Objective To evaluate the effectiveness of a narrative medicine teaching method based on"empathy ability"in the pediatric training of general resident physicians.Methods A study was conducted among general practice residents newly enrolled in the pediatric program from July 2023 to July 2024.Participants were divided into an experimental group(n=30)and a control group(n=30)using the random number table method.The control group received standard general practice resident training,while the experimental group received the same training plus a narrative medicine education strategy focused on"empa-thy ability".The Jefferson Scale of Physician Empathy(JSPE)and the Chinese Clinician Occupational Spirit Evaluation Scale scores were compared between the two groups before training and at weeks 1,4,and 8 post-training.Additionally,differences in the SEGUE Framework for assessing doctor-patient communication skills and the Interpersonal Process Scale(IPC)scores were compared before and after training.Results At weeks 1,4,and 8 post-training,the JSPE scores in the experimental group were significantly higher than those in the control group(P＜0.05),with significant interaction effects(P＜0.05).At weeks 4 and 8 post-training,the experimental group's scores on the Chinese Clinician Occupational Spirit Evaluation Scale were significantly higher than those of the control group(P＜0.05),with significant interaction effects(P＜0.05).After training,both groups of subjects showed an improvement in SEGUE scores compared to before training(P＜0.05).However,the scores of information collection,information delivery and understanding of patients in the experimental group were all higher than those in the control group(P＜0.05).After training,both groups of subjects showed an improvement in IPC scores compared to before training(P＜0.05),but the experimental group scored higher in all aspects compared to the control group(P＜0.05).Conclusion The narrative medicine teaching method based on"empathy ability"significantly enhances the empathy,professional spirit,and doctor-patient communication skills of general practice resident physicians.

Objective To evaluate the effectiveness of a narrative medicine teaching method based on"empathy ability"in the pediatric training of general resident physicians.Methods A study was conducted among general practice residents newly enrolled in the pediatric program from July 2023 to July 2024.Participants were divided into an experimental group(n=30)and a control group(n=30)using the random number table method.The control group received standard general practice resident training,while the experimental group received the same training plus a narrative medicine education strategy focused on"empa-thy ability".The Jefferson Scale of Physician Empathy(JSPE)and the Chinese Clinician Occupational Spirit Evaluation Scale scores were compared between the two groups before training and at weeks 1,4,and 8 post-training.Additionally,differences in the SEGUE Framework for assessing doctor-patient communication skills and the Interpersonal Process Scale(IPC)scores were compared before and after training.Results At weeks 1,4,and 8 post-training,the JSPE scores in the experimental group were significantly higher than those in the control group(P＜0.05),with significant interaction effects(P＜0.05).At weeks 4 and 8 post-training,the experimental group's scores on the Chinese Clinician Occupational Spirit Evaluation Scale were significantly higher than those of the control group(P＜0.05),with significant interaction effects(P＜0.05).After training,both groups of subjects showed an improvement in SEGUE scores compared to before training(P＜0.05).However,the scores of information collection,information delivery and understanding of patients in the experimental group were all higher than those in the control group(P＜0.05).After training,both groups of subjects showed an improvement in IPC scores compared to before training(P＜0.05),but the experimental group scored higher in all aspects compared to the control group(P＜0.05).Conclusion The narrative medicine teaching method based on"empathy ability"significantly enhances the empathy,professional spirit,and doctor-patient communication skills of general practice resident physicians.

ObjectiveTo study the mechanism of nimodipine combined with electroacupuncture therapeutics protecting rats from cerebral ischemia and reperfusion injury.Methods60 rats were divided randomly into 3 groups, 24 rats in treatment group that accepted nimodipine combined with electroacupuncture therapy after middle cerebral artery occlusion (MCAO) for one hour, and 24 in control group,which acceptd normal saline after ischemia and reperfusion injury, and 12 rats in normal group. One or three days later, all rats were decapitated and their brains were extracted for superoxide dismutase(SOD) activity and malonaldehyde(MDA) concentration assay. And immunohistochemistry was used to detect the expression of growth associated protein 43(GAP-43),microtubule associated protein 2(MAP-2) and cyclin D1 protein.ResultsAfter ischemia and reperfusion injury,SOD activity markedly decreased in both treatment and control group while MDA concentration increased, compared with normal group(P<0.01).Level of MAP-2 expression in treatment and control group was markedly lower than normal group(P<0.01), while levels of GAP-43 and cyclin D1 expression were higher (P<0.01). Contrasted to control group, SOD activity was higher and MDA concentration was lower in treatment group. Level of GAP-43 and MAP-2 expression in treatment group were higher than those in control group, while level of cyclin D1 lower. Differences between treatment group and control group were significent(P<0.01).ConclusionsNimodipine combined with electroacupuncture therapeutics can prevent brains from ischemia and reperfusion injury. It's actions of wiping free radicals out, inhibiting apoptosis and protein hydrolysis and promoting nerve regeneration are involved in the mechanism.