上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（公共卫生） • 上一篇    下一篇

临床实习医师和住院医师同理心状况调查——基于杰弗逊医师同理心量表的实证研究

王道珍，李星玮，邹扬，李萍，张锋，陆耀红   

  1. 上海交通大学六院临床医学院， 上海 200233
  • 出版日期:2015-06-28 发布日期:2015-07-30
  • 作者简介:王道珍（1982—）， 女， 助理研究员， 硕士; 电子信箱: wdzliuyuan@yeah.net。
  • 基金资助:

    中华医学会医学教育分会、中国高等教育学会医学教育专业委员会医学教育研究立项课题（2012-RW-68）；上海交通大学医学院学生思想政治教育工作课题（SZ1401）

Empathy survey of clinical interns and residents: an empirical study based on Jefferson scale of physician empathy

WANG Dao-zhen, LI Xing-wei, ZOU Yang, LI Ping, ZHANG Feng, LU Yao-hong   

  1. Shanghai 6th Clinical Medical School of Shanghai Jiao Tong University, Shanghai 200233, China
  • Online:2015-06-28 Published:2015-07-30
  • Supported by:

    Medical Education Research Project of Medical Education Branch of the Chinese Medical Association and Chinese Association of Higher Medical Education Committee， 2012-RW-68； Medical Students Ideological and Political Education Issues of Shanghai Jiao Tong University School of Medicine， SZ1401

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摘要：

目的 验证汉化版的杰弗逊医师同理心量表（JSPE）的有效性，并利用该量表对临床实习医师和住院医师同理心状况进行调查，为同理心教育和测量方法的建立提供依据。方法 对JSPE进行汉化，并利用该量表对上海交通大学医学院1 043位临床实习医师及住院医师的同理心状况进行测量，以了解其同理心的一般水平及其在不同性别、年级及学历等人群中的差异。结果 住院医师平均分高于临床实习医师，女性平均得分高于男性，且差异具有统计学意义（P<0.05）；同理心测量结果并未呈现出“随着年资增高，同理心水平下降”的趋势。参与调查的临床实习医师和住院医师的同理心平均得分与其他一些国家测量结果相比，处于中间水平。结论 汉化版的JSPE具有较好的信度；单纯采用量表对同理心水平进行测量尚存在一定的局限性;在今后继续开展同理心教育的同时，可结合多种研究方法，以发现其他要素与同理心测量的相关性。

关键词: 同理心, 实习医师, 住院医师, 量表, 测量, 评价

Abstract:

Objective To verify the validity of the Chinese version of Jefferson scale of physician empathy (JSPE), survey the empathy of clinical interns and residents by the JSPE, and provide evidences for establishing education and measuring methods of empathy. Methods The JSPE was translated into Chinese and the empathy of 1 043 clinical interns and residents of Shanghai Jiao Tong University School of Medicine were surveyed by the Chinese version of JSPE, so as to comprehend the general level of empathy and the differences of empathy of people with different gender, grade, and education. Results Mean scores of residents and females were higher than those of interns and males. The differences were statistically significant (P<0.05). The results of survey did not show the trend of decrease of empathy with age. Compared with results of other countries, the mean scores of empathy of surveyed clinical interns and residents were an intermediate level. Conclusion The reliability of Chinese version of JSPE is good. There are some limitations for conducting the survey only by JSPE. The education of empathy should be combined with multiple research methods in order to discover the correlation between the measure of empathy and other factors.

Key words: empathy, intern, resident, scale, measurement, evaluation