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在进行共情技能强化体验式培训后医学生共情水平的提升

Improvement of Medical Students' Empathy Levels After an Intensive Experiential Training on Empathy Skills.

作者信息

Avlogiari Efpraxia, Maria Karagiannaki Stella, Panteris Eleftherios, Konsta Anastasia, Diakogiannis Ioannis

机构信息

1st Psychiatry Clinic, Aristotle University of Thessaloniki Faculty of Health Sciences, School of Medicine.

Aristotle University of Thessaloniki Faculty of Health Sciences, School of Medicine.

出版信息

Psychiatry Clin Psychopharmacol. 2021 Dec 1;31(4):392-400. doi: 10.5152/pcp.2021.21098. eCollection 2021 Dec.

Abstract

BACKGROUND

EMPATHY IN HEALTHCARE is an intensive 20-hour experiential training program based on mediation techniques and specialized healthcare role-play for clinicians and medical students. It is hypothesized that the training will improve empathy via the intensive experiential techniques implemented.

METHODS

A total of 50 medical students (25 males/25 females) took the course voluntarily. Empathy was measured using the Jefferson Scale of Empathy-Medical Students Version (JSE-S) (Greek version), before and after the 20-hour training, along with a 6-month follow-up. Gender, age, preferred medical specialty and baseline empathy score were explored as possible moderator variables of the training effect.

RESULTS

Empathy increased after training, with a mean JSE-S score improvement of 11.25 points (±8.848) ( < .001). After 6 months, the mean JSE-S score maintained a difference of 6.514 points (±12.912) ( < .005). No differences were recorded with regard to gender, age group or medical specialty for the pooled data. Women in the 22-24 year-old age group had a 5-point mean difference ( = .05), and higher post-training scores than men. Lower initial scorers were the ones that mostly improved, with a 3-fold mean score difference from the higher scorers regardless of gender ( < .001), while also showing a smaller drop in empathy levels 6 months after the training compared to the higher scorers.

CONCLUSION

Intensive experiential training can improve empathy in a clinical setting. is a successful training program in improving empathy in medical students, as measured by the JSE-S. A score of 110 and below could be used for selecting medical student candidates who will benefit most from empathy training.

摘要

背景

医疗中的同理心是一项为期20小时的强化体验式培训项目,基于调解技巧和针对临床医生及医学生的专业医疗角色扮演。据推测,该培训将通过所实施的强化体验式技巧提高同理心。

方法

共有50名医学生(25名男性/25名女性)自愿参加该课程。在20小时培训前后以及6个月随访时,使用杰斐逊医学生同理心量表(JSE-S)(希腊语版)测量同理心。探索性别、年龄、偏好的医学专业和基线同理心得分作为培训效果的可能调节变量。

结果

培训后同理心增强,JSE-S平均得分提高11.25分(±8.848)(P <.001)。6个月后,JSE-S平均得分仍保持6.514分的差异(±12.912)(P <.005)。汇总数据在性别、年龄组或医学专业方面未记录到差异。22至24岁年龄组的女性平均差异为5分(P =.05),且培训后得分高于男性。初始得分较低者改善最为明显,无论性别,其平均得分与较高得分者相差3倍(P <.001),并且与较高得分者相比,培训6个月后同理心水平下降幅度更小。

结论

强化体验式培训可在临床环境中提高同理心。就JSE-S测量而言,该培训项目在提高医学生同理心方面是成功的。110分及以下的得分可用于挑选将从同理心培训中获益最大的医学生候选人。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6aa/11079646/3835eeb4dceb/pcp-31-4-392_f001.jpg

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