关键词: 巴林特小组, 全科医生, 规范化培训, 医生病人关系, 职业压力

Abstract: Objective　To explore the effect of Balint group activities applied to the national standardized training of general practitioners（GPs）.Methods　We enrolled a total of 54 GPs with an experience of participating in the national standardized training of GPs conducted in 2015 or 2016 from The Second Xiangya Hospital of Central South University，and enrolled 5 GP training teachers as the group leaders of the Balint group activity.From November 2016 to January 2018，we carried out 30 Balint group activities in them，and each GP attended 5-6 activities.When the activities ended，we surveyed the GPs by using a self-developed questionnaire for collecting their general demographic data，level of satisfaction with the arrangement of Balint group activities，benefits of participating in such activities and intentions to participate in such activities later.The survey achieved a response rate of 100.0%.Results　The percentages of GPs who reported being "satisfied" and "very satisfied" with the timing，frequency of Balint group activities，number of participants in the activity，selection of cases，organizing ability of the group leader，and atmospheric conditions during the activity，were 94.4%（51/54），88.9%（48/54），100.0%（54/54），96.3%（52/54），88.9%（48/54），and 100.0%（54/54），respectively.The percentages of GPs who reported that Balint group activities were "helpful" and "very helpful" to them in terms of "ensure effective communication with patients and their family members by improving the communication skills" "offer rational emotional support to patients and their family members when an emergency occurs" "learn to listen to the patients and their family members patiently and be able to independently identify and recognize emotional problems of their own independently" "understand the importance of GPs' role to patients and their family members and GPs' responsibilities" "release the working pressure through managing stress via mature methods and controlling and expressing the emotions via appropriate ways" "perceive the understanding and support and improve the occupational identity" "enhance the level of team collaboration and improve the ability of handling physician-patient relationships and physician-nurse relationships" "solve the perplexities concerning imbalance between work and personal life" "promote the development of clinical practice via using the harmonious physician-patient relationship " were 100.0%（54/54），94.4%（51/54），90.7%（49/54），98.2%（53/54），96.3%（52/54），100.0%（54/54），94.4%（51/54），90.7%（49/54），100.0%（54/54），respectively.48 GPs（88.9% of the total） intended to participate in the activities later.Conclusion　The GPs were highly satisfied with the arrangement of Balint group activities，and gained a lot from them.Moreover，most GPs were willing to participate in the activities later.

Key words: Balint group, General practitioners, National standardized training, Physician-patient relations, Occupational stress