Objective To explore the effectiveness of patient-oriented health education in the pediatric training by eight-year program undergraduates. Methods From January to March in 2019, fifteen students from eight-year program of clinical medicine enrolled in 2014 who were intern in the general pediatric ward of Peking University Third Hospital were selected as the research objects to carry out collective health education for hospitalized children and their parents. A questionnaire survey was carried out to evaluate the outcome of health education among the students, children, parents and teachers and the Wilcoxon test is used to analyze the results. Results Before and after health education, the differences in the evaluation of health education in four aspects covering personal value[3.5 (2.3, 4.0) vs. 4.5 (3.8, 5.0), medical management[4.0 (2.5, 4.0) vs. 5.0(4.0, 5.0)],professional knowledge[3.8 (2.3, 4.0) vs. 4.8 (4.0, 5.0)]and comprehensive quality [3.8 (2.5, 4.0) vs. 5.0 (4.0, 5.0)] are statistically significant (P<0.05). The results also showed that 90.0% (63/70) of children and their parents believe health education is very effective in increasing health knowledge, 87.1% (61/70) of them believe that the education helps them in increasing compliance and trust in doctors. The teacher's overall score is 93.0 (85.0, 100), of which the accuracy score is the highest [25 .0(22.0, 25.0)], and the interesting score is the lowest [22 .0(20.0, 25.0)]. There are 86.2% (25/29) of teachers believe that health education is effective in consolidating students' theoretical knowledge and stimulated their learning enthusiasm. Conclusions Health education helps to enhance the personal value of undergraduates from eight-year program of clinical medicine, improves their communication skills, learning attitude, and comprehensive capacity to solve problems. It is a teaching method welcomed by children and their parents and unanimously accepted by clinical trainers.
Lu Danfang
,
Hu Danchen
,
Xing Yan
. The effectiveness of patient-oriented health education in the pediatric practice in undergraduates of eight-year program[J]. Chinese Journal of Medical Education, 2021
, 41(5)
: 443
-447
.
DOI: 10.3760/cma.j.cn115259-20201116-01588
[1] 陈燕云, 何英, 金玉梅. 儿科病区设置专职健康教育护士的体会[J].护理学报,2011,18(4):77-78. DOI: 10.3969/j.issn.1008-9969.2011.04.032.
[2]Liu XL, Shi Y, Willis K, et al. Health education for patients with acute coronary syndrome and type 2 diabetes mellitus: an umbrella review of systematic reviews and meta-analyses[J].BMJ Open,2017,7(10):e016857.DOI: 10.1136/bmjopen-2017-016857.
[3]宫福清, 戴艳军. 我国医学生总体培养目标定位的思考[J].医学与哲学,2012,33(9):57-58,81.
[4] Qian Y, Han Q, Yuan W, et al. Insights into medical humanities education in China and the West[J].J Int Med Res,2018,46(9):3507-3517.DOI:10.1177/ 0300060518790415.
[5]冒丹丹,黄鹤,赵朕龙,等.学生、家长和患者对八年制临床医学专业培养目标的认知与评价研究[J].中华医学教育杂志,2016,36(1):31-36.DOI:10.3760/cma.j.issn. 1673-677X.2016.01.009.
[6]梁平, 吴小玲, 朱晶. 利用健康教育工休会提高临床护理本科教学质量的实践教学质量的实践[J].中华现代护理杂志,2008,14(28):3023-3025. DOI: 10.3760/cma.j.issn.1674-2907.2008.28.037.
[7]刘小梅,王晓娇,靳绯,等.儿科住院医师规范化培训医患沟通能力培养方案初探[J].中华医学教育探索杂志,2015,14(9):941-945.DOI:10.3760/cma.j.issn.2095-1485.2015.09.021.
[8]Vijn TW, Fluit C, Kremer J, et al. Involving medical students in providing patient education for real patients: a scoping review[J].J Gen Intern Med,2017,32(9):1031-1043.DOI:10.1007/s11606-017-4065-3.
[9]Stenberg U, Haaland-Øverby M, Koricho AT, et al. How can we support children, adolescents and young adults in managing chronic health challenges? a scoping review on the effects of patient education interventions[J]. Health Expect,2019,22(5):849-862.DOI:10.1111/hex.12906.
[10] Leung CH, Chong C, Lim WK. Medical student-led patient education prior to hospitaldischarge improves 1-month adherence rates[J].Intern Med J,2017,47(3):328-332.DOI:10.1111/imj.13365.
[11] 刘艳青, 隋文秀.儿科住院患者健康教育需求现状调查分析[J].当代护士(专科版),2009(9):88-89. DOI: 10.3969/j.issn.1006-6411-B.2009.09.066.