叙事医学在口腔黏膜病学临床实习带教中的应用研究

杜观环; 邓一文; 刘丽骏; 沈雪敏

doi:10.3760/cma.j.cn116021-20230619-01521

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叙事医学在口腔黏膜病学临床实习带教中的应用研究

上海交通大学医学院教学改革专栏 | 更新时间：2023-12-26

- 叙事医学在口腔黏膜病学临床实习带教中的应用研究
- Application of narrative medicine in the clinical teaching of oral mucosal diseases
- 中华医学教育探索杂志 2023年22卷第12期页码：1792-1795
- 作者机构：
  
  上海交通大学医学院附属第九人民医院口腔黏膜病科，上海交通大学口腔医学院，国家口腔医学中心，国家口腔疾病临床医学研究中心，上海市口腔医学重点实验室，上海市口腔医学研究所，上海　200011
- 作者简介：
  
  沈雪敏，Email： kiyoshen@163.com
- 基金信息：
  
  上海交通大学医学院附属第九人民医院医院管理研究项目-教学类(YGB202115)
- DOI：10.3760/cma.j.cn116021-20230619-01521
  中图分类号： R-05
- 纸质出版日期：2023-12-20，
  
  收稿日期：2023-06-19，
扫描看全文
杜观环, 邓一文, 刘丽骏, 等. 叙事医学在口腔黏膜病学临床实习带教中的应用研究[J]. 中华医学教育探索杂志, 2023, 22(12): 1792-1795.

Du Guanhuan, Deng Yiwen, Liu Lijun, et al. Application of narrative medicine in the clinical teaching of oral mucosal diseases[J]. Chinese Journal of Medical Education Research, 2023,22(12):1792-1795.
杜观环, 邓一文, 刘丽骏, 等. 叙事医学在口腔黏膜病学临床实习带教中的应用研究[J]. 中华医学教育探索杂志, 2023, 22(12): 1792-1795. DOI： 10.3760/cma.j.cn116021-20230619-01521.

Du Guanhuan, Deng Yiwen, Liu Lijun, et al. Application of narrative medicine in the clinical teaching of oral mucosal diseases[J]. Chinese Journal of Medical Education Research, 2023,22(12):1792-1795. DOI： 10.3760/cma.j.cn116021-20230619-01521.

摘要

目的

探讨叙事医学理念下的带教实践对提高口腔黏膜病科实习生共情水平的影响。

方法

将上海交通大学口腔医学院2018级口腔医学专业实习生分为两组，分别为加入叙事医学教学组（即在实习前和实习过程中均加入叙事医学的相关理念和方法）（27人）和传统教学组（即无叙事医学相关理念和方法的加入，在带教教师常规指导下学生直接接诊患者）（21人）。利用问卷收集学生一般情况，采用中文版杰弗逊同理心量表（Jefferson scale of physician empathy，JSPE）（医学生版）测量学生共情水平，实习结束后统计分析2组学生的实习成绩，以及问卷调查叙事医学教学组学生对叙事医学指导下的实习认可度。利用GraphPad Prism 9.3.0进行

检验和秩和检验。

结果

传统教学组学生的同理心量表得分为（92.26±8.23），而叙事医学教学组学生得分为（104.20±15.65），差异有统计学意义（

=2.70，

=0.005）。此外，88.89%（24/27）的学生对参与叙事医学指导下的实习有兴趣。但是，叙事医学教学组学生的实习成绩为（87.28±2.77），传统教学组学生的实习成绩为（85.47±4.31），两者差异无统计学意义（

=1.68，

=0.100）。

结论

在口腔黏膜病学实习带教过程中融入叙事医学理念和方法能提高实习生的共情能力，让学生树立同理心与科学素养同样重要的意识。

Abstract

Objective

To investigate the effect of teaching practice under the concept of narrative medicine on improving the empathy level of interns in oral mucosal diseases.

Methods

The interns of stomatology in the class of 2018 in School of Stomatology

Shanghai Jiao Tong University

were divided into narrative medicine teaching group (27 interns receiving narrative medicine concepts and methods before and during internship) and traditional teaching group (21 interns received patients directly under the guidance of teachers without the addition of narrative medicine concepts and methods). A questionnaire was used to collect the general information of students

and the Chinese version of Jefferson Scale of Physician Empathy (JSPE) (the version for medical students) was used to measure the empathy level of students. After the end of internship

a statistical analysis was performed for the scores of both groups

and a questionnaire survey was conducted to investigate the acceptance of internship under the guidance of narrative medicine among the students in the narrative medicine teaching group. GraphPad Prism 9.3.0 was used to perform the

-test and the rank sum test.

Results

There was a significant difference in JSPE score between the traditional teaching group and the narrative medicine teaching group (92.26±8.23 vs. 104.20±15.65

=2.70

=0.005)

and in addition

88.89% (24/27) of the students in the narrative medicine teaching group were interested in participating in internship under the guidance of narrative medicine. However

there was no significant difference in the score of internship between the narrative medicine teaching group and the traditional teaching group (87.28±2.77 vs. 85.47±4.31

=1.68

=0.100).

Conclusions

Incorporating the concepts and methods of narrative medicine into clinical teaching of oral mucosal diseases can significantly improve the empathy ability of interns and raise the awareness that empathy is as important as scientific literacy among students.

关键词

叙事医学口腔黏膜病学实习带教共情水平

Keywords

Narrative medicineOral mucosal diseasesInternship teachingEmpathy level

references

Charon R. Narrative medicine in the international education of physicians [J]. Presse Med, 2013, 42(1): 3-5. DOI: 10.1016/j.lpm.2012.10.015http://dx.doi.org/10.1016/j.lpm.2012.10.015.

李佳宜，纪芳，储沨婷，等. 叙事医学在口腔正畸科住院医生规范化培训教学中的应用[J]. 中国口腔医学继续教育杂志， 2020（3）： 179-182.

陈婉璐，周勇. 糜烂型口腔扁平苔藓患者疾病不确定感与情绪障碍的相关性[J]. 慢性病学杂志， 2020， 21（4）： 521-528.

Pippi R, Romeo U, Santoro M, et al. Psychological disorders and oral lichen planus: matched case-control study and literature review [J]. Oral Dis, 2016, 22(3): 226-234. DOI: 10.1111/odi.12423http://dx.doi.org/10.1111/odi.12423.

Cerqueira JDM, Moura JR, Arsati F, et al. Psychological disorders and oral lichen planus: a systematic review [J]. J Investig Clin Dent, 2018, 9(4): e12363.DOI: 10.1111/jicd.12363http://dx.doi.org/10.1111/jicd.12363.

Zucoloto ML, Shibakura MEW, Pavanin JV, et al. Severity of oral lichen planus and oral lichenoid lesions is associated with anxiety [J]. Clin Oral Investig, 2019, 23(12): 4441-4448. DOI: 10.1007/s00784-019-02892-2http://dx.doi.org/10.1007/s00784-019-02892-2.

Wallace CL, Trees A, Ohs J, et al. Narrative medicine for healthcare providers: improving practices of advance care planning [J]. Omega (Westport), 2023, 87(1): 87-102. DOI: 10.1177/00302228211015596http://dx.doi.org/10.1177/00302228211015596.

郭莉萍. 叙事医学及其在临床医学的实践[J]. 中华骨与关节外科杂志， 2017， 10（6）： 488-491. DOI: 10.3969/j.issn.2095-9958.2017.06-12http://dx.doi.org/10.3969/j.issn.2095-9958.2017.06-12.

Zaharias G. What is narrative-based medicine? Narrative-based medicine 1 [J]. Can Fam Physician, 2018, 64(3): 176-180.

Charon R. What to do with stories: the sciences of narrative medicine [J]. Can Fam Physician, 2007, 53(8): 1265-1267.

李飞. 北京协和医学院叙事医学课程教学经验探索[J]. 医学与哲学， 2019， 40（15）： 51-53， 78. DOI: 10.12014/j.issn.1002-0772.2019.15.11 http://dx.doi.org/10.12014/j.issn.1002-0772.2019.15.11.

方雁，郑圆圆，孙士波，等. 叙事医学背景下任务驱动教学在带教中的应用[J]. 继续医学教育， 2020， 34（6）： 42-44. DOI: 10.3969/j.issn.1004-6763.2020.06.023http://dx.doi.org/10.3969/j.issn.1004-6763.2020.06.023.

Christov-Moore L, Simpson EA, Coudé G, et al. Empathy: gender effects in brain and behavior [J]. Neurosci Biobehav Rev, 2014,46(4): 604-627. DOI: 10.1016/j.neubiorev.2014.09.001http://dx.doi.org/10.1016/j.neubiorev.2014.09.001.

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