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德黑兰医科大学一年级和最后一年医学生与患者同理心的比较。

Comparison of empathy with patients between first-year and last-year medical students of Tehran University of Medical Sciences.

机构信息

Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, P.O. Box: 1136746911, Tehran, Iran.

Young Researchers and Elites Club, Science and Research Branch, Islamic Azad University, Tehran, Iran.

出版信息

BMC Med Educ. 2021 Aug 30;21(1):460. doi: 10.1186/s12909-021-02897-0.

Abstract

PURPOSE

This study was conducted to assess the developmental factors of empathy among medical students of Tehran University of Medical Sciences (TUMS).

METHODS

To assess the empathy levels, 42 first-year and an equal number of last-year medical students were randomly selected. They answered a questionnaire including the medical student version of the Jefferson Scale, demographic, and some related variables. Statistical analyses were performed using the Chi-square test, T-test, univariate, and multivariate regressions.

RESULT

The study population consisted of 51 (60.7 %) men and 33 (39.3 %) women with a mean (SD) age of 22.24 (4.10) years. The Jefferson score was 110.19 ± 13.61 and 103.52 ± 20.00 in first- and last-year medical students, respectively. Moreover, medical students who completely passed at least one of the considered empathy courses of the TUMS curriculum had higher empathy scores compared to their counterparts (109.83 ± 15.54 vs. 103.68 ± 19.02). There was no significant association between empathy and gender, self-experience of illness, marital status, family history of chronic disease, and parents' education (all P-values > 0.05). After adjusting for the effects of confounders, the empathy scores were significantly associated with the academic year level (p = 0.04), level of interest in medicine (p = 0.001), and passing the empathy courses (p = 0.04).

CONCLUSIONS

The data provided from a top Iranian medical school indicated that the academic year level, level of interest in medicine, and passing the empathy courses were significantly associated with the empathy level. Further studies are recommended.

摘要

目的

本研究旨在评估德黑兰医科大学(TUMS)医学生同理心的发展因素。

方法

为了评估同理心水平,随机选择了 42 名一年级和同等数量的最后一年医学生。他们回答了一份包括杰斐逊量表的医学生版本、人口统计学和一些相关变量的问卷。使用卡方检验、T 检验、单变量和多变量回归进行统计分析。

结果

研究人群由 51 名(60.7%)男性和 33 名(39.3%)女性组成,平均(SD)年龄为 22.24(4.10)岁。杰斐逊评分分别为一年级和最后一年医学生的 110.19±13.61 和 103.52±20.00。此外,在 TUMS 课程中至少通过一门被认为是同理心课程的医学生的同理心评分高于他们的同龄人(109.83±15.54 与 103.68±19.02)。同理心与性别、自身患病经历、婚姻状况、慢性病家族史和父母教育程度之间无显著关联(所有 P 值均>0.05)。在调整了混杂因素的影响后,同理心评分与学年水平(p=0.04)、对医学的兴趣水平(p=0.001)和通过同理心课程(p=0.04)显著相关。

结论

来自伊朗顶尖医学院的数据表明,学年水平、对医学的兴趣水平和通过同理心课程与同理心水平显著相关。建议进一步研究。

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本文引用的文献

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Depression in medical students: current insights.医学生的抑郁症:当前见解
Adv Med Educ Pract. 2018 May 7;9:323-333. doi: 10.2147/AMEP.S137384. eCollection 2018.
4
Clarifying changes in student empathy throughout medical school: a scoping review.阐明医学院校学生同理心的变化:一项范围综述
Adv Health Sci Educ Theory Pract. 2017 Dec;22(5):1293-1313. doi: 10.1007/s10459-016-9704-7. Epub 2016 Jul 27.

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