Arani Reyhane Hizomi, Naji Zohrehsadat, Moradi Ali, Pooreh Shohreh, Merati Yosra, Shariat Seyed Vahid, Salamati Payman
Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Young Researchers and Elites Club, Science and Research Branch, Islamic Azad University, Tehran, Iran.
Iran J Nurs Midwifery Res. 2024 Nov 20;29(6):749-753. doi: 10.4103/ijnmr.ijnmr_202_23. eCollection 2024 Nov-Dec.
Empathy is considered paramount to the medical profession because it affects patients' satisfaction, compliance, and quality of care. It has been studied that medical residents in non-psychiatry specialties (especially general surgery) pay less attention to their patients' experiences and emotions. This study measured and compared surgical and psychiatric medical residents' empathy scores.
In 2021, we studied all first- to third-year medical residents of psychiatry and general surgery who worked in hospitals affiliated with the Iran University of Medical Sciences (IUMS), Tehran, Iran. Eighty-eight eligible residents, including 53 psychiatric and 35 surgical residents, were enrolled in this cross-sectional study. The Persian-validated Jefferson empathy scale was used to evaluate empathy among the residents. Chi-square, -test, and ANOVA were used for group comparisons. A multivariable linear regression analysis was used to find the factors associated with the empathy score. Data analysis was conducted using the SPSS version 21.
The total mean score (SD) of empathy was 104.34 (11.10). Female residents had higher mean (SD) empathy scores compared to their male counterparts (109.21 [9.29] vs. 99.14 [12.72]; < 0.001), and psychiatric residents scored higher than surgical residents (109.18 [8.91] vs. 96.67 [12.50]; < 0.001). Psychiatric residency was independently associated with a higher empathy score (standardized coefficients; beta = 0.41, = 0.001).
Psychiatric residents have significantly higher empathy with patients than surgical residents. There was also a significant difference among male and female residents. Therefore, it may be recommended that structural education directions be developed for residents to promote empathy during the residency program.
同理心被认为是医疗行业的重中之重，因为它会影响患者的满意度、依从性和护理质量。已有研究表明，非精神科专业（尤其是普通外科）的住院医师对患者的经历和情感关注较少。本研究测量并比较了外科和精神科住院医师的同理心得分。
2021年，我们对在伊朗德黑兰医科大学（IUMS）附属医院工作的所有一至三年级精神科和普通外科住院医师进行了研究。88名符合条件的住院医师，包括53名精神科住院医师和35名外科住院医师，参与了这项横断面研究。使用经过波斯语验证的杰斐逊同理心量表来评估住院医师的同理心。采用卡方检验、t检验和方差分析进行组间比较。使用多变量线性回归分析来找出与同理心得分相关的因素。使用SPSS 21版进行数据分析。
同理心的总平均得分（标准差）为104.34（11.10）。女性住院医师的平均（标准差）同理心得分高于男性住院医师（109.21 [9.29] 对 99.14 [12.72]；P < 0.001），精神科住院医师的得分高于外科住院医师（109.18 [8.91] 对 96.67 [12.50]；P < 0.001）。精神科住院医师培训与更高的同理心得分独立相关（标准化系数；β = 0.41，P = 0.001）。
精神科住院医师对患者的同理心明显高于外科住院医师。男女住院医师之间也存在显著差异。因此，可能建议为住院医师制定结构化教育指导方针，以在住院医师培训项目中促进同理心。
