改变护理的30分钟:关于对不明原因症状进行简短的心理教育的混合方法研究
Sasha R Sioni1,2, Nathan Carroll3, Jay Al-Hashimi4
1Medical Education, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.
Cureus
|June 16, 2025
概括
一次短暂的30分钟培训显著提高了初级保健医生识别和沟通医学上无法解释的身体症状 (MUPS) 的能力. 干预增强了知识,舒适度和处理心身联系的技能,以获得更好的患者护理.
科学领域:
- 医学教育 医学教育
- 主要护理医学 医疗保健
- 精神病体医学是一种精神病体医学.
背景情况:
- 与患有医学上无法解释的身体症状 (MUPS) 的患者进行沟通是初级保健中的一个重大挑战.
- 很少有教育干预措施旨在提高临床医生的沟通技巧,以满足MUPS的接触.
研究的目的:
- 评估一个简短的心理训练模块对初级保健医生管理MUPS的技能的影响.
- 评估MUPS识别,心理知识和沟通舒适度的改善.
主要方法:
- 这是一项单组前后研究,涉及80名初级保健医生.
- 30分钟的培训包括生物心理社会模型的教学,案例讨论和角色扮演的同情验证技术.
- 评估包括自适应的体质症状量表-8,精神疾病知识问卷和自我报告的知识和舒适度 (KCTMQ).
主要成果:
- 在MUPS识别 (科恩d=2.04),心理知识 (d=0.94),沟通知识 (d=0.88) 和舒适度 (d=0.79) 中观察到显著的前后改善.
- 定性数据表明临床医生打算更早地整合心理社会因素,更频繁地使用验证陈述,并对解决心身联系表示更大的信心.
结论:
- 一个简短的,30分钟的心理训练会可以大大提高临床医生的沟通能力的MUPS.
- 简短,结构化的干预措施可以改善临床医生对体质症状的识别,患者经验的验证和生物心理社会原则的应用.
- 将此类培训纳入医疗教育和专业发展是一个可行的策略,以改善对患有不明原因症状的患者的护理.
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