CAJ | 학술논문

目的：探讨医学生人文医学执业技能培训对患者心理康复的作用。方法对部分进修医生及研究生进行人文医学执业技能培训，并将人文关怀应用于临床工作。65例三类手术患者分为对照组和治疗组（人文关怀组），对照组患者按常规进行治疗，治疗组患者由经过人文医学执业技能培训的住院医师管理，并对患者加强人文关怀、医患沟通，给予心理疏导和支持。治疗前后分别采用汉密尔顿抑郁评分量表和焦虑评分量表进行评分。结果术前两组患者汉密尔顿抑郁评分差异无统计学意义（P＞0．05），汉密尔顿焦虑评分差异无统计学意义（P＞0．05），术后治疗组患者汉密尔顿焦虑评分低于对照组（P＜0．05）。结论对住院医师进行人文关怀培训并用于临床工作，可以改善患者围手术期焦虑程度。
목적：탐토의학생인문의학집업기능배훈대환자심리강복적작용。방법대부분진수의생급연구생진행인문의학집업기능배훈，병장인문관부응용우림상공작。65례삼류수술환자분위대조조화치료조（인문관부조），대조조환자안상규진행치료，치료조환자유경과인문의학집업기능배훈적주원의사관리，병대환자가강인문관부、의환구통，급여심리소도화지지。치료전후분별채용한밀이돈억욱평분량표화초필평분량표진행평분。결과술전량조환자한밀이돈억욱평분차이무통계학의의（P＞0．05），한밀이돈초필평분차이무통계학의의（P＞0．05），술후치료조환자한밀이돈초필평분저우대조조（P＜0．05）。결론대주원의사진행인문관부배훈병용우림상공작，가이개선환자위수술기초필정도。
Objective To investigate the effects of humanities medicine practicing skills training for medical students on psychologi-cal intervention of patients.Methods 65 patients underwent grade III operation were divided into control group and humane care group.The residents underwent humanistic medicine skills training treat the patients in humane care group.The patients in humane care group were pro-vided with strengthen humane care,doctor-patient communication,psychological counseling and support.The psychological condition of the pa-tients were evaluated by using Hamilton Anxiey Scale(HAMA)and Hamilton Depression Scale(HAMD)before and after treatment respec-tively.Results Hamilton depression score between the two groups of patients was not statistically significant before operation(P>0.05 ), Hamilton anxiety score between the two groups of patients was not statistically significant before operation(P>0.05).Hamilton anxiety scores of patients in humane care group was lower than that of the patients in control group(P<0.01).Conclusions Humane care training for the residency is useful for reducing the perioperative anxiety of the patients.