Jefferson Medical College of Thomas Jefferson University , USA.
Med Teach. 2013 Dec;35(12):996-1001. doi: 10.3109/0142159X.2013.802300. Epub 2013 Jun 11.
Empathy is an important component of physician competence that needs to be enhanced.
To test the hypotheses that medical students' empathy can be enhanced and sustained by targeted activities.
This was a two-phase study in which 248 medical students participated. In Phase 1, students in the experimental group watched and discussed video clips of patient encounters meant to enhance empathic understanding; those in the control group watched a documentary film. Ten weeks later in Phase 2 of the study, students who were in the experimental group were divided into two groups. One group attended a lecture on empathy in patient care, and the other plus the control group watched a movie about racism. The Jefferson Scale of Empathy (JSE) was administered pre-post in Phase 1 and posttest in Phase 2.
In Phase 1, the JSE mean score for the experimental group improved significantly (p < 0.01); no change in the JSE scores was observed in the control group. In Phase 2, the JSE mean score improvement was sustained in the group that attended the lecture, but not in the other group. No change in empathy was noticed in the control group.
Research hypotheses were confirmed.
同理心是医生能力的重要组成部分，需要加以增强。
验证以下假设，即有针对性的活动可以提高和维持医学生的同理心。
这是一项两阶段的研究，共有 248 名医学生参与。在第一阶段，实验组的学生观看并讨论了旨在增强同理心理解的医患视频片段；对照组的学生观看了一部纪录片。在研究的第二阶段（10 周后），实验组的学生被分为两组。一组参加了关于患者护理中的同理心的讲座，另一组（包括对照组）观看了一部关于种族主义的电影。在第一阶段进行了杰斐逊同理心量表（JSE）的前测和后测，在第二阶段进行了后测。
在第一阶段，实验组的 JSE 平均得分显著提高（p<0.01）；对照组的 JSE 得分没有变化。在第二阶段，参加讲座的组的 JSE 平均得分持续提高，但其他组没有。对照组的同理心没有变化。
研究假设得到证实。
