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物理治疗专业学生自我报告的同理心与标准化患者在模拟远程医疗会诊中对同理心的感知的比较。

A Comparison of Doctor of Physical Therapy Students' Self-Reported Empathy With Standardized Patients Perceptions of Empathy During a Simulated Telehealth Encounter.

作者信息

Holmes Mary Beth, Starr Julie Ann

机构信息

Department of Physical Therapy, Sargent College, Boston University, Boston, MA, USA.

出版信息

J Patient Exp. 2022 Jul 7;9:23743735221112226. doi: 10.1177/23743735221112226. eCollection 2022.

Abstract

Empathy is an important factor in developing a positive patient-provider relationship. It has been shown to lead to improved patient outcomes, well-being, and satisfaction. This study examines the relationship between first-year physical therapy students' self-reported empathy levels and a patient's perceptions of caregiver empathy during a standardized patient interview via telehealth. Forty-five students completed a self-reported empathy survey before the standardized patient encounter using telehealth. Following the experience, standardized patients rated the perceived empathy demonstrated by the students during that patient-provider encounter using 2 validated measures. The mean student self-reported empathy using the Jefferson Scale of Empathy-Health Care Provider Student (JSE-HPS) version was 123.93 (range 95-135 SD 7.328). The standardized Jefferson Scale of Patient Perception of Provider Empathy (JSPPPE) scores showed a mean of 23.8 (range 11-32 SD 3.951) and a mean of 3.16 (range 1-5 SD.85) on the Global Rating of Empathy (GRE). There was no significant correlation found between the JSE-HPS and the JSPPPE,  = -.47,  = .760, or the GRE  = -.166,  = .276. The artificial nature of a standardized patient interaction using the telehealth format for this encounter may have contributed to the students' inability to communicate empathy to the patient and may explain this discrepancy.

摘要

同理心是建立积极的医患关系的一个重要因素。研究表明,它能带来更好的患者治疗效果、幸福感和满意度。本研究通过远程医疗在标准化患者访谈中,考察了一年级物理治疗专业学生自我报告的同理心水平与患者对护理人员同理心的感知之间的关系。45名学生在通过远程医疗进行标准化患者接触之前,完成了一份自我报告的同理心调查。在这次经历之后,标准化患者使用两种经过验证的测量方法,对学生在医患接触过程中表现出的同理心进行评分。学生使用杰斐逊医疗保健提供者学生同理心量表(JSE-HPS)版本自我报告的同理心平均分为123.93(范围95 - 135,标准差7.328)。标准化的患者对提供者同理心的杰斐逊量表(JSPPPE)得分显示,在同理心总体评分(GRE)上,平均分为23.8(范围11 - 32,标准差3.951),平均分3.16(范围1 - 5,标准差0.85)。在JSE-HPS与JSPPPE之间未发现显著相关性,r = -0.47,p = 0.760,或在GRE与JSPPPE之间,r = -0.166,p = 0.276。对于此次接触,使用远程医疗格式进行标准化患者互动的人为性质,可能导致学生无法向患者传达同理心,并可能解释了这种差异。

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Videotherapy and therapeutic alliance in the age of COVID-19.视频治疗和 COVID-19 时代的治疗联盟。
Clin Psychol Psychother. 2021 Mar;28(2):409-421. doi: 10.1002/cpp.2521. Epub 2020 Oct 24.

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