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医学生的同理心与对临终患者的关怀护理:对“无人独自离世”项目的评估

Empathy of Medical Students and Compassionate Care for Dying Patients: An Assessment of "No One Dies Alone" Program.

作者信息

Hojat Mohammadreza, DeSantis Jennifer, Ney David B, DeCleene-Do Hannah

机构信息

Asano-Gonnella Center for Research in Medical Education and Health Care and Department of Psychiatry and Human Behavior, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.

Asano-Gonnella Center for Research in Medical Education and Health Care, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA, USA.

出版信息

J Patient Exp. 2020 Dec;7(6):1164-1168. doi: 10.1177/2374373520962605. Epub 2020 Oct 6.

Abstract

The "No One Dies Alone" (NODA) program was initiated to provide compassionate companions to the bedside of dying patients. This study was designed to test the following hypotheses: (1) Empathy scores would be higher among medical students who volunteered to participate in the NODA program than nonvolunteers; (2) Spending time with dying patients would enhance empathy in medical students. Study sample included 525 first- and second-year medical students, 54 of whom volunteered to participate in the NODA program. Of these volunteers, 26 had the opportunity to visit a dying patient (experimental group), and 28 did not, due to scheduling conflicts (volunteer control group). The rest of the sample (n = 471) comprised the "nonvolunteer control group." Comparisons of the aforementioned groups on scores of the Jefferson Scale of Empathy confirmed the first research hypothesis ( < .05, Cohen = 0.37); the second hypothesis was not confirmed. This study has implications for the assessment of empathy in physicians-in-training, and timely for recruiting compassionate companion volunteers (armed with personal protective equipment) at the bedside of lonely dying patients infected by COVID-19.

摘要

“无人独自离世”(NODA)项目旨在为临终患者床边提供富有同情心的陪伴者。本研究旨在检验以下假设:(1)自愿参与NODA项目的医学生的同理心得分高于非志愿者;(2)与临终患者相处会增强医学生的同理心。研究样本包括525名一年级和二年级医学生,其中54人自愿参与NODA项目。在这些志愿者中,26人有机会探访临终患者(实验组),28人因日程冲突未能探访(志愿者对照组)。样本中的其余部分(n = 471)构成“非志愿者对照组”。通过杰斐逊同理心量表得分对上述各组进行比较,证实了第一个研究假设(<.05,科恩效应量 = 0.37);第二个假设未得到证实。本研究对评估实习医生的同理心具有启示意义,同时也为招募富有同情心的陪伴志愿者(配备个人防护装备)到感染新冠病毒的孤独临终患者床边提供了及时的参考。

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