台灣牙醫學生之同理心變化調查

Measurement of Changes in Empathy during Dental School in Taiwan

陳思光(Curtis Suu-Kuang Chen) ； 雪曼•傑夫(Jeff Sherman) ； 李達維(Ta-Wei Lee) ； 林明勳(Ming-Hsuen Lin) ； 藍萬烘(Wan-Hong Lan)

《Journal of Medical Education》 9卷4期 (2005/12) Pp. 48-54

https://doi.org/10.6145/jme.200512_9(4).0005

摘要

醫療環境中，同理心包括理解病患的經驗與感受，和對病患回應此理解之能力，以為建立互信之基礎。同理心在醫療環境中很重要，在牙醫的醫療行為也應扮演重要角色，但國內尚缺對牙醫師同理心的研究，特別是牙醫學生在養成過程中同理心的變化。本研究使用在美國之牙醫學院研究中證實其信效度的同理心心理量表問卷，以台大牙醫學系各年級共201位學生為對象，回收143份問卷分析後發現，在牙醫系六年修業過程中，一至三年級有較高之同理心，四至五年級同理心降低，六年級又降至更低。一至三年級組與六年級組有顯著差異。此隨年級增加而同理心降低趨勢與以相同問卷調查的美國牙醫系學生相似。整體而言，國內受試之牙醫系學生同理心較美國牙醫學生為低。國內之牙醫教育應重視為何牙醫學生養成中同理心會降低，也應研究為何牙醫學生學前之教育造成國內學生同理心較低。

關鍵字

同理心 ； 溝通 ； 牙醫學教育

並列摘要

Empathy has been shown to play an important role in the dentist-patient relationship and is a core competence for dentists. However; little is known about changes in student empathy during dental school in Taiwan. We used a validated questionnaire to compare levels of empathy in dental students across their six years of training. One hundred and forty three students completed a survey including the Jefferson Scale of Physician Empathy (JSPE). First, second, and third year dental students had significantly higher empathy scores than 6th year dental students. Consistent with other literature in medical settings, the timing of the decline in empathy levels corresponded to increases in patient exposure. The average empathy is lower in Taiwan dental students than in the States. We suggest that training students in the interpersonal skills designed to enhance the dentist patient relationship should continue throughout dental school training.

並列關鍵字

empathy ； communication ； dental education

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