叙事医学项目对牙科学生共情能力的影响：一项对比研究。

Effects of a narrative medicine program on empathic ability of dental students: a comparative study.

作者信息

Liao Chufang, Zhong Ting, Xu Mengxue, Zhan Yingzhi, Liu Xiangning

机构信息

School of Stomatology, Jinan University, Guangzhou, China.

Hospital of Stomatology, The First Affiliated Hospital of Jinan University, Guangzhou, China.

出版信息

BMC Oral Health. 2025 Feb 7;25(1):193. doi: 10.1186/s12903-025-05580-8.

DOI:10.1186/s12903-025-05580-8

PMID:39920652

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11806884/

Abstract

BACKGROUND

Narrative medicine (NM), a model for medical humanism, has become an effective educational tool to cultivate medical students' empathy. However, the role of NM in dental education still lacks experimental evidence. This study aims to analyze the effects of NM on dental students' empathic ability and explore the correlation between empathic ability and academic performance.

METHODS

A comparative study was conducted at Jinan University, China, during 2023 to 2024 year. The NM education program was integrated into the fixed prosthodontics course. The participants of this study were senior undergraduate dental students in pre-clinical stage. Control group students received traditional teaching and experimental group students received NM-integrated teaching. Self-report questionnaires of empathic ability and perceptions about NM as well as academic performance were analyzed in two groups.

RESULTS

A total of 134 participants were recruited. Empathy scores in the experimental group (n = 62) were higher than those in the control group (n = 72). In the experimental group, students writing parallel charts as coursework received higher empathy scores than students writing reflection reports on medical novels or films. Empathic scores were positively correlated to theoretical exam scores but almost uncorrelated to skill exam scores. Most dental students held positive perceptions towards NM, especially regarding self-development.

CONCLUSION

In dental education, NM as an educational tool for empathy is feasible. It might provide insights for dental educators in planning and managing dental courses that integrate humanities.

摘要

背景

叙事医学（NM）作为一种医学人文模式，已成为培养医学生同理心的有效教育工具。然而，NM在牙科教育中的作用仍缺乏实验证据。本研究旨在分析NM对牙科学生同理心能力的影响，并探讨同理心能力与学业成绩之间的相关性。

方法

2023年至2024年期间在中国暨南大学进行了一项比较研究。将NM教育计划纳入固定义齿修复课程。本研究的参与者是临床前阶段的高年级牙科本科学生。对照组学生接受传统教学，实验组学生接受整合NM的教学。对两组学生的同理心能力自评问卷、对NM的看法以及学业成绩进行了分析。

结果

共招募了134名参与者。实验组（n = 62）的同理心得分高于对照组（n = 72）。在实验组中，将撰写平行病历作为课程作业的学生比撰写关于医学小说或电影的反思报告的学生获得更高的同理心得分。同理心得分与理论考试成绩呈正相关，但与技能考试成绩几乎不相关。大多数牙科学生对NM持积极看法，尤其是在自我发展方面。