河北医科大学学报 ›› 2024, Vol. 45 ›› Issue (12): 1445-1451.doi: 10.3969/j.issn.1007-3205.2024.12.015

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河北省临床医学毕业生医学叙事能力现状及影响因素分析

  

  1. 1.河北医科大学公共卫生学院社会医学与卫生事业管理学教研室,河北 石家庄 050017;
    2.河北医科大学马克思主义学院研究生思政课教研室,河北 石家庄 050017
  • 出版日期:2024-12-25 发布日期:2025-01-03
  • 作者简介:李子琦(2000-),女,辽宁锦州人,河北医科大学公共卫生学院医学硕士研究生,从事公共卫生与预防医学研究。
  • 基金资助:
    河北省教育厅人文社会科学研究重大课题攻关项目(ZD202111);教育部新文科研究与改革实践项目(2021070026);河北省教育科学“十四五”规划重点课题(2302072)

Analysis on current situation and influencing factors of medical narrative ability of clinical medical graduates in Hebei Province

  1. 1.Research on Social Medicine and Health Mangagement School of Public Health, Hebei Medical University, 
    Shijiazhuang 050017, China; 2.Graduate Ldeological and Political Education Teaching and Research 
    Office School of Marxism, Hebei Medical University, Shijiazhuang 050017, China

  • Online:2024-12-25 Published:2025-01-03

摘要: 目的 测评河北省6所医学院校(包括综合性大学医学院/部,以下简称医学院校)临床医学毕业生医学叙事能力、人文关怀品质以及共情能力,探讨临床医学生医学叙事能力的影响因素。
方法 利用便利抽样方法通过问卷星调查河北省6所医学院校临床医学毕业生;选用中国医者叙事行为能力量表、中文版杰弗逊共情能力量表、人文关怀品质量表为测评工具,测评调查对象的医学叙事能力、共情能力以及人文关怀品质。
结果 医学叙事能力(88.84±14.57)分,人文关怀品质(119.27±14.87)分,共情能力(57.02±8.22)分;影响临床医学生医学叙事能力的主要因素有性别、举办叙事医学相关会议或培训项目的频率、人文关怀理念、人文关怀感知(P<0.05)。
结论 临床医学生的医学叙事能力处于中上水平,但还有待提高,人文关怀品质较好,共情能力较弱,建议设置叙事医学课程,加强叙事能力培训;加强师资队伍培训,提高教师医学叙事水平;重视学校及医院人文建设,强化医学生职业责任感等提高临床医学生医学叙事能力。


关键词: 叙事医学, 人文关怀品质, 共情能力

Abstract: Objective To evaluate the medical narrative ability, humanistic care quality and empathy ability of clinical medical graduates from 6 medical colleges and universities in Hebei Province (including medical colleges/departments of comprehensive universities, hereinafter referred to as medical colleges), and to explore the influencing factors of medical narrative ability of clinical medical students. 
Methods The clinical medical graduates of 6 medical colleges in Hebei Province were investigated by Questionnaire Star platform with convenient sampling method. The medical narrative ability, empathy ability and humanistic care quality of the survey subjects were evaluated using the Chinese physician Narrative Behavior Ability Scale, the Chinese version of Jefferson Empathy Ability Scale and Humanistic Care Quality Scale. 
Results The scores of medical narrative ability,humanistic care quality and empathy ability were (88.84±14.57) points, (119.27±14.87) points, and (57.02±8.22) points, respectively. The main factors affecting the medical narrative ability of clinical medical students were gender, frequency of holding narrative medicine related conferences or training projects, humanistic care concept and humanistic care perception (P<0.05). 
Conclusion The medical narrative ability of clinical medical students is above the average level, which, however, needs to be improved. The humanistic care quality is good, while empathy ability is poor. It is suggested to set up narrative medicine courses to strengthen the training of narrative ability, strengthen the training of teachers to improve the medical narrative level of teachers, pay attention to the humanistic construction of schools and hospitals, strengthen the professional responsibility of medical students and improve the medical narrative ability of clinical medical students. 


Key words: narrative medicine, humanistic care quality, empathy ability