Qian Jing, Zhang Wei, Wang Yahui, Xu Song
Department of Obstetrics and Gynecology, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, No. 261 Huansha Road, Hangzhou, 310000, Zhejiang, China.
The Fourth School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou, 310000, Zhejiang, China.
BMC Med Educ. 2024 Dec 18;24(1):1436. doi: 10.1186/s12909-024-06502-y.
Empathy is essential in medical practice, particularly in obstetrics and gynecology. Narrative Medicine, which involves storytelling and reflective writing, has been shown to enhance empathy among healthcare providers. Despite its benefits, there is limited research on the impact of narrative medicine on empathy among obstetrics and gynecology residents.
This study is a prospective controlled trail aimed at investigating the impact of a narrative medicine-based curriculum on the empathy levels of obstetrics and gynecology residents. The subjects of this study are obstetrics and gynecology residents undergoing standardized training at Hangzhou First People's Hospital in 2023, which was divided into two groups: one receiving narrative medicine training and the other, traditional training. The Chinese version of the Jefferson Empathy Scale was used to measure empathy levels before and after the intervention. A self-developed questionnaire was distributed to Group A residents at the end of the narrative medicine course to evaluate the curriculum.
Before the intervention, there was no significant difference in empathy scores between the two groups. However, after the narrative medicine intervention, Group A showed a significant improvement in empathy scores compared to Group B (P < 0.0001). Residents in Group A also rated the narrative medicine curriculum highly, with 92% considering it "great" or "excellent"; 87% finding it effective in improving empathy and doctor-patient communication; and 91% feeling that this course promoted their self-reflection in medical practice.
The integration of narrative medicine into the training of obstetrics and gynecology residents significantly enhanced their empathy levels. Most residents perceive narrative medicine as a valued and effective means of enhancing doctor-patient communication and reflection capability.
同理心在医疗实践中至关重要，尤其是在妇产科领域。叙事医学涉及讲故事和反思性写作，已被证明可增强医疗服务提供者的同理心。尽管有这些益处，但关于叙事医学对妇产科住院医师同理心影响的研究却很有限。
本研究是一项前瞻性对照试验，旨在调查基于叙事医学的课程对妇产科住院医师同理心水平的影响。本研究的对象是2023年在杭州市第一人民医院接受标准化培训的妇产科住院医师，分为两组：一组接受叙事医学培训，另一组接受传统培训。采用中文版的杰斐逊同理心量表在干预前后测量同理心水平。在叙事医学课程结束时，向A组住院医师发放一份自行编制的问卷，以评估该课程。
干预前，两组的同理心得分无显著差异。然而，在叙事医学干预后，A组的同理心得分与B组相比有显著提高（P < 0.0001）。A组住院医师对叙事医学课程的评价也很高，92%的人认为该课程“很棒”或“优秀”；87%的人认为它对改善同理心和医患沟通有效；91%的人觉得这门课程促进了他们在医疗实践中的自我反思。
将叙事医学融入妇产科住院医师培训显著提高了他们的同理心水平。大多数住院医师认为叙事医学是增强医患沟通和反思能力的一种有价值且有效的方式。
