目的 探讨基于人性照护理论的共情能力培训在护理专业基础护理学课程中的应用效果。方法 于2021年3至7月以某职业院校2019级两班级护理专业学生为研究对象,以班为单位进行整群分组。在基础护理学课程教学中,试验组78名学生采用基于人性照护理论的共情能力培训方式进行授课,对照组74名学生采用常规课堂教学。培训后采用相关量表比较两组学生共情能力和临床沟通能力,组间评分比较采用t检验。结果 培训后试验组学生共情能力为(112.09±12.49)分,对照组为(107.04±15.84)分,其差异具有统计学意义(P=0.031);试验组学生临床沟通能力总分为(54.82±12.06)分,对照组为(53.73±10.55)分,其差异无统计学意义(P=0.903),但在验证感受维度的评分[(10.77±3.10)分比(9.80±2.77)分]差异具有统计学意义(P=0.024)。结论 将基于人性照护理论的培训方式应用于基础护理学课程,有助于提升护理专业学生的共情能力,可以进一步推广应用。
Objective To explore the application of empathy training based on humanistic care theory in the course of “basic nursing” for nursing specialty trainees. Methods From March to July 2021, convenient sampling method was used to select two classes of nursing students enrolled in 2019 as research participants, who were then divided into experimental group and control group. In the course of “basic nursing”, the experimental group (78 students) was trained based on humanistic care theory and the control group (74 students) was trained by traditional teaching methods. After training, differences of empathy ability and clinical communication ability between two groups were compared by relevant scales. Difference of measurement data was compared by t-test. Results After training, the total score of empathy ability in the experimental group was (112.09±12.49) and the control group was (107.04±15.84), the difference was statistically significant (P=0.031). After training, there was no statistically significant difference in the scores of clinical communication ability between the experimental group and the control group [(54.82±12.06) vs. (53.73±10.55), P=0.903], but there was statistically significant difference in the dimension of “verification feeling” [(10.77±3.10) vs. (9.80±2.77), P=0.024]. Conclusions In the course of “basic nursing”, training based on humanistic care theory can effectively improve empathy ability of nursing students and can be further applied.
[1] Williams B, Brown T, McKenna L, et al. Student empathy levels across 12 medical and health professions:an interventional study[J]. J Compa Health Care,2015,2(1):4. DOI:10.1186/s40639-015-0013-4.
[2] 陈琰, 张建华, 王震, 等. 共情护理对癌痛患者心理状态、疼痛程度和舒适度的影响[J].河南大学学报(医学版),2020,39(3):217-219.
[3] 胡宗萍, 郭敏, 吕登智, 等. 共情护理对老年脑梗死患者负性情绪及治疗依从性的影响[J].重庆医学,2020,49(17):2961-2964. DOI: 10.3969/j.issn.1671-8348.2020.17.042.
[4] 王金艳, 吴丽萍, 邢丽莉, 等. 297名助产士共情能力调查分析[J].护理学报,2020,27(14):5-8. DOI: 10.16460/j.issn1008-9969.2020.14.005.
[5] 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.
[6] 何月月, 尹安春, 黄秀美, 等. 共情能力在ICU护士死亡焦虑与临终关怀态度中的中介作用[J].上海护理,2020(2) :32-35. DOI: 10.3969/j.issn.1009-8399.2020.02.008.
[7] 赵文婷.护理本科生共情培训效果及对其临床沟通能力的影响[D].长沙:中南大学, 2012.
[8] 卢迪, 兰萌, 邹萍, 等. 巴林特小组培训对儿科实习护生共情能力和沟通能力的影响[J].中国高等医学教育,2019(9):92-94. DOI: 10.3969/j.issn.1002-1701.2019.09.045.
[9] 丁向.共情能力培训对提升护生人文素质及职业认同度的研究[D].长沙: 湖南中医药大学,2018.
[10] 李辉, 刘亚男. 基于人性照护理论的《老年长期照护》课程的设计与实践[J].解放军护理杂志,2020,37(11):74-77. DOI: 10.3969/j.issn.1008-9993.2020.11.019.
[11] 张艳, 杜灿灿, 王荣华, 等. 基于人性照护理论的关怀实践进展及展望[J].中华护理教育,2019,16(2):150-153. DOI: 10.3761/j.issn.1672-9234.2019.02.017.
[12] 刘璐,胡化刚,李惠玲,等.以关怀体验为导向的实习前护理本科生综合能力培训与思考[J].中华护理杂志,2016,51(1):79-83. DOI: 10.3761/j.issn.0254-1769.2016.01.017.
[13] Kolb D. Experiential learning: experience as the source of learning and development[M].New Jersey: Prentice Hall,1984: 45-49.
[14] 李萌, 冯江雪, 王慧, 等. 体验式学习在COPD患者肺康复训练赋能教育中的应用[J].护理学报,2020,27(24):1-5. DOI: 10.16460/j.issn1008-9969.2020.24.001.
[15] 闫琦,戴天,冯艺,等.体验式学习在八年制医学生麻醉学实习教学中的应用[J].中华医学教育杂志,2021,41(1):58-61. DOI: 10.3760/cma.j.cn115259-20200430-00670.
[16] 邱志军, 姜娜, 李国平. 跨理论模式在高职护生共情培养中的应用[J].护理研究,2014,(12):1516-1518. DOI: 10.3969/j.issn.1009-6493.2014.12.057.
[17] 杨芳宇, 沈宁, 李占江. 护生临床沟通能力测评量表的初步编制[J].中华现代护理杂志,2010,16(31):3721-3724. DOI: 10.3760/cma.j.issn.1674-2907.2010.31.001.
[18] Dean S, Halpern J, McAllister M, et al. Nursing education, virtual reality and empathy?[J]. Nurs Open, 2020,7(6):2056-2059. DOI: 10.1002/nop2.551.
[19] Sari D, Taskiran N, Baysal E, et al. Effect of an aged simulation suit on nursing students' attitudes and empathy[J]. Eur Geriatr Med, 2020,11(4):667-675. DOI: 10.1007/s41999-020-00316-z.
[20] 曾巍,林美玲,陈亚岚.共情在高职实习护生正念与临床沟通能力间的中介效应[J].护理学报,2021,28(10):57-61.DOI: 10.16460/j.issn1008-9969.2021.10.057.