巴林特小组嵌入住院医师规范化培训硕士生医患沟通课程的应用探索

The application of Balint group in doctor-patient communication course

目的:探讨巴林特小组嵌入医患沟通课程教学后,对培养住院医师规范化培训硕士生(以下简称“住培专硕”)医患沟通能力和共情能力的应用效果。方法:招募住培专硕一年级学生60名,随机分为实验组和对照组,每组30名。实验组参与嵌入巴林特小组的医患沟通课程教学,对照组仅参与传统医患沟通课程。课程开展前后采用医患沟通技能评价量表(SEGUE)与杰弗逊共情量表学生版(JSPE-S)评价两组医患沟通和共情能力的差异,并在课程结束后,调查两组学生对课程的满意度。结果:医患沟通课程开展前后评分差值方面,实验组在SEGUE量表和JSPE-S量表的总分与各维度得分均高于对照组(P<0.01);实验组SEGUE量表的总分较开展前增长了39.83%(P<0.01),JSPE-S量表的总分较开展前增长了19.51%(P<0.01)。实验组对教学的满意度评价显著高于对照组(P<0.01)。结论:巴林特小组嵌入医患沟通课程教学可有效地提升住培专硕的医患沟通与共情能力,同时提高学生对课程的满意度。

Objective:To explore the impact of Balint group activities embedded in the doctor-patient communication course on the resident masters’doctor-patient communication ability and empathic ability.Methods:A total of 60 first-year master students were recruited and evenly divided into 2 groups.The experimental group participated in the doctor-patient communication course with Balint group activities,while the control group only took part in the traditional doctor-patient communication course.SEGUE Scale and Jefferson Scale of Physician Empathy-Student Version(JSPE-S)were used to investigate the doctor-patient communication ability and empathic ability;and by the end of the course,a questionnaire survey was made to analyze the two groups’satisfaction with the course.Results:Before and after the doctor-patient communication course,the experimental group showed significant improvement compared with the control group,with higher total scores,scores on various dimensions of the SEGUE scale and JSPE-S scale(all P<0.01).In the experimental group,the total score on the SEGUE scale increased by 39.83%compared with pre-intervention(P<0.01),and the total score on the JSPE-S scale increased by 19.51%compared with pre-intervention(P<0.01).Additionally,the experimental group’s evaluation of teaching satisfaction was significantly higher than that of the control group(P<0.01).Conclusion:Balint group combined with doctor-patient communication course teaching can more effectively improve the doctor-patient communication ability and empathy ability of resident master,and improve course satisfaction.