中华医学教育杂志

中华医学教育杂志 ›› 2018, Vol. 38 ›› Issue (5): 689-693.DOI: 10.3760/cma.j.issn.1673-677X.2018.05.012

• 心理健康教育 • 上一篇    下一篇

医学生对沟通技能的积极态度与共情能力的相关性研究

胡世钰, 黄蕾, 冯威, 李清伟, 傅燚   

  1. 200092上海,同济大学医学院2015级五年制临床医学专业(胡世钰);200065上海,同济大学附属同济医院教育处本科教务部(黄蕾),精神医学科(冯威、李清伟、傅燚)
  • 收稿日期:2018-03-17 出版日期:2018-10-01 发布日期:2020-12-09
  • 通讯作者: 黄蕾, Email: huanglei@tongji.edu.cn
  • 基金资助:
    中华医学会医学教育分会和中国高等教育学会医学教育专业委员会2016年医学教育研究立项课题(2016B-RW021);同济大学研究生教学改革研究与建设项目(2018GH33005)

The correlation between positive attitude towards communication skills and empathy ability among medical students

Hu Shiyu, Huang Lei, Feng Wei, Li Qingwei, Fu Yi   

  1. Grade 2015, Five-year Program of Clinical Medicine Major, Tongji University School of Medicine, Shanghai 200092, China(Hu SY); Undergraduate Teaching Affairs Office, Teaching Medical Education Division, Tongji Hospital, Tongji University, Shanghai 200065, China(Huang L); Department of Psychological Medicine, Tongji Hospital, Tongji University, Shanghai 200065, China(Feng W, Li QW, Fu Y)
  • Received:2018-03-17 Online:2018-10-01 Published:2020-12-09
  • Contact: Huang Lei, Email: huanglei@tongji.edu.cn
  • Supported by:
    Chinese Medical Association Medical Education Branch and China Association of Higher Education Medical Education Specialized Committee 2016 Medical Education Research Project (2016B-RW021); Tongji University Postgraduate Educational Research and Reform Project (2018GH33005)

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摘要： 目的 测评医学生对沟通技能的态度,探讨共情能力与沟通技能积极态度的相关性,以期为培养医学生积极的医患沟通技能态度提供参考。方法 以上海地区3所高校临床医学专业1958名学生为研究对象,采用按年级分层,以班级整群抽样的方式进行现场问卷调研。采用描述性分析、t检验、F检验、相关分析、分层回归分析进行数据分析。结果 医学生沟通技能积极态度评分(51.68±6.760)分;共情能力总分(103.24±14.348)分。沟通技能积极态度与共情能力呈正相关(r=0.588,P<0.01)。分层回归结果表明,医学生对临床医学专业的态度、对沟通重要性的认知和共情能力对沟通技能积极态度具有显著的正向预测作用,共能解释方差变异量为0.359。在控制了前两步的变量之后,共情能力所能解释的方差变异量为0.272。结论 医学生对沟通技能的态度总体是积极的,培养共情能力对提升医学生的积极沟通态度具有促进作用。

关键词: 医学生, 沟通技能态度, 共情能力

Abstract: Objective To evaluate the current status of medical students positive attitude towards communication skills and to explore the correlation between positive attitude towards communication skills and empathy ability among medical students. Methods One thousand nine hundred and fifty-eight medical students from three medical colleges in Shanghai were participated in this study, and questionnaire survey was conducted by cluster sampling of class from grade one to grade five. Descriptive analysis, t-test, F-test, correlation analysis and hierarchical regression analysis were used for data analysis. Results The mean score of positive attitude dimension of CSAS among the participants was (51.68±6.760) and total mean score of empathy ability was (103.24±14.348). Positive correlations were found between positive attitude towards communication skills and empathy ability (r=0.588, P<0.01). Hierarchical regression analysis indicated that medical students' attitude towards medicine, the importance of communication skills and empathy ability had significant prediction on positive attitude towards communication skills. These variables can explain 0.359 of total variance. After controlling the two other variables, empathy ability can explain 0.272 of the variance. Conclusions Communication skills attitude of medical students was positive on the whole. Enhancing their empathy ability was beneficial to improve their positive attitude towards communication skills.

Key words: Medical student, Communication skills attitude, Empathy ability