摘要
目的了解叙事医学在医学院的开展情况及医学生群体对叙事医学的认知程度。方法以全国范围内的2353名医学生为研究对象,通过网络形式发放知信行理论模式调查问卷,对调查结果从一般认识情况、了解叙事医学的途径、平行病历认知程度几个角度进行分析。结果44.50%的调查对象从未了解过叙事医学,50.79%的调查对象未听说过平行病历;26.80%的调查对象曾参与过叙事医学课程培训,而多数医学生通过其他途径了解叙事医学。结论本研究显示,大部分调查对象对叙事医学的关键概念不熟悉,通过将人类学中的大文化概念引入医学院校教育或可开拓医患互动的视域融合沟通模式以改善医患关系;当下平行病历及叙事类型的医学生普及程度不佳,文化敏感性及反思能力的培养有助于促进平行病历的教学与应用;多种学习途径为进一步开展教学打下基础,搭建多元教学体系以丰富课程内容可作为日后叙事医学教育推广的重点。
Objective:To understand the development of narrative medicine in medical schools and the cognitive level of narrative medicine among medical students.Methods:Taking 2,353 medical students nationwide as the research subjects,Knowledge,Attitude/Belief,Practice(KAP)questionnaire was distributed online to conduct a survey.The survey results were analyzed from the perspectives of general knowledge,ways to understand narrative medicine,and cognitive level of parallel medical records.Results:44.50%of the survey respondents had never learned about narrative medicine,and 50.79%of them had never heard of parallel medical records.26.80%of the survey respondents had participated in the training of narrative medicine courses,while most medical students learned about narrative medicine through other ways.Conclusion:This paper showed that the majority of the survey respondents are not familiar with the key concepts of narrative medicine.By introducing the concept of big culture in anthropology into medical college education or exploring the perspective of doctor-patient interaction,integrating communication models to improve doctor-patient relationships.The current popularization level of parallel medical records and narrative types among medical students is not good,and the cultivation of cultural sensitivity and reflective ability may help promote the teaching and application of parallel medical records.Multiple learning pathways lay the foundation for further teaching,and build a diversified teaching system to enrich the course content,which should be the focus of promoting narrative medicine education in the future.
作者
郑奥
孙咏莉
励国
ZHENG Ao;SUN Yongli;LI Guo(School of Pharmacy,Capital Medical University,Beijing 100069,China;School of Medical Humanities,Capital Medical University,Beijing 100069,China;Department of Emergency Medicine,Beijing Fengtai Integrated Traditional Chinese and Western Medicine Hospital,Beijing 100072,China)
出处
《中国医学伦理学》
2023年第11期1208-1215,共8页
Chinese Medical Ethics
基金
北京市教育委员会社科计划一般项目“叙事医学在医学生临床实习中的应用研究”(SM202110025007)
北京市教育科学规划一般项目“医学生平行病历书写能力培养与评估研究”(CEDB2020162)。
关键词
叙事医学
医患沟通
医学人类学
叙事医学教育
平行病历
Narrative Medicine
Doctor-patient Communication
Medical Anthropology
Narrative Medical Education
Parallel Medical Records
