Afyonkarahisar Health Sciences University, Faculty of Medicine, Department of Psychiatry, Turkey.
Medicine (Baltimore). 2022 Nov 25;101(47):e32066. doi: 10.1097/MD.0000000000032066.
We aimed to investigate the change in the ability of clinical empathy, which has a special importance in physician-patient relationship, during medical school years, and its relationship between stress coping styles. After the preliminary interview with 292 volunteer medical school students, the students were asked to answer the Hospital Anxiety Depression Scale, the Stress Coping Scale, and the student version of the Jefferson Doctor Empathy Scale. This study shows that the lowest median of the empathy level among medical school students was in the sixth year, and the decrease in empathy in the sixth year was mostly in the perspective taking component. When the relationship between empathy and coping styles with stress was examined, it was seen that self-confident approach was positively correlated with perspective taking (R = 0.182, P = .002) and standing in the patient's shoes (R = 0.172, P = .003). It was observed that the helpless approach, which is one of the negative coping styles, was inversely correlated with standing in the patient's shoes. As a result of the study, it was determined that the styles of coping with stress were related to the components of empathy, except for compassionate care. The self-confidence approach has an impact on the ability of standing in the patient's shoes and perspective-taking. During medical education, focusing on the approaches that increase the student's self-confidence against the stress will encounter throughout their professional life will undoubtedly increase the level of empathy.
我们旨在研究医学生在整个医学院学习期间临床同理心能力的变化及其与应对压力的方式之间的关系。在对 292 名志愿医学生进行初步访谈后，要求学生回答医院焦虑抑郁量表、压力应对量表和杰斐逊医生同理心量表。本研究表明，医学生同理心水平的中位数最低是在第六年，第六年同理心的下降主要体现在换位思考方面。当同理心与应对压力的方式之间的关系被检查时，发现自信的方法与换位思考（R = 0.182，P = 0.002）和站在病人的立场（R = 0.172，P = 0.003）呈正相关。观察到一种消极的应对方式——无助应对与站在病人的立场呈负相关。研究结果表明，应对压力的方式与同理心的各个组成部分有关，除了同情关怀。自信的方法对站在病人的立场和换位思考的能力有影响。在医学教育中，关注那些能增加学生对其整个职业生涯中遇到的压力的自信的方法，无疑将提高同理心水平。
