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临床访谈培训对医学生和住院医师共情水平的影响。

Impact of clinical interview training on the empathy level of medical students and medical residents.

作者信息

Fernndez-Olano Clotilde, Montoya-Fernndez Julio, Salinas-Snchez Antonio S

机构信息

University of Castilla-La, Mancha, Spain.

出版信息

Med Teach. 2008;30(3):322-4. doi: 10.1080/01421590701802299.

Abstract

BACKGROUND

Empathy is a skill that can be acquired by practise and should become a habit.

AIMS

Assess the impact of a communication skills workshop on the empathy level of medical students and medical residents.

METHODS

Quasi-experimental pre-test/post-test study. Empathy level was assessed in 203 subjects using the Jefferson Scale of Physician Empathy (JSPE), divided in two groups: one control group, and other experimental group that participated in an activity consisting of a 25-hour theoretical/practical workshop on communication and empathy.

RESULTS

The mean pre-workshop JSPE score was similar in both groups. Post-workshop JSPE score increased 5.24 points (95 CI 3.82-7.09) (P<0.0001) in the experimental group, improving in 68.9% of participants. No significant increase in JSPE score after the second assessment was observed in the controls. For this difference the estimated effect size was 0.78.

CONCLUSIONS

A communication skills workshop yields a slight improvement of crucial practice importance in subjects' empathy.

摘要

背景

同理心是一种可以通过练习获得的技能,并且应该成为一种习惯。

目的

评估沟通技能工作坊对医学生和住院医师同理心水平的影响。

方法

准实验性的前测/后测研究。使用杰斐逊医生同理心量表(JSPE)对203名受试者的同理心水平进行评估,分为两组:一组为对照组,另一组为实验组,实验组参加了一个由25小时的沟通与同理心理论/实践工作坊组成的活动。

结果

两组在工作坊前的JSPE平均得分相似。实验组工作坊后的JSPE得分提高了5.24分(95%置信区间3.82 - 7.09)(P<0.0001),68.9%的参与者有所改善。对照组在第二次评估后JSPE得分没有显著增加。对于这种差异,估计效应大小为0.78。

结论

沟通技能工作坊在受试者的同理心方面产生了具有关键实践重要性的轻微改善。

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