中华医学教育杂志 ›› 2019, Vol. 39 ›› Issue (7): 503-506.DOI: 10.3760/cma.j.issn.1673-677X.2019.07.006

• 人文素质教育 • 上一篇    下一篇

叙事医学在骨科临床实习教学中的应用

刘昌文, 吕智, 宋文慧, 关海山, 李渊, 霍将   

  1. 山西医科大学第二医院骨科,太原 030001
  • 收稿日期:2018-12-28 发布日期:2020-12-11
  • 通讯作者: 刘昌文,Email:liucwman@126.com,电话:0351-3365103
  • 基金资助:
    山西医科大学第二医院教学基金(201603-2)

Application of narrative medicine in orthopaedic clinical clerkship teaching

Liu Changwen, Lyu Zhi, Song Wenhui, Guan Haishan, Li Yuan, Huo Jiang   

  1. Department of Orthopaedics,the Second Hospital of Shanxi Medical University, Taiyuan 030001, China
  • Received:2018-12-28 Published:2020-12-11
  • Contact: Liu Changwen, Email: liucwman@126.com, Tel: 0086-351-3365103
  • Supported by:
    Teaching Fund of the Second Hospital of Shanxi Medical University(201603-2)

摘要: 目的 探讨在骨科临床实习中进行叙事医学教学的作用。方法 对山西医科大学2013级临床医学专业(“5+3”一体化)87名学生在骨科实习中进行叙事医学教学,采用杰弗逊同理心量表测量学生教学前后的共情水平,并通过问卷调查评价学生对叙事医学教学的认同度。结果 教学后学生共情水平评分为(114.5±10.9)分,高于教学前的(101.2±12.0)分,其差异具有统计学意义(t=21.826,P<0.05)。问卷调查结果显示,75.9%(66/87)的学生对叙事医学教学有着浓厚的兴趣,98.9%(86/87)的学生建议以后继续进行这种教学。结论 在骨科临床实习中进行叙事医学教学可以提高学生的共情能力,学生对叙事医学教学认同度高。

关键词: 叙事医学, 骨科, 临床实习, 医学人文教育

Abstract: Objective To explore the role of narrative medicine teaching in orthopaedic clinical clerkship. Methods Totally 87 medical students of “5+3”integrative mode of grade 2013 of Shanxi Medical University were enrolled in the teaching of narrative medicine in orthopedics clinical clerkship. The empathy level of students before and after teaching was measured by Jefferson scale of empathy, and the students' approval of teaching were investigated through questionnaires. Results The score of empathy after teaching was (114.5±10.9), which was higher than that before teaching (101.2±12.0), the difference was statistically significant (t=21.83, P<0.05). The results of the questionnaire survey showed that 75.9% (66/87) had a strong interest in narrative medicine teaching, and 98.9% (86/87) suggested continuing the teaching. Conclusions The teaching of narrative medicine in orthopaedics clinical clerkship can improve students' empathy ability, and well accepted by the students'.

Key words: Narrative medicine, Orthopaedic, Clinical clerkship, Medical humanities education

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