模拟基于患者的沟通培训与实际基于患者的沟通培训对本科生同情行为的影响 - - 一项前性评估研究
Vanessa Britz1, Jasmina Sterz2,3, Yannik Koch2
1Goethe University Frankfurt, Medical Faculty, Institute for Medical Education and Clinical Simulation, Frankfurt/Main, Germany. britz@med.uni-frankfurt.de.
与模拟患者相比,医学学生在与真实患者进行培训时表现出较低的同情评分. 这表明,在培训的早期加入模拟患者可以提高同情的沟通技巧.
科学领域:
- 医学教育 医学教育
- 沟通技巧培训 培训 沟通技巧培训
- 在医疗保健中的同情心.
背景情况:
- 同理心对于有效的医生患者关系至关重要.
- 医学学生在学习期间经常经历同情心的下降.
- 模拟患者 (SPs) 和真实患者 (RP) 的沟通培训影响同情心.
研究的目的:
- 为了比较模拟患者 (SP) 与真实患者 (RP) 沟通培训对本科医学生的同情行为的影响.
- 在不同培训组中评估自我评估和外部评估的同理心水平.
主要方法:
- 在210分钟的技能实验室中对146名医学三年级学生进行前性评估.
- 三组:SP组 (知情的SP),隐形患者组 (IP组,不知情的SP) 和RP组 (真实患者).
- 使用杰斐逊医生同情度量 (JSPE),人际反应率指数 (IRI) 和咨询和关系同情度量 (CARE) 评估同情.
主要成果:
- 两组之间的自我评估同理心 (JSPE,IRI) 没有显著差异.
- 与IP组和RP组相比,SP组的外部评估同理心 (CARE) 显着较低.
- 在IP组和RP组之间的外部同理心没有显著差异.
结论:
- 与真实患者一起训练的学生,或者相信他们是真实的,获得了较低的外部同情评分.
- 抑制和缺乏日常生活可能会导致真实患者的同理心评分下降.
- 推SP的早期整合,然后逐步在医疗培训中引入RP.
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