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伊朗医学生的同理心:初步心理测量分析及性别和医学院年级的差异。

Empathy in Iranian medical students: A preliminary psychometric analysis and differences by gender and year of medical school.

机构信息

Educational Development Center, Shahrekord University of Medical Science, Iran.

出版信息

Med Teach. 2010;32(11):e471-8. doi: 10.3109/0142159X.2010.509419.

DOI:10.3109/0142159X.2010.509419
PMID:21039088
Abstract

BACKGROUND

It has been well documented that effective empathic communication in the context of patient care is associated with improved health care outcomes. However, the emphasis given to empathy in medical education in Iran is limited, and the state of such teaching is unknown in many countries.

AIMS

To determine the psychometric properties of an Iranian translation of the Jefferson Scale of Physician Empathy (JSPE) among medical students, and to examine the differences on mean empathy scores by gender and the different years of medical school.

METHOD

A cross-sectional study was conducted among medical students. Data analysis was based on 181 questionnaires. Principal component analysis (PCA) with Varimax rotation was used to identify the number and composition of components constituting the developed constructs.

RESULTS

The PCA yielded three factors: Compassionate care, perspective-taking, and the ability to walk in the patient's shoes. No statistically significant differences in the empathy means scores were found by gender and the different years of medical school.

CONCLUSIONS

The Persian version of JSPE is a psychometrically sound instrument to measure empathy. Cultural backgrounds and pedagogical practice may influence medical students' attitudes towards empathy. Some recommendations are made, and the study limitations are discussed.

摘要

背景

有大量文献证明,在患者护理背景下进行有效的共情沟通与改善医疗保健结果相关。然而,伊朗医学教育中对共情的重视程度有限,而且许多国家的这种教学状况也不为人知。

目的

确定医学生同理心量表(JSPE)的伊朗语翻译的心理测量学特性,并通过性别和不同医学年限来考察同理心得分均值的差异。

方法

在医学生中进行了横断面研究。数据分析基于 181 份问卷。采用主成分分析(PCA)和 Varimax 旋转来确定构成开发结构的组件的数量和组成。

结果

PCA 产生了三个因素:同情关怀、换位思考和理解患者的能力。性别和医学年限对同理心均值得分没有统计学上的显著差异。

结论

JSPE 的波斯语版本是一种测量同理心的心理测量学上可靠的工具。文化背景和教学实践可能会影响医学生对同理心的态度。提出了一些建议,并讨论了研究的局限性。

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