巴林特小组在住培医师规范化培训中探索与实践.docVIP

巴林特小组在住培医师规范化培训中探索与实践 　　摘 要 目的：探索巴林特小组活动在参与规范化培训的住院医师（住培医师）中开展的可行性和有效性。方法：2015年11月至2017年4月在同济大学附属同济医院开展了26次巴林特小?M活动，先后共有53名住培医师参与，每次活动有8～12人参加，时间约1 h。采用自设问卷对53名住培医师进行调研，评估巴林特小组活动的可行性和有效性。结果：住培医师对巴林特小组活动安排的满意度较高。45人（84.91%）认为对“感受到理解和支持”非常有帮助，38名（71.70%）认为对“释放工作压力”非常有帮助，37人（69.81%）认为对“学会耐心倾听”和“共情能力提升”非常有帮助。超过50%的参与者表示对“医患沟通能力”、“职业认同感提升”、“自我心理调适”等方面有帮助，42名（79.25%）住培医师表示愿意继续参加巴林特小组活动，主要理由是“提高医患交流能力和职业素养”。结论：巴林特小组活动对缓解住培医师职业压力、提高医患沟通能力和预防职业倦怠方面起有积极的促进作用，建议在住培医师规范化培训中推广。 　　关键词 住培医师规范化培训；巴林特小组；实践 　　中图分类号：R192.3 文献标志码：A 文章编号：1006-1533（2017）22-0003-04 　　Exploration and practice of Balint group in the standardized training of resident doctors 　　HUANG Lei1，4， HE Wenjuan2， WANG Hao3， CUI Haisong4（1.Department of Medical Education， Tongji Hospital of Tongji University， Shanghai 200065， China； 2. 2014 Five-year Program， Medical School of Tongji University， Shanghai 200092， China； 3.Department of Special Medical Services， Tongji Hospital of Tongji University， Shanghai 200065， China； 4.Department of Psychiatry， Tongji Hospital of Tongji University， Shanghai 200065， China） 　　ABSTRACT Objective： To explore the feasibility and effectiveness of the activities of Balint group in the standardized training of resident doctors. Methods： From November 2015 to April 2017， 26 Balint group activities were carried out in Tongji Hospital of Tongji University， and 53 resident doctors participated in the standardized training . Eight to twelve participants attended the activities for about one hour in each activity. The self-designed questionnaire was used to investigate 53 participants and the feasibility and effectiveness of Balint group activities were evaluated. Results： Resident doctors were more satisfied with the activity arrangement of Bahrain group. The item of “perceiving the understanding and support” was considered very helpful in 45 （84.91%） participants. The item of “releasing occupational pressure” was considered very helpful in 38 （71.10） participants. The items of “learning