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医学生的同理心:一项探索性横断面调查。

Empathy Among Medical Students: An Exploratory Cross-Sectional Survey.

作者信息

Brar Sukhmanjit S, G Revadi, Joshi Ankur, Rozatkar Abhijit R, Bajaj Ehsaas, Pakhare Abhijit P

机构信息

Community & Family Medicine, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.

Department of Psychiatry, All India Institute of Medical Sciences, Bhopal, Bhopal, IND.

出版信息

Cureus. 2024 May 12;16(5):e60166. doi: 10.7759/cureus.60166. eCollection 2024 May.

Abstract

Context In the context of healthcare, effective communication and empathy are fundamental skills for physicians, as empathy correlates positively with patient satisfaction, compliance, treatment adherence, and lower rates of physician burnout, depression and anxiety. This study aimed to assess empathy levels and related factors among undergraduate medical students. Methods A cross-sectional study in a Central Indian medical institute examined empathy levels and factors associated with it among medical students, utilizing various scales and statistical analyses. Results This study found that while empathy levels were relatively high among undergraduate students, there was a decline as they progressed through medical education, particularly after the first year of clinical exposure. The study identified several factors associated with empathy levels, including perceived stress, emotional separation, and social support. Notably, individuals experiencing higher levels of stress and emotional separation tended to have higher empathy levels. Conclusions The study's findings suggest that medical education should incorporate interventions to enhance empathy, including addressing stress, providing social support, and exposing students to the emotional aspects of patient care.

摘要

背景 在医疗保健领域,有效的沟通和同理心是医生的基本技能,因为同理心与患者满意度、依从性、治疗坚持性以及医生职业倦怠、抑郁和焦虑的较低发生率呈正相关。本研究旨在评估本科医学生的同理心水平及相关因素。方法 在印度中部一所医学院进行的横断面研究,利用各种量表和统计分析方法,对医学生的同理心水平及其相关因素进行了调查。结果 本研究发现,虽然本科学生的同理心水平相对较高,但随着他们接受医学教育的推进,尤其是在临床接触的第一年之后,同理心水平有所下降。该研究确定了几个与同理心水平相关的因素,包括感知压力、情感分离和社会支持。值得注意的是,经历较高压力和情感分离水平的个体往往具有较高的同理心水平。结论 该研究结果表明,医学教育应纳入增强同理心的干预措施,包括应对压力、提供社会支持以及让学生接触患者护理的情感方面。

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本文引用的文献

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The Science of Empathy.同理心科学
J Patient Exp. 2017 Jun;4(2):74-77. doi: 10.1177/2374373517699267. Epub 2017 May 9.
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Cross sectional assessment of empathy among undergraduates from a medical college.对一所医学院校本科生同理心的横断面评估。
Med J Armed Forces India. 2014 Apr;70(2):179-85. doi: 10.1016/j.mjafi.2014.02.005. Epub 2014 Apr 12.

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