, 40(9): 731-735.
[7]	彭雅琴, 高国贞. 操作技能直接观察评估在护理学专业学生临床实习教学中的应用[J]. 中华医学教育杂志, 2020, 40(9): 740-743.
[8]	葛文嘉, 魏静, 徐婉斐, 任瑞民. 某高校医学硕士研究生的心理健康相关因素调查分析[J]. 中华医学教育杂志, 2020, 40(8): 582-585.
[9]	董亚莉, 赵婷, 顾晓芬. 焦虑和抑郁水平现况及影响因素研究[J]. 中华医学教育杂志, 2020, 40(8): 586-589.
[10]	陈敏, 董曼, 冯玉, 高燕, 郁昊, 翟金国, 吉峰, 李功迎, 苏中华, 王贵山. 以胜任力为导向的精神病与精神卫生学硕士专业学位研究生临床能力培养的研究[J]. 中华医学教育杂志, 2020, 40(8): 628-631.
[11]	胡鸿毅, 王琳, 张黎声, 舒静, 曹锡康. “抗疫精神”在中医药院校课程思政策略研究中的应用[J]. 中华医学教育杂志, 2020, 40(7): 529-533.
[12]	赵景宏, 肖堂利, 张静波, 何勇涛. 临床医学硕士专业学位研究生临床技能培养信息化管理模块的构建与评价[J]. 中华医学教育杂志, 2020, 40(7): 553-556.
[13]	张英楠, 魏景丹, 吴限, 邸星澎. 医学本科生一般能力现状与影响因素研究[J]. 中华医学教育杂志, 2020, 40(6): 409-412.
[14]	王征, 张帆, 刘慧琳. 基于文献计量学的老年医学教育研究现状和热点分析[J]. 中华医学教育杂志, 2020, 40(5): 329-333.
[15]	李则, 刘玉梅, 关建, 周亭, 汪年松, 范瑛. 医学生对缓和医疗及其在终末期肾病治疗中的认知度调查[J]. 中华医学教育杂志, 2020, 40(5): 349-353.

缓和医疗教学在内科住院医师人文医学技能培训中的应用研究

Application of palliative care in training of resident physicians for humanistic medicine

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价