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多模式干预对医学生共情水平的影响:一项基于问卷调查的研究。

Impact of Multimodal Intervention on Empathy Levels in Medical Students: A Questionnaire-Based Study.

作者信息

Bankar Mangesh, Gupta Shefali, Kumar Hansraj, Agarwal Mayank

机构信息

Pharmacology, All India Institute of Medical Sciences, Raebareli, IND.

Microbiology, All India Institute of Medical Sciences, Raebareli, IND.

出版信息

Cureus. 2024 Apr 27;16(4):e59169. doi: 10.7759/cureus.59169. eCollection 2024 Apr.

Abstract

Background Empathy is essential for effective doctor-patient communication. It enables doctors to understand patients' emotions and concerns, facilitating personalized care and support. Empathy can be cultivated through various methods and training programs. Objective The study aims to assess the effectiveness of a multimodal intervention involving interactive lectures, peer role-play, and guided reflection in enhancing empathy levels among second-year medical undergraduate students in India. Methods This study utilized a questionnaire-based, pre- and post-test interventional design. Seventy-nine second-year medical students were included after obtaining their informed consent. The students received the intervention through an interactive lecture on communication skills, role-play on selected case studies, and guided reflection. The empathy levels were assessed using the Toronto Empathy Questionnaire (TEQ) before and after the intervention. The Mann-Whitney U test was utilized to compare pre-test and post-test TEQ scores. A univariate analysis of variance was conducted to explore the relationship between demographic variables and post-test TEQ scores. Statistical significance was considered at p ≤ 0.05. Results The TEQ score improved significantly (p=0.009) after the intervention. The univariate analysis indicated that gender, style of education, and place of residence did not have a statistically significant impact on post-test scores. Conclusion The study demonstrates that a multimodal intervention significantly enhances the empathy level of medical students, highlighting the potential of focused interventions to reduce gender disparities in empathy levels. There were no significant differences in empathy scores based on gender, place of residence, or schooling, suggesting the intervention's benefits may apply to all medical students.

摘要

背景

同理心对于有效的医患沟通至关重要。它使医生能够理解患者的情绪和担忧,促进个性化护理和支持。同理心可以通过各种方法和培训项目来培养。

目的

本研究旨在评估一种多模式干预措施的有效性,该措施包括互动讲座、同伴角色扮演和引导式反思,以提高印度医学本科二年级学生的同理心水平。

方法

本研究采用基于问卷的前后测干预设计。在获得79名医学二年级学生的知情同意后将他们纳入研究。学生们通过关于沟通技巧的互动讲座、对选定案例研究的角色扮演以及引导式反思接受干预。在干预前后使用多伦多同理心问卷(TEQ)评估同理心水平。使用曼-惠特尼U检验比较干预前和干预后的TEQ分数。进行单因素方差分析以探讨人口统计学变量与干预后TEQ分数之间的关系。当p≤0.05时认为具有统计学意义。

结果

干预后TEQ分数显著提高(p = 0.009)。单因素分析表明,性别、教育方式和居住地点对干预后分数没有统计学上的显著影响。

结论

该研究表明,多模式干预显著提高了医学生的同理心水平,突出了针对性干预在减少同理心水平上的性别差异方面的潜力。基于性别、居住地点或学校教育的同理心得分没有显著差异,这表明该干预的益处可能适用于所有医学生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/837f/11129940/3eb576398e81/cureus-0016-00000059169-i04.jpg

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