Journal of Medical Education and Development
مجله مركز مطالعات و توسعه آموزش علوم پزشكي يزد
jmed
Medical Sciences
http://jmed.ssu.ac.ir
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2251-7065
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jalali
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2024
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میزان همدلی و عوامل مرتبط با آن در دستیاران تخصصی رشته های مختلف پزشکی
Empathy Level and its Related Factors in the Different Specialties of Medical Residents
آموزش پزشكي
Medical Education
پژوهشي
Research
<span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">مقدمه:</span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> با توجه به اهمیت همدلی در فرآیند مراقبت از بیماران، این مطالعه با هدف بررسی همدلی دستیاران رشتههای پزشکی و عوامل مرتبط با آن در دانشگاه علوم پزشکی علوم پزشکی جندی شاپور اهواز انجام شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.2pt">روش بررسی</span></span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.2pt">:</span></span></span></span> <span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">این مطالعه توصیفی مقطعی در سال 1401 در دانشگاه علوم پزشکی علوم پزشکی جندی شاپور اهواز انجام شد. کلیه دستیاران پزشکی به تعداد 473 نفر به روش سرشماری وارد مطالعه شدند. شرکتکنندگان مقیاس همدلی پزشک جفرسون (</span></span></span><span dir="LTR" style="font-size:8.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">Jefferson Scale of Physician Empathy</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">) را تکمیل کردند. این مقیاس دارای 20 آیتم با مقیاس لیکرت 7 درجهای است. دادهها با آزمونهای آماری </span></span></span><span dir="LTR" style="font-size:8.0pt"><span style="line-height:115%">t</span></span><span style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> مستقل، آنوا، و ضریب همبستگی پیرسون و نرمافزار </span></span></span><span dir="LTR" style="font-size:8.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">SPSS-18</span></span></span><span style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"> تحلیل شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.2pt">نتایج</span></span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.2pt">: </span></span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">290 دستیار پرسشنامهها را تکمیل کردند (درصد پاسخدهی 3/61%). میانگین نمره همدلی در دستیاران 75/12</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">±</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">81/102( از مجموع 140نمره) به دست آمد. بین نمرات همدلی به تفکیک جنس، تأهل و سال ورود رابطه معنیدار آماری وجود نداشت (05/0</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span arial="" style="font-family:">˃</span></span></span><span dir="LTR" style="font-size:8.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">P</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">). ضریب همبستگی پیرسون نشان داد بین میزان همدلی با سن رابطه معنیداری وجود دارد (223/0=</span></span></span><span dir="LTR" style="font-size:8.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">r</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">، 001/0=</span></span></span><span dir="LTR" style="font-size:8.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">p</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">). همچنین بین نمرات همدلی دستیاران رشتههای مختلف تفاوت معنیداری وجود دارد (0001/0=</span></span></span><span dir="LTR" style="font-size:8.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">p</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">، 249/5=</span></span></span><span dir="LTR" style="font-size:8.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">F</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">)، و دستیاران رشته روانپزشکی با میانگین نمره همدلی 1/6</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">±</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">31/118 بیشترین و دستیاران چشم پزشکی با میانگین نمره 2/14</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times="">±</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">85/92 کمترین نمره همدلی را گزارش کردهاند.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:"><span style="letter-spacing:-.2pt">نتیجهگیری:</span></span></span></span></b> <span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" nazanin="" style="font-family:">نتایج این پژوهش نشان داد که نمره همدلی در دستیاران در محدوده متوسط است و با توجه به تفاوت معنیدار همدلی دستیاران رشتههای مختلف، میتوان گفت همدلی تحت تأثیر فضای آموزش بالینی تغییر میکند و یک مهارت قابل آموزش است.</span></span></span><span dir="LTR" style="font-size:8.0pt"><span style="line-height:115%"></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span calibri="" style="font-family:"> </span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span calibri="" style="font-family:"><b><i><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt">Introduction:</span></span></span></span></i></b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt"> Given the importance of empathy in the process of caring for patients, this study investigated the level of empathy and its associated factors among medical residents at Ahvaz Jundishapur University of Medical Sciences (AJUMS).</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span calibri="" style="font-family:"><b><i><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt">Method:</span></span></span></span></i></b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt"> This cross-sectional study was conducted at AJUMS in 2022. All 473 medical residents who were studying at AJUMS were included in the study using census method. Participants completed the Jefferson Scale of Physician Empathy. This scale has 20 items that are scored based on a 7-point Likert scale. Data were analyzed using independent t-test, ANOVA, and Pearson's correlation coefficient.</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span calibri="" style="font-family:"><b><i><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt">Results:</span></span></span></span></i></b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt"> The number of medical residents who completed the questionnaires was 290 (response rate 61.3%). These medical residents' mean score of empathy was 102.81±12.75 (out of a total of 140 points). Empathy scores had no statistically significant relationship with sex, marital status, and entry year (p˃ 0.05). Pearson's correlation coefficient showed that there is a significant relationship between the level of empathy and age (r=0.223, p=0.001). Also, there was a significant difference between the empathy scores of medical residents of different specialties (p=0.0001, F=5.249), with the psychiatry residents having the highest mean empathy score (118.31±6.1) and the ophthalmology residents having the lowest (92.85±14.2).</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span calibri="" style="font-family:"><b><i><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt">Conclusion:</span></span></span></span></i></b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="letter-spacing:-.2pt"> The findings showed that the empathy score of the residents is at a moderate level, and given the significant difference between the empathy scores of residents of different specialties, it can be argued that empathy changes under the influence of the clinical education environment and is a teachable skill.</span></span></span></span></span></span></span><br>
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همدلی, دستیاران پزشکی, رشته تخصص پزشکی
Empathy, Medical residents, Medical specialty
617
626
http://jmed.ssu.ac.ir/browse.php?a_code=A-10-181-5&slc_lang=fa&sid=1
Mehrnoosh
Zakerkish
مهرنوش
ذاکر کیش
zakerkish-m@ajums.ac.ir