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Educating for empathy. A review.培养同理心。一篇综述。
J Gen Intern Med. 2006 May;21(5):524-30. doi: 10.1111/j.1525-1497.2006.00443.x.
2
[Empathy-building of physicians. Part II--Early exposure of students to patient's situation].[医生的同理心培养。第二部分——让学生尽早接触患者情况]
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3
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4
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Engaged curiosity: "Hot spots" for clinical reasoning in complex patient encounters.专注的好奇心:复杂患者诊疗过程中临床推理的“热点”
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本文引用的文献

1
Clinical empathy as emotional labor in the patient-physician relationship.临床同理心作为医患关系中的情感劳动。
JAMA. 2005 Mar 2;293(9):1100-6. doi: 10.1001/jama.293.9.1100.
2
Mood change and empathy decline persist during three years of internal medicine training.在内科培训的三年期间,情绪变化和共情能力下降持续存在。
Acad Med. 2005 Feb;80(2):164-7. doi: 10.1097/00001888-200502000-00013.
3
The consultation and relational empathy (CARE) measure: development and preliminary validation and reliability of an empathy-based consultation process measure.咨询与关系同理心(CARE)量表:一种基于同理心的咨询过程量表的开发、初步验证及信度研究
Fam Pract. 2004 Dec;21(6):699-705. doi: 10.1093/fampra/cmh621. Epub 2004 Nov 4.
4
An empirical study of decline in empathy in medical school.医学院校学生同理心下降的实证研究。
Med Educ. 2004 Sep;38(9):934-41. doi: 10.1111/j.1365-2929.2004.01911.x.
5
What is empathy, and how can it be promoted during clinical clerkships?什么是同理心,以及如何在临床实习期间培养同理心?
Acad Med. 2004 Sep;79(9):832-9. doi: 10.1097/00001888-200409000-00004.
6
A visitor's guide to effect sizes: statistical significance versus practical (clinical) importance of research findings.效应量指南:研究结果的统计学显著性与实际(临床)重要性
Adv Health Sci Educ Theory Pract. 2004;9(3):241-9. doi: 10.1023/B:AHSE.0000038173.00909.f6.
7
The effects of physician empathy on patient satisfaction and compliance.医生同理心对患者满意度和依从性的影响。
Eval Health Prof. 2004 Sep;27(3):237-51. doi: 10.1177/0163278704267037.
8
Effect of gender, age, and relevant course work on attitudes toward empathy, patient spirituality, and physician wellness.性别、年龄及相关课程作业对同理心态度、患者灵性及医生健康状况的影响。
Teach Learn Med. 2004 Spring;16(2):165-70. doi: 10.1207/s15328015tlm1602_8.
9
Teaching empathy to first year medical students: evaluation of an elective literature and medicine course.向一年级医学生传授同理心:对一门选修文学与医学课程的评估
Educ Health (Abingdon). 2004 Mar;17(1):73-84. doi: 10.1080/13576280310001656196.
10
Personal illness narratives: using reflective writing to teach empathy.个人疾病叙事:运用反思性写作培养同理心。
Acad Med. 2004 Apr;79(4):351-6. doi: 10.1097/00001888-200404000-00013.

培养同理心。一篇综述。

Educating for empathy. A review.

作者信息

Stepien Kathy A, Baernstein Amy

机构信息

University of Washington School of Medicine, Seattle, WA, USA.

出版信息

J Gen Intern Med. 2006 May;21(5):524-30. doi: 10.1111/j.1525-1497.2006.00443.x.

DOI:10.1111/j.1525-1497.2006.00443.x
PMID:16704404
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1484804/
Abstract

OBJECTIVE

Empathy in the medical setting is appreciation of the patient's emotions and expression of that awareness to the patient. Named as an essential learning objective by the American Association of Medical Colleges, empathy is believed to significantly influence patient satisfaction, adherence to medical recommendations, clinical outcomes, and professional satisfaction. The objective of this study was to identify effective strategies to enhance empathy in undergraduate medical students.

DATA SOURCES

We searched PubMed for studies that address the effectiveness of strategies for teaching empathy to medical students. We identified 13 peer-reviewed, English language, qualitative and quantitative studies reporting primary data on interventions that aim to foster empathy in undergraduate medical students, using Medical Subject Heading terms education, medical, undergraduate or student, medical crossed with empathy.

RESULTS

These studies indicate that empathy may be amenable to positive change with a range of interventional strategies. Communication skill workshops addressing the behavioral dimension of empathy show greatest quantitative impact on participants. However, current studies are challenged by varying definitions of empathy, small sample sizes, lack of adequate control groups, and variation among existing empathy measurement instruments.

CONCLUSION

Given the methodological limitations of the available studies, and uncertainty about which dimensions of empathy should be addressed, larger studies using validated measurement tools are recommended.

摘要

目的

医疗环境中的同理心是对患者情绪的理解以及向患者表达这种理解。美国医学院协会将同理心列为一项重要的学习目标,人们认为同理心会对患者满意度、对医疗建议的依从性、临床疗效以及职业满意度产生重大影响。本研究的目的是确定提高本科医学生同理心的有效策略。

数据来源

我们在PubMed上搜索了探讨向医学生传授同理心策略有效性的研究。我们确定了13项经过同行评审的、英文的定性和定量研究,这些研究报告了旨在培养本科医学生同理心的干预措施的原始数据,使用医学主题词“教育”“医学”“本科”或“学生”,并与“同理心”交叉检索。

结果

这些研究表明,通过一系列干预策略,同理心可能会发生积极变化。针对同理心行为维度的沟通技巧工作坊对参与者产生的量化影响最大。然而,目前的研究面临着同理心定义各异、样本量小、缺乏足够对照组以及现有同理心测量工具存在差异等挑战。

结论

鉴于现有研究的方法学局限性,以及对于应解决同理心哪些维度存在不确定性,建议使用经过验证的测量工具开展更大规模的研究。