目的 探讨缓和医疗教学在内科住院医师人文医学技能培训中的应用效果。 方法 采用实验对照方法。选取2016年6月至2016年12月在首都医科大学附属北京朝阳医院综合科进行住院医师规范化培训的46名内科住院医师为研究对象。将这些内科住院医师随机分为实验组和对照组,每组23人。对实验组开展住院医师规范化培训+缓和医疗教学,对照组开展住院医师规范化培训,其中,规范化培训中包括人文医学内容。培训结束后,对两组内科住院医师进行人文医学技能考试和问卷调查,分析缓和医疗教学在内科住院医师人文医学技能培训中的应用效果。 结果 实验组内科住院医师的人文医学技能考核总成绩优于对照组,差异具有统计学意义(t=2.231,P=0.031);问卷结果表明,实验组内科住院医师在人文医学技能提高程度、处理临终患者能力方面高于对照组(均P<0.05)。 结论 缓和医疗教学与实践能够提高内科住院医师人文医学技能。
Objective To discuss the application of palliative care in the training of resident physicians for humanistic medicine.Methods Resident physician who has standardized trained in Beijing Chaoyang Hospital was invited in this study. 46 cases were in this study, then, were randomized to two groups, experiment group (n=23) and control group (n=23). The experimental group was given a course of palliative care, and the control group was given a regular resident training program for internal medicine. All the cases had the medical humanities skills test and questionnaire.Results It was found that the result of the medical humanities skill's examination in the experiment group were higher than that in the control group (all P<0.05), Through the questionnaire, we found that the students focused in the medical humanities, practical ability to improve doctor-patient communication, and better deal with dying patients project than the control group, with the high satisfaction.Conclusions Palliative care teaching and practice in the training of resident physicians could improve the humanistic medical skills.
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