中文版诊疗关系共情量表（CARE）用于麻醉科住院医师共情能力的评估：一项标准化病人项目的初步研究

龚亚红; 裴丽坚; 阮侠; 李旭; 虞雪融; 王锐颖; 王维嘉; 谭刚; 黄宇光

doi:10.24920/003741

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中文版诊疗关系共情量表（CARE）用于麻醉科住院医师共情能力的评估：一项标准化病人项目的初步研究

中国医学科学杂志（英文版） 2021年36卷第2期页码：79-84

Original Article | Updated：2024-04-10

- 中文版诊疗关系共情量表（CARE）用于麻醉科住院医师共情能力的评估：一项标准化病人项目的初步研究
- Affiliations：
  
  Department of Anesthesiology, Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
- Author bio：
  
  *Tel: 86-10-69152001, Fax: 86-10-69155591, E-mail: garypumch@163.com.
- Funds：
  
  Undergraduate Teaching Reform Project from Peking Union Medical College(2017zlgc0102)
- DOI：10.24920/003741
  中图分类号：
- 收稿日期：2020-08-12，
  
  网络出版日期：2020-12-01，
  
  纸质出版日期：2021-06-30
- Accepted：
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龚亚红, 裴丽坚, 阮侠, 等. 中文版诊疗关系共情量表（CARE）用于麻醉科住院医师共情能力的评估：一项标准化病人项目的初步研究[J]. 中国医学科学杂志（英文版）, 2021,36(2):79-84.

Gong Yahong, Pei Lijian, Ruan Xia, et al. Assessing Empathy in Anesthesia Residents with the Chinese Version of the Consultation and Relational Empathy: A Pilot Standardized Patient Program[J]. Chinese medical sciences journal, 2021, 36(2): 79-84.
龚亚红, 裴丽坚, 阮侠, 等. 中文版诊疗关系共情量表（CARE）用于麻醉科住院医师共情能力的评估：一项标准化病人项目的初步研究[J]. 中国医学科学杂志（英文版）, 2021,36(2):79-84. DOI： 10.24920/003741.

Gong Yahong, Pei Lijian, Ruan Xia, et al. Assessing Empathy in Anesthesia Residents with the Chinese Version of the Consultation and Relational Empathy: A Pilot Standardized Patient Program[J]. Chinese medical sciences journal, 2021, 36(2): 79-84. DOI： 10.24920/003741.

摘要

目的

验证中文版诊疗关系共情量表（Consultation and Relational Empathy

CARE）在标准化病人模拟门诊中使用的可靠性。同时探索性地评估视频评分方式和现场评分方式之间的一致性

以及临床考官评分和标准化病人（physician-standardized patient

SP）评分之间的一致性。

方法

将CARE量表的内容翻译成中文。纳入48名麻醉住院医师

在标准化病人模拟门诊中进行术前访视。每位住院医师的表现由现场考官、视频考官及SP评分员进行评分。分析不同类别评分员之间的一致性。

结果

中文版CARE量表具有较高的信度（Cronbachα值为0.95）和良好的组内相关性（现场考官评分的组内相关系数为0.888

0.001）。尽管组内相关性良好

但视频考官的评分显著高于现场考官的评分（39.6±7.1比24.0±10

0.001）。Wilcoxon符号秩检验表明

基于视频评分的住院医师考核通过率显著高于现场评分的通过率（45/48比22/48

0.001）。SP评分与现场考官评分之间具有中度一致性（系数=0.568

0.001）

现场考官评分和SP评分的考核通过率之间没有显著性差异（22/48比28/48

=0.12）。

结论

中文版CARE量表能客观、准确评估麻醉术前访视中住院医师的共情能力。现场评分和视频评分之间存在一定的差异

而SP可能能够替代临床考官对住院医师的临床沟通能力进行恰当的评估。

Abstract

Objectives

To validate the reliability of the Chinese version of the Consultation and Relational Empathy (CARE) in physician-standardized patient (SP) encounter. We also tried to examine the agreement between video-based ratings and in-room ratings

as well as the agreement between the faculty ratings and SP ratings.

Methods

The CARE was translated into Chinese. Forty-eight anesthesia residents were recruited to make preoperative interview in SP-counter. Performance of each resident was graded by in-room raters

video raters and SP raters. Consistency between different raters was examined.

Results

The Chinese-CARE measure demonstrated high scale reliability with a Cronbach’s alpha value of 0.95 and high consistency in the in-room ratings in intraclass correlation (coefficient=0.888

0.001). Despite a good consistency in intraclass correlation

video ratings were significantly higher than in-room ratings (39.6±7.1

. 24.0±10.0

0.001)

and Wilcoxon signed-rank test indicated that the pass/fail rate was significantly higher based on video ratings than based on in-room ratings (45/48

. 22/48

0.001). SP ratings had a moderate consistency with in-room faculty ratings (coefficient=0.568

0.001)

and there was no significant difference between the pass/fail rates based on the in-room ratings and SP ratings (22/48

. 28/48

=0.12).

Conclusions

The Chinese-CARE measure is reliable in the assessment of empathy during preoperative anesthesia interview. In-room and video ratings are not equivalent

while SP may provide a feasible alternative for the faculty rater in the assessment of communication skills with an appropriate measure.

关键词

Keywords

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