目的 探索陪伴理念在医学本科生实习教学中的应用及其效果。方法 2020年 3月至 2022年2月选取上海交通大学医学院2016级和2017级临床医学专业60名本科生为研究对象,他们均在上海交通大学附属第六人民医院呼吸与危重症医学科进行临床实习,采用随机数表法分为试验组和对照组,每组30名学生,对照组学生采用常规实习教学,试验组在常规实习教学的同时,融入陪伴理念,即按照要求陪伴患者完成呼吸科常见疾病的检查,以带教教师签字形式记录,出科时借鉴迷你临床演练评估方式对两组学生进行测评。采用两独立样本的t检验进行数据分析。结果 试验组学生均完成陪伴任务,试验组学生面谈技巧(5.97±0.17)分,高于对照组的(4.97±0.25)分,试验组学生组织效能(5.93±0.17)分,高于对照组的(5.53±0.11)分,差异均具有统计学意义(均P<0.05)。结论 在呼吸科实习教学中融入陪伴理念具有可行性,通过具体的陪伴行为有助于提高医学生的面谈技巧、组织效能。
Objective To investigate the effect and feasibility on the concept of company with patients in respiratory practice for interns. Methods From March 2020 to February 2022 60 interns enrolled in 2016 and 2017 of Shanghai Jiao Tong University School of Medicine were equally and randomly divided into study group and control group.They were as interns in Department of Respiratory and Critical Care Medicine of Shanghai Sixth People′s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine.Interns in the control group practiced routinely, while those the study group would accompany patients to complete laboratory examinations as required, documented by their clinical mentors with signatures. The mini-clinical evaluation exercise was used for reference to examine when the interns finished respiratory rotation. Results The accompanying task in the study group were all accomplished as expected. Compared with the control group, the score of communicating skills was better (5.97±0.17 vs. 4.97±0.25) of study group, so was the efficiency of organization was (5.93±0.17 vs. 5.53±0.11) (all P<0.05). Conclusions It is feasible to implement the pratice of accompany patients in respiratory practice for interns which is helpful to improve communication skills and organizational efficiency of interns.
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