摘要
目的探讨叙事医学应用于儿科学住院医师规范化培训过程中医患沟通的作用。方法选取广州医科大学2017—2019级儿科学专业住院医师规范化培训学员80人,采用随机数字表以及随机数余数分组法将学员分为对照组和实验组,每组各40人;对照组采用课堂授课方式学习“医患沟通”课程,实验组采用叙事医学方式分析并演绎医患关系的经典案例,比较两组学员的学习提升程度、成绩考核分数与知识掌握程度、课堂教学效果及教学方法的满意度。结果实验组学员的学习提升程度、成绩考核分数与知识掌握程度、课堂教学效果均高于对照组(P<0.05);实验组学员对教学方法的满意度高(P<0.05)。结论叙事医学对优化“医患沟通”课堂气氛、提高医患沟通技巧具有积极作用,为保证医疗服务质量及提高医疗技术水平提供支持。
Objective To explore the role of narrative medicine in communication between doctors and patients in resident standardized training in pediatric.Methods 80 students in the resident standardized training in pediatrics enrolled from 2017 to 2019 in Guangzhou Medical University were selected and divided into the control group(40 people)and environmental group(40 people)by random number table and random number remainder grouping method.The control group studied the"doctor-patient communication course"by means of classroom instruction,and the experimental group used the classic case of narrative medical analysis and deduction of doctor-patient relationship.The degree of learning improvement,performance evaluation and acquisition of knowledge,as well as class teaching effects of the two groups were compared.Results The degree of learning improvement,performance evaluation and acquisition of knowledge,as well as class teaching effects of the experimental group were higher than those of the control group(P<0.05);students in the experimental group were more satisfied with the teaching method than the control group(P<0.05).Conclusion Narrative medicine plays a positive role in optimizing the classroom atmosphere of communication between doctors and patients and improving the communication skills between doctors and patients.
作者
孙凤杰
林天云
李娟
邓云燕
Sun Fengjie;Lin Tianyun;Li Juan;Deng Yunyan(Department of Neonatus,the Fifth Affiliated Hospital of Guangzhou Medical University,Guangzhou 510700,China)
出处
《中国医学教育技术》
2020年第6期791-794,798,共5页
China Medical Education Technology
基金
广东省临床教学基地教学改革研究项目(2018JD035)
广州医科大学教育科学“十三五”规划课题(20180115)
广州市青少年科技教育项目(KP2019093)。
关键词
叙事医学
儿科学
住院医师规范化培训
Narrative medicine
Pediatrics
Resident standardized training
