Association between narrative ability and humanistic caring ability of clinical interns

He Ke; Liu Ren; Wu Qing; Lu Wenjing; Yang Demei

doi:10.3760/cma.j.cn116021-20241120-02042

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Association between narrative ability and humanistic caring ability of clinical interns

Medical Humanities | 更新时间：2025-10-29

- Association between narrative ability and humanistic caring ability of clinical interns
- Chinese Journal of Medical Education Research Vol. 24, Issue 10, Pages: 1423-1428(2025)
- 作者机构：
  
  1.中山大学附属第五医院感染管理科，珠海 519000
  2.中山大学附属第五医院医务科，珠海 519000
  3.中山大学附属第五医院教学科；珠海 519000
  4.中山大学附属第五医院心血管病中心，珠海 519000
- 作者简介：
  
  Yang Demei, Email: 1056054116@qq.com
- 基金信息：
  
  2023 Guangdong Province Clinical Teaching Base Teaching Reform Project (19)(19);2023 Guangdong Province "New Medical Science" Teaching Guidance Committee Teaching Reform Project(73)
- DOI：10.3760/cma.j.cn116021-20241120-02042
  CLC： R192
- Received：20 November 2024，
  
  Published：20 October 2025
- 稿件说明：
移动端阅览
和珂, 刘刃, 吴庆, 等. 临床医学专业实习生叙事能力与人文关怀能力的相关性分析[J]. 中华医学教育探索杂志, 2025, 24(10): 1423-1428.

He Ke, Liu Ren, Wu Qing, et al. Association between narrative ability and humanistic caring ability of clinical interns[J]. Chinese journal of medical education research, 2025, 24(10): 1423-1428.
和珂, 刘刃, 吴庆, 等. 临床医学专业实习生叙事能力与人文关怀能力的相关性分析[J]. 中华医学教育探索杂志, 2025, 24(10): 1423-1428. DOI： 10.3760/cma.j.cn116021-20241120-02042.

He Ke, Liu Ren, Wu Qing, et al. Association between narrative ability and humanistic caring ability of clinical interns[J]. Chinese journal of medical education research, 2025, 24(10): 1423-1428. DOI： 10.3760/cma.j.cn116021-20241120-02042.

摘要

目的

评估临床医学实习生的人文关怀能力现状，分析影响因素，并探讨其与医学叙事能力之间的相关性，旨在为临床医学专业实习生叙事医学教育方案的制定提供参考依据。

方法

采用便利抽样法，选取珠海市某三甲医院2020级的163名临床医学专业实习生作为研究对象，通过基线人口学特征调查表、人文关怀能力量表及医学叙事能力量表进行问卷调查。运用Pearson相关分析和多元线性回归分析，探究人文关怀能力的影响因素及其与叙事能力的相关性。

结果

医学生的人文关怀能力总评分为（187.52±20.30）分。在人文关怀能力得分方面，人文素养自我评价、专业满意度、同学关系等变量在不同组间差异具有统计学意义（

0.05）。叙事医学能力与人文关怀能力总分及其各维度得分均呈正相关（

=0.600，

0.01）。在调整人口学特征差异后，同学关系（

=0.138，

=0.042）、关注倾听维度（

=0.354，

0.001）和反思再现维度（

=0.259，

=0.008）对人文关怀能力有显著的正向影响，而理解回应维度得分经调整后对人文关怀能力的影响无统计学意义。

结论

临床专业实习生的人文关怀能力尚处于较低水平，且其医学叙事能力与人文关怀能力正相关。因此，在叙事医学教育中，应着重加强对关注倾听、反思再现等维度的培训，以提升医学生的人文精神素养，促进其职业生涯发展。

Abstract

Objective

To assess the humanistic caring ability of clinical interns

analyze its influencing factors

explore the correlation between humanistic caring ability and narrative ability

and provide a basis for formulating narrative medical education scheme for clinical interns.

Methods

A total of 163 clinical interns from the Class of 2020 completing internships at a Grade A tertiary hospital in Zhuhai were enrolled as research subjects using convenience sampling. A questionnaire survey was conducted using a baseline demographic survey

a humanistic caring ability inventory

and a medical narrative ability scale. Pearson correlation analysis and multiple linear regression analysis were conducted to explore the influencing factors for humanistic caring ability and its correlation with narrative ability.

Results

The overall score of humanistic caring ability was (187.52±20.30). There were significant differences between groups in self-evaluation of humanistic caring ability

degree of satisfaction with the major

and relationship with classmates (

0.05). There was a positive correlation between narrative ability and caring ability in both total score and individual dimensions (

=0.600

0.01). After adjusting for demographic differences

relationship with classmates (

=0.138

=0.042)

attentive listening (

=0.354

0.01)

and reflective representation (

=0.259

=0.008) exhibited a significant positive impact on humanistic caring ability. However

this impact was not observed for the understanding-response dimension.

Conclusions

The humanistic caring ability of clinical interns is low and their medical narrative ability is positively correlated with their humanistic caring ability. Therefore

narrative medical education should focus on training medical students' attentive listening and reflective representation to enhance humanistic literacy and promote their career development.

关键词

Keywords

references

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