目的 探索叙事医学教育对耳鼻喉科住院医师共情和沟通能力培养的效果。方法 选取2022年5至8月大连医科大学附属第二医院耳鼻喉科住院医师规范化培训(简称住培)学员27人开展叙事医学临床教学,理论学习包括平行病历书写方法等7个方面的内容,实践应用包括临床诊疗、书写平行病历等3个方面的内容。教学前、后分别采用杰弗逊共情量表和医患沟通行为量表对学员进行评价。采用χ2检验比较教学前后评价指标的差异。结果 学员在开展叙事医学临床教学前、后的杰弗逊共情量表得分分别为(104.5±3.1)分和(116.5±5.4)分,医患沟通行为量表得分分别为(136.6±5.5)分和(152.0±5.5)分,其差异均具有统计学意义(均P＜0.05)。结论 开展叙事医学临床教学能有效提高耳鼻喉住培学员的共情和沟通能力,是提升学员人文素养、建立和谐医患关系的有效方法。
Objective To explore the effect of narrative medical education on the cultivation of empathy and communication ability of otolaryngology residents. Methods Twenty-seven trainees from otolaryngological department of the Second Affiliated Hospital of Dalian Medical University from May to August 2022 were selected to receive clinical teaching of narrative medicine. Theoretical study includes 7 aspects such as parallel medical record writing methods, and practical application includes 3 aspects such as clinical diagnosis and treatment and parallel medical record writing.Jefferson empathy scale and doctor-patient communication behavior scale were used to assess the trainees before and after learning, respectively. χ2test was used to compare the difference of indexes before and after teaching. Results Before and after the learning in narrative medicine, the scores of Jefferson empathy scale were (104.5±3.1) and (116.5±5.4), and the scores of doctor-patient communication behavior scale were (136.6±5.5) and (152.0±5.5), respectively. The differences were statistically significant (all P<0.05). Conclusions Learning in narrative medicine can effectively improve the empathy and communication ability of otolaryngology residents, which serves to improve their humanistic quality and establish harmonious doctor-patient relationship.
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