伦理教育对医学生心理咨询与治疗伦理意识的作用

发布时间：2018-05-19 14:27

本文选题：心理咨询与治疗 + 伦理教育　；参考：《中国心理卫生杂志》2013年01期

【摘要】：目的:评估将心理咨询与治疗伦理学教育融入医学心理学课程对医学生伦理意识的影响,探索有效提高医学生伦理意识水平的伦理教育方案。方法:选取广州某医科院校学习《医学心理学》课程的临床医学专业大二两个班级的学生,共183人,按其自然班级对一组班的学生增加心理咨询和治疗伦理学教育(伦理教育组),另一组班的学生仅接受传统的课程内容(对照组)。采用自编心理咨询相关问题调查问卷为评估工具,对伦理教育组学生的心理咨询与治疗伦理意识进行授课前后比较。结果:伦理教育组学生除了条目"如果来访者无能力付费就终止咨询"、"向来访者介绍自己的学历、资历和专业地位"外,在其他30个条目的前后测差异均有统计学意义(P0.05或0.01),对照组前后测仅在专业能力与情感能力、费用和设置等方面的13个条目上差异有统计学意义,伦理教育后学生选择"完全不符合"和"不大符合"的比例升高,选择"比较符合"、"完全符合"的比例降低,除条目"应邀到来访者的家里做心理咨询或治疗"外,选择"不确定"的比例均下降(如条目"提供超出自己能力范围的服务",伦理教育组认为完全不符合、不大符合、不确定、比较符合和完全符合者所占比率分别为20.7%、58.6%、16.1%、4.6%和0.0%,而后测为64.7%、30.6%、2.4%、2.4%和0.0%)。授课后对照组学生对5个前后测有显著差异的条目表现出更"不确定"。结论:本研究提示,将心理咨询与治疗伦理教育融人医学心理学课程能够提高医学生的伦理意识。
[Abstract]:Objective: to evaluate the effect of integrating psychological counseling and therapeutic ethics education into medical psychology curriculum on medical students' ethical awareness, and to explore an effective ethical education scheme to improve medical students' ethical awareness. Methods: a total of 183 students were selected from two sophomore classes of clinical medicine major in a medical college in Guangzhou. According to their natural classes, the students in one group were given more psychological counseling and therapeutic ethics education (ethics education group), while the other class students accepted only traditional curriculum content (control group). The self-designed questionnaire of psychological counseling related questions was used as an evaluation tool to compare the ethical awareness of psychological counseling and therapeutic ethics of the students in the ethical education group before and after teaching. Results: in addition to the entry "termination of counseling if visitors are unable to pay" and "introducing their academic qualifications, qualifications and professional status to visitors", In the other 30 items, there were significant differences between before and after test (P0.05 or 0.01). In the control group, there were only 13 items in professional ability and affective ability, cost and setting, etc. After ethics education, the proportion of students choosing "completely incompatible" and "not in conformity" increased, and the proportion of "more consistent" and "complete conformity" decreased, except for the entry "psychological counseling or treatment at the visitor's home". The proportion of "uncertain" options declined (such as items "providing services beyond their own means", which the Ethics Education Group considered totally incompatible, not consistent, uncertain, The percentages of those with comparative and complete conformity were 20.70.56% and 16.1%, respectively, and were measured to be 64.70.36% and 2.4% and 0.075%, respectively. After teaching, the control group showed more uncertainty about 5 items with significant difference before and after the test. Conclusion: this study suggests that the integration of psychological counseling and therapeutic ethics education into the course of medical psychology can improve the ethical awareness of medical students.
【作者单位】：南方医科大学公共卫生与热带医学学院心理学系;
【基金】：国家社会科学基金(07CZX021)
【分类号】：G642;R-4

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