Empathy in undergraduate medical students: a multi-center cross-sectional study in China

作者全名：Huang, Runzhi; Zhou, Zhitong; Liu, Yifan; Lin, Min; Gong, Meiqiong; Xian, Shuyuan; Yin, Huabin; Meng, Tong; Wang, Xiaonan; Wang, Yue; Chen, Wenfang; Zhang, Chongyou; Du, Erbin; Liu, Xin; Lin, Qing; Wu, Hongbin; Huang, Zongqiang; Zhang, Jie; Zhang, Guoyang; Ji, Shizhao

作者地址：[Huang, Runzhi; Ji, Shizhao] Naval Med Univ, Dept Burns, Affiliated Hosp 1, 168 Changhai Rd, Shanghai 200433, Peoples R China; [Zhou, Zhitong; Xian, Shuyuan; Zhang, Jie] Tongji Univ, Sch Med, Shanghai 200092, Peoples R China; [Liu, Yifan] Shanghai Jiao Tong Univ, Sch Med, Shanghai 200025, Peoples R China; [Lin, Min] Chongqing Med Univ, Mental Hlth Educ & Consultat Ctr, 61 Daxuecheng Middle Rd, Chongqing 401331, Peoples R China; [Gong, Meiqiong] Shanghai Univ, Off Educ Adm, Shanghai 200444, Peoples R China; [Yin, Huabin; Meng, Tong] Shanghai Jiao Tong Univ, Shanghai Gen Hosp, Sch Med, Dept Orthoped, 100 Haining Rd, Shanghai, Peoples R China; [Wang, Xiaonan] Capital Med Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, 10 Xitoutiao, Beijing 100069, Peoples R China; [Wang, Yue] Air Force Med Univ, Sch Publ Hlth, Dept Hlth Stat, 169 Changle West Rd, Xian 710032, Peoples R China; [Chen, Wenfang] Jinggangshan Univ, Fac Med, 28 Xueyuan Rd, Jian 343009, Peoples R China; [Zhang, Chongyou] Harbin Med Univ, Basic Med Coll, 157 Baojian Rd, Harbin 150081, Heilongjiang, Peoples R China; [Du, Erbin] Mudanjiang Med Univ, Clin Med Coll 1, 66 Tongxiang St, Mudanjiang 157011, Peoples R China; [Liu, Xin] Naval Med Univ, Dept Rheumatol & Immunol, Affiliated Hosp 2, Shanghai, Peoples R China; [Lin, Qing] Fujian Med Univ, Sch Basic Med Sci, Dept Human Anat, Lab Clin Appl Anat, 1 Xuefu North Rd, Fuzhou 350122, Peoples R China; [Wu, Hongbin] Peking Univ, Natl Ctr Hlth Profess Educ Dev, Beijing 100191, Peoples R China; [Wu, Hongbin] Peking Univ, Inst Med Educ, 5 YiHeYuan Rd, Beijing 100871, Peoples R China; [Huang, Zongqiang] Zhengzhou Univ, Dept Orthoped, Affiliated Hosp 1, 1 Jianshe East Rd, Zhengzhou 450052, Peoples R China; [Zhang, Jie] Tongji Univ, Shanghai Matern & Infant Hosp 1, Dept Gynecol, Sch Med, 2699 Gaoke West Rd, Shanghai 201204, Peoples R China; [Zhang, Guoyang] Maastricht Univ, Sch Hlth Profess Educ, Maastricht, Netherlands

通信作者：Ji, SZ (通讯作者)，Naval Med Univ, Dept Burns, Affiliated Hosp 1, 168 Changhai Rd, Shanghai 200433, Peoples R China.; Zhang, GY (通讯作者)，Maastricht Univ, Sch Hlth Profess Educ, Maastricht, Netherlands.

来源：BMC PSYCHIATRY

ESI学科分类：PSYCHIATRY/PSYCHOLOGY

WOS号：WOS:001239285700011

JCR分区：Q2

影响因子：3.4

年份：2024

卷号：24

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Empathy; Influencing factors; Medical students; Nomogram

摘要：Background Fostering empathy has been continuously emphasized in the global medical education. Empathy is crucial to enhance patient-physician relationships, and is associated with medical students' academic and clinical performance. However, empathy level of medical students in China and related influencing factors are not clear. Methods This was a cross-sectional study among medical students in 11 universities. We used the Jefferson Scale of Empathy Student-version of Chinese version to measure empathy level of medical students. Factors associated with empathy were identified by the univariate and multivariate logistic regression analyses. Based on the variables identified above, the nomogram was established to predict high empathy probability of medical students. Receiver operating characteristic curve, calibration plot and decision curve analysis were used to evaluate the discrimination, calibration and educational utility of the model. Results We received 10,901 samples, but a total of 10,576 samples could be used for further analysis (effective response rate of 97.02%). The mean empathy score of undergraduate medical students was 67.38 (standard deviation = 9.39). Six variables including gender, university category, only child or not, self-perception doctor-patient relationship in hospitals, interest of medicine, Kolb learning style showed statistical significance with empathy of medical students (P < 0.05). Then, the nomogram was established based on six variables. The validation suggested the nomogram model was well calibrated and had good utility in education, as well as area under the curve of model prediction was 0.65. Conclusions We identify factors influencing empathy of undergraduate medical students. Moreover, increasing manifest and hidden curriculums on cultivating empathy of medical students may be needed among medical universities or schools in China.

基金机构：National Natural Science Foundation of China

基金资助正文：We thank all the participants for their help.