比较两所葡萄牙医学院医学生的同理心。

Comparing empathy in medical students of two Portuguese medicine schools.

机构信息

Faculty of Medicine of the University of Coimbra, Coimbra, Portugal.

General Practice/Family Medicine Clinic of the University of Coimbra, Coimbra, Portugal.

出版信息

BMC Med Educ. 2020 May 13;20(1):153. doi: 10.1186/s12909-020-02034-3.

DOI:10.1186/s12909-020-02034-3

PMID:32404095

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7218824/

Abstract

BACKGROUND

Empathy is paramount in the doctor-patient relationship being a comprehensive and multidimensional concept. Self-ratings of empathy change across the years of medical education only when the Jefferson Scale of Physicians Empathy is used, with a worrying decrease being found throughout the years in Medicine Schools. As there are only few studies on the factors influencing medical student's empathy, particularly of the curricular model, this study aimed to compare the levels of empathy of medicine students of two Schools with different curricular models in central Portugal, the Faculty of Medicine - University of Coimbra (FMUC) and the Faculty of Health Sciences - University of Beira Interior (FCS-UBI).

METHODS

Cross-sectional observational study with the Jefferson Scale of Physician Empathy - students' Portuguese version (JSPE - spv) to 1st, 3rd and 6th year students of the 2017/2018 academic year with descriptive and inferential statistical analysis (p < 0.05).

RESULTS

Size representative sample of 795 students. Higher total empathy score (TES) (p = 0.008) and "Perspective taking" (p = 0.001) in FCS-UBI were found. JSPE-TES was higher in FCS-UBI, 3rd year (p = 0.038). Higher FCS-UBI "Perspective taking" in the 1st year (p = 0.030) and 6th year (p = 0.044), for "Compassionate care" in the 3rd (p = 0.019) and for "Standing in the patient's shoes" in the 1st year (p = 0.018) and in FMUC for "Compassionate care" in the 1st year (p = 0.037) and the "Standing in the patient's shoes" in year 3 (p = 0.002) were found. Higher levels of empathy were found in FCS-UBI female students, for JSPE-TES (p = 0.045) and "Perspective taking" (p = 0.001).

CONCLUSION

Higher empathy levels in FCS-UBI were found, with different results in the third year suggesting influence of the medical course teaching characteristics between the two Medicine schools, student's empathy levels being higher when earlier and more intense contact with patients accompanied by skilled tutors was developed.

摘要

背景

同理心是医患关系的核心，是一个全面的多维概念。只有使用杰斐逊医生同理心量表（Jefferson Scale of Physicians Empathy），医学生的同理心自评才会在医学教育的多年中发生变化，而在医学院校中，人们发现同理心的水平在这些年中一直在下降。由于关于影响医学生同理心的因素的研究很少，特别是关于课程模式的研究，因此本研究旨在比较葡萄牙中部两所具有不同课程模式的医学院（科英布拉大学的费尔南多·内维斯医学院[FMUC]和贝拉内拉大学的健康科学学院[FCS-UBI]）的医学生同理心水平。

方法

这是一项 2017/2018 学年的 1 、 3 和 6 年级学生的横断观测研究，使用杰斐逊医生同理心量表-学生葡萄牙语版本（JSPE-spv）进行描述性和推断性统计分析（p<0.05）。

结果

样本量具有代表性，共 795 名学生。FCS-UBI 的总体同理心评分（TES）较高（p=0.008）和“换位思考”（p=0.001）。FCS-UBI 的 3 年级学生的 JSPE-TES 更高（p=0.038）。FCS-UBI 的 1 年级学生的“换位思考”（p=0.030）和 6 年级学生的“同情心关怀”（p=0.044）、3 年级学生的“同情心关怀”（p=0.019）和 1 年级学生的“设身处地”（p=0.018），以及 FMUC 的 1 年级学生的“同情心关怀”（p=0.037）和 3 年级学生的“设身处地”（p=0.002）得分更高。FCS-UBI 的女学生的同理心水平更高，JSPE-TES（p=0.045）和“换位思考”（p=0.001）的得分更高。