徐鹏飞,郭洵溢,杨凤姣.规范化培训住院医师共情能力现状及相关影响因素[J].四川精神卫生杂志,2019,32(3):253-257.,Current situation and influencing factors of empathy competency among the residents of standardized training[J].SICHUAN MENTAL HEALTH,2019,32(3):253-257
规范化培训住院医师共情能力现状及相关影响因素
Current situation and influencing factors of empathy competency among the residents of standardized training
  
DOI:10.11886/j.issn.1007-3256.2019.03.012
中文关键词:  共情  情绪智力  自我效能感  规培医师
英文关键词:Empathy  Emotional intelligence  General self - efficacy  Residents of standardized training
基金项目:贵州省研究生教育教学改革重点课题(黔教研合JG字[2014]014)
作者单位
徐鹏飞 贵州医科大学绵阳市第三人民医院·四川省精神卫生中心 
郭洵溢 贵州医科大学 
杨凤姣 贵州医科大学 
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中文摘要:
      【摘要】 目的 了解规范化培训住院医师(以下简称规培医师)共情能力的现状并探究相关影响因素,为规培医师的培养提供参考?方法 通过分层整群抽样法抽取贵州省某三甲综合医院559名规培医师,采用杰弗逊共情量表 -医学生版(JSPE-S)?情绪智力量表(EIS)和一般自我效能感量表(GSES)对规培医师的共情水平?情绪智力水平和自我效能感进行评定?结果 不同性别?不同年级?不同专业规培医师JSPE-S总评分比较差异均有统计学意义(P均 <0.01),其中女性JSPE-S评分高于男性[(113.94±16.47)分 vs.(108.65±17.39)分,t=-3.910,P<0.01];规培一年级 JSPE-S评分最高,为(113.92±15.94)分,规培三年级最低,为(105.48±17.16)分;不同专业中,医技规培医师评分最高,为(117.03±15.66)分,外科医师共情评分最低,为(106.24±16.25)分?JSPE-S评分与 EIS?GSES评分均呈正相关(r=0.149~0.502,P<0.05或 0.01)?多元回归分析显示,性别?年级?情绪自我调控?情绪感知?自我效能感均为共情能力的影响因素(R2=0.346,P<0.05)?结论 不同性别?不同年级?不同专业的规培医师共情水平不同,情绪自我调控?情绪感知及自我效能感对共情能力有正向预测作用?
英文摘要:
      Objective To explore the current status and related influencing factors of empathy competency among the residents of standardized training, so as to provide references for the cultivation of them. Methods A total of 559 residents of standardized training selected by stratified cluster sampling method were assessed by various scales, including Jefferson Scale of Physician Empathy - Student Version ( JSPE - S) , Emotional Intelligence Scale ( EIS) and General Self - Efficacy Scale ( GSES) . Results The JSPE - Sscores among residents with different genders, grades and specialties showed significant difference ( P < 0. 01 ) , among which the JSPE - S score of female were higher than that of male [ ( 113. 94 ± 16. 47) vs. ( 108. 65 ± 17. 39) , t = - 3. 910, P < 0. 01 ] . Among all grades, the JSPE - S score was the highest in grade one ( 113. 92 ± 15. 94) , and lowest in grade three ( 105. 48 ± 17. 16) . Among different specialties, the JSPE - S score of medical technicians was the highest ( 117. 03 ± 15. 66) , and surgeons had the lowest score(106. 24 ± 16. 25) . JSPE - S score was positively correlated with EIS and GSES scores ( r = 0. 149 ~ 0. 502, P < 0. 05 or 0. 01) . Multiple regression analysis showed that gender, grade, emotional self - regulation, emotional perception and self - efficacy were all influential factors of empathy of residents ( R2 = 0. 346, P < 0. 05) . Conclusion Residents with different genders, grades and specialties have different levels of empathy, meanwhile, emotional self - regulation, emotional perception and self - efficacy have positive predictive effect on empathy.
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