促进医学生同理心：一项双站点随机对照研究。
Promoting empathy among medical students: A two-site randomized controlled study.
机构信息
Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Département de Médecine Générale, 24 rue du Faubourg Saint Jacques, 75014 Paris, France; METHODS Team, Epidemiology and Statistics Sorbonne Paris Cité, Research Center UMR 1153, Inserm, 1 place du parvis de Notre Dame, 75004 Paris, France.
Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France; AP-HP, Hôpitaux Universitaires Paris Ouest, Service de Psychiatrie de l'adulte et du sujet âgé, 20 Rue Leblanc, 75015 Paris, France; Inserm, U894, Centre Psychiatrie et Neurosciences, 2 ter, rue d'Alésia, 75014 Paris, France.
出版信息
J Psychosom Res. 2017 Dec;103:102-107. doi: 10.1016/j.jpsychores.2017.10.008. Epub 2017 Oct 17.
OBJECTIVE
To assess the effects of Balint groups on empathy measured by the Consultation And Relational Empathy Measure (CARE) scale rated by standardized patients during objective structured clinical examination and self-rated Jefferson's School Empathy Scale - Medical Student (JSPE-MS©) among fourth-year medical students.
METHODS
A two-site randomized controlled trial were planned, from October 2015 to December 2015 at Paris Diderot and Paris Descartes University, France. Eligible students were fourth-year students who gave their consent to participate. Participants were allocated in equal proportion to the intervention group or to the control group. Participants in the intervention group received a training of 7 sessions of 1.5-hour Balint groups, over 3months. The main outcomes were CARE and the JSPE-MS© scores at follow-up.
RESULTS
Data from 299 out of 352 randomized participants were analyzed: 155 in the intervention group and 144 in the control group, with no differences in baseline measures. There was no significant difference in CARE score at follow-up between the two groups (P=0.49). The intervention group displayed significantly higher JSPE-MS© score at follow-up than the control group [Mean (SD): 111.9 (10.6) versus 107.7 (12.7), P=0.002]. The JSPE-MS© score increased from baseline to follow-up in the intervention group, whereas it decreased in the control group [1.5 (9.1) versus -1.8 (10.8), P=0.006].
CONCLUSIONS
Balint groups may contribute to promote clinical empathy among medical students.
TRIAL REGISTRATION
NCT02681380.
目的
评估巴林特小组对医学生客观结构化临床考试中标准化患者评定的咨询和关系共情量表（CARE）评分以及医学生杰斐逊共情量表（JSPE-MS©）的自我评定的影响。
方法
这是一项在法国巴黎狄德罗大学和巴黎笛卡尔大学进行的两站点随机对照试验，计划于 2015 年 10 月至 12 月进行。合格的学生是同意参与的四年级医学生。参与者以相等的比例分配到干预组或对照组。干预组的参与者接受了 7 次 1.5 小时的巴林特小组培训，为期 3 个月。主要结局是随访时的 CARE 和 JSPE-MS©评分。
结果
对 352 名随机参与者中的 299 名进行了数据分析：干预组 155 名，对照组 144 名，两组基线测量无差异。两组在随访时 CARE 评分无显著差异（P=0.49）。干预组随访时的 JSPE-MS©评分明显高于对照组[平均（SD）：111.9（10.6）比 107.7（12.7），P=0.002]。干预组的 JSPE-MS©评分从基线到随访期有所增加，而对照组则有所下降[1.5（9.1）比-1.8（10.8），P=0.006]。
结论
巴林特小组可能有助于促进医学生的临床共情。
试验注册
NCT02681380。
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