Practical exploration of Balint groups in improving emotion management and doctor-patient communication skills of residents
10.3760/cma.j.cn116021-20230712-01611
- VernacularTitle:巴林特小组对提升住院医师情绪管理和医患沟通能力的实践探索
- Author:
Xuemei WANG
1
;
Jinyi ZHOU
;
Yuyin YANG
;
Jiajun QI
Author Information
1. 苏州大学附属第一医院精神医学科，苏州 215006
- Publication Type:Journal Article
- Keywords:
Balint group;
Emotion management;
Doctor-patient communication;
Set the stage, Elicit information, Give information, Understand the patient's perspective
- From:
Chinese Journal of Medical Education Research
2024;23(12):1713-1718
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of Balint Group on the emotional stability of residents during the standardized training and the improvement of doctor-patient relationship and communication ability, so as to provide a basis for incorporating the activities of Balint Group into the daily management of the standardized training of residents and as an important course in post competency.Methods:From February to December 2021, a simple randomized controlled study was conducted at the First Affiliated Hospital of Suzhou University, 40 residents were selected and assigned to two groups. Twenty residents were enrolled in the "experimental group" to participate in the closed Balint group activities; another 20 residents did not participate in the Balint group activities and were treated as the "control group". Tools of Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, and Set the stage, Elicit information, Give information, Understand the patient's perspective, and End the encounter (SEGUE) were applied to evaluate the emotional state, doctor-patient relationship management, and doctor-patient communication skills of residents in the two groups in the third month, sixth month and ninth month of participating in the Balint group. SPSS 22.0 software was used for t test, and comparison among three or more groups was conducted by analysis of variance. Repeated measures data involving two factors were analyzed by repeated measures analysis of variance. Results:In the assessment of anxiety state, the scores in the experimental group decreased gradually from the sixth month to the ninth month, and there was a significant difference in the interaction effect between time and group ( F=14.57, P<0.001). In the assessment of depressive state, there was a significant difference in the interaction effect between time and group ( F=33.25, P<0.001), and the depression self-score in the experimental group decreased gradually, with an gradually increased difference between the two groups. Compared with the control group, the experimental group had significantly improvements in three dimensions of information collection, information giving, and understanding of patients. The total SEGUE score in the experimental group was improved significantly after nine months of training compared with the baseline value [(107.20±2.16) vs. (92.55±4.37), t=7.26, P<0.001]. The repeated measures analysis of variance showed that there were significant differences between the two groups in terms of information giving ( F=3.01, P=0.045) and total SEGUE score ( F=6.29, P=0.002) under the assessment of interaction between time and group. Conclusions:Balint groups can alleviate residents' anxiety and depression and play an important role in maintaining stable mood. Balint groups have an advance effect on improving residents' doctor-patient communication skills, especially in information collection, information feedback and giving, and understanding of patients.
