Abstract:

Objective To explore the feasibility and application effect of standardized patients (SP) in the teaching of post-stroke depression (PSD) in neurological graduate students. 

Methods A total of 20 neurological graduate students who studied in the first affiliated hospital of Xinxiang medical college in 2017 participated in this study. They were required to study PSDrelated knowledge on their own. The neurological attending doctors severed as SP of PSD, each student communicated with the SP, and then students experienced by playing "patients" or "doctors" mutually by themselves. Applying the clinical communication ability scale and the evaluation of students from "SP" doctors, the assessment were made before and after teaching respectively. 

Results A total of 40 valid questionnaires were collected. The score of overall communication ability of students was (75.20±5.06) before teaching and (91.70±7.31) after teaching, and the difference was statistically significant (P <0.001). The scores of each evaluation aspect after teaching were higher than that before teaching, especially the difference in harmonious relation establishment, effective listening and judgment accuracy of PSD had significant difference (P <0.001). This style of teaching enabled students to learn better and improved the comprehensive quality of all students. 

Conclusions The application of SP teaching significantly improved students' interest in learning PSD, professional skills and communication skills, which obviously improved the humanistic quality of neurological graduate students in the teaching of PSD.

Key words: Neurology; Teaching; Post-stroke depression; Standardized patients; Humanistic quality

摘要：

目的 探讨标准化病人（standardized patients，SP）在神经病学专业研究生的卒中后抑郁（post-stroke depression，PSD）教学中的可行性和应用效果。 

方法 选取新乡医学院第一附属医院2017年在读的神经病学专业研究生20人，均自主学习PSD相关知 识，由神经内科主治医师担任PSD的SP，让每一位学生均与SP进行沟通交流，后续进行点评和学生间 交互体验。采用临床沟通能力量表及参与SP的主治医师对学生评分，在教学前和教学后两次评价。 

结果 此次共收到有效问卷40份。就学生的总体沟通能力而言，教学前得分（75.20±5.06）分，教学后得分（91.70±7.31）分，比较差异具有统计学意义（P＜0.001）。具体就各因子而言，教学后得分 均高于教学前得分，其中建立和谐关系、敏锐倾听、验证感受比较，差异具有统计学意义（P＜0.001）。 担任SP的主治医师对参与学生的教学前、教学后分别进行评价，结果发现20名学生对于PSD的掌握以 及综合素质均有显著提高。 

结论 SP教学法明显提高了学生的学习兴趣、专业能力以及沟通能力，从关注PSD入手，对提升神经 病学专业型研究生的人文素养有显著成效，值得借鉴与推广。

关键词: 神经病学; 教学; 卒中后抑郁; 标准化病人; 人文素养