医学生对死亡与舒缓医学的认知调查
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1.南京医科大学健康江苏研究院;2.南京医科大学第一临床医学院 江苏省人民医院;3.南京医科大学第一临床医学院

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江苏高校哲学社会科学优秀创新团队


Study on the medical students’ cognition of death and palliative medicine
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1.Jiangsu Province Hospital;2.Nanjing medical university;3.Nanjing medical university Institute of Healthy Jiangsu Development

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    摘要:

    目的 调查医学生对死亡与舒缓医学认知情况以及对死亡与舒缓医学理念及相关知识的学习意愿,为相关课程设置提供支撑和参考。方法 采用问卷调查形式,通过微信社交平台对南京医科大学570名医学生发放调查问卷,内容涉及临床医生的基本信息,对死亡与舒缓医学相关概念熟悉程度,既往参加死亡与舒缓医学的教育和培训,进一步学习死亡与舒缓医学相关理念和知识的意愿,面对生命期有限的患者等,采用描述性统计、单因素方差分析等方法分析临床、护理及其他相关专业对于死亡与舒缓医学的认知情况。结果 共有回收有效问卷504份,有效回收率88.4%,有50人(9.9%)接受过死亡相关的教育或培训的学生,其中临床学生34名(68.0%);377人(74.8%)有面对亲人死亡的经历;310人有处理濒临死亡患者的经历,其中临床学生168名(54.2%);47人(9.3%)听别人说过如何面对或者照顾生命期有限的患者,;291人(57.8%)认为需要舒缓医学培训课程;在阅读过死亡方面的材料(2=3.817,P=0.023),希望进一步了解死亡相关资料(2=5.377,P=0.005),了解舒缓医疗理念(2=4.473,P=0.012)及疾病终末期的概念(2=9.672,P=0.000),认为安乐死等同于舒缓医疗(2=10.289,P=0.000)方面,临床、护理及其他专业3组学生存在显著差异。结论 应在医学生教育中增设死亡与舒缓医学相关课程,加强医学生对舒缓医学的认知,提升姑息治疗的实践能力,并对我国未来医学生死亡与舒缓医学教育展开思考。

    Abstract:

    Objection Researching the medical students' cognition of death and palliative medicine as well as their willingness to learn the concepts of it and related knowledge, which can offer a reference to the students’ learning the relevant curriculum.Method By using the questionnaire survey form,570 medical students of NanJing Medical University accepted the questionnaires on the social platform called WeChat.The content involves the basic information of the clinicians, familiarity to death and relieve medical concepts, education and training about the known , the willingness of further study as well as the attitude towards the dying patients, etc., using descriptive statistics, single factor variance analysis and other methods to analyze clinical and nursing and other related to perceptions of death and soothing medicine. Results A total of 504 valid questionnaires were collected, with an effective recovery rate of 88.4%. There were 50 students (9.9%) who had received death-related education or training, including 34 clinical students (68.0%).377(74.8%) had experienced the death of a loved one;310 patients had experience dealing with dying patients, 168 of whom were clinical students (54.2%). 47 (9.3%) had heard about how to deal with or care for patients with a limited life span; 291 (57.8%) believed soothing medicine training courses were needed; Material in read death (2 = 3.817, P = 0.023), and hope to further understand death related information (2 = 5.377, P = 0.005), understand the soothing medical concept (2 = 4.473, P = 0.012) and the concept of end-stage disease (2 = 9.672, P = 0.000), and think that euthanasia is equal to relieve medical (2 = 10.289, P = 0.000), clinical, nursing, and other professional significant difference exists among three groups of students.Conclusion Death and palliative medicine courses should be set up in medical students' education which aim to strengthen their cognition of palliative medicine and enhance their practical ability of palliative treatment. And, in the meantime, the further education and training about the palliative medicine and death should be seriously considered.

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  • 收稿日期:2019-09-19
  • 最后修改日期:2019-11-18
  • 录用日期:2019-12-18
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