雅罗姆医学科学大学医学生对患者的同理心与沟通技能和职业道德遵从性的相关性研究——来自伊朗南部的一项试点研究

L. Mosalanejad, Saeed Abdollahifar
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引用次数: 0

摘要

背景:卫生服务领域的患者权利在医患关系中占有重要地位,是卫生系统管理中的重要因素。移情和沟通技巧是当今治疗领域的重要问题之一。职业道德也是医疗职业的内在组成部分,重要的是要考虑影响职业道德的组成部分。本研究的目的是确定共情水平以及这两个组成部分与职业道德之间的关系。方法:本横断面研究采用一致抽样的方法,对贾罗姆医科大学临床学生进行3个层次的调查。数据收集包括人口统计信息表、修订后的沟通技巧问卷、人际反应性指数(共情)和职业道德标准遵守问卷。沟通技巧问卷采用李克特5分制,共34项。人际反应指数由28个条目和5度谱组成,职业道德标准问卷由5选项李克特量表的31个问题组成。结果:对职业道德依从性的平均评价最高的是患者护理领域,得分为27.30±4.8;在沟通技能中,调节情绪的得分最高,为24.04±3.32;在共情技能中,与个人苦恼技能的得分最高,为17.26±6.9。根据回归分析的结果,确定共情可以显著预测沟通技巧(p=0.0001)。同理心与沟通技巧和职业道德遵守的某些子领域也存在相关性。沟通技巧与职业道德遵守相关。均有统计学意义(p <0.05)。结论:考虑到移情是医疗护理中的一项人类技能,以及它与沟通技巧和道德规范的关系,有必要在研讨会项目中对这些技能进行培训,以提高学生对这些技能的认识和实践。
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An investigation of the empathy with patients and association with communicational skills and compliance of professional ethics in medical students of Jahrom University of Medical Sciences: a pilot study from the south of IRAN
Background: Patients' right in the field of health services plays an important role in physician – patients’ relationship and is an important factor in health system management. Empathy and communication skills are nowadays one of the important issues in the field of treatment. Professional ethics are also an intrinsic part of the medical profession, and it is important to consider the components that influence professional ethics.The aim of this study was to determine the level of empathy and the relationship between these two components with respect to professional ethics. Methods: This cross-sectional study was conducted on 3 levels of clinical students by consensus sampling in Jahrom University of Medical Sciences. Data gathering included demographic information form, revised communication skills questionnaire, interpersonal reactivity index (empathy), and the questionnaire of compliance with professional ethics standards. Communication skills questionnaire consisted of 34 items in a 5-point Likert scale. The interpersonal reactivity index consisted of 28-items and 5-degree spectrum, and the professional ethics criteria questionnaire consisted of 31 questions in a five-option Likert scale. Results: The highest average in assessing compliance with professional ethics was in the domain of patient care with a value of 27.30 ±4.8; the highest average in the communication skills was in the domain of regulating emotions with a value of 24.04 ± 3.32, and in the area of ​​empathy it was related to personal distress skill with a value of 17.26 ±6.9. Based on the results of regression analysis, it was determined that empathy could significantly predict communication skills (p=0.0001). Also there are correlation between empathy and some sub domains in communication skills and compliance with professional ethics. Communication skills correlated to compliance of professional ethics. All of them was significant (p <0.05). Conclusion: Considering empathy as a human skill in medical care and its relationship with communication skills and compliance with ethical codes, it is necessary to train these skills in workshop programs to improve students’ knowledge and practice about them.
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