Martin H L, Rowell M M, Reid S M, Marks M K, Reddihough D S
Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia.
J Paediatr Child Health. 2005 Jan-Feb;41(1-2):43-7. doi: 10.1111/j.1440-1754.2005.00534.x.
Negative attitudes toward people with disabilities, including cerebral palsy, may be related to misunderstandings or lack of knowledge about the disability. If held by medical practitioners, they can have detrimental implications for the care of people with disabilities. The purposes of this study were to examine the knowledge and attitudes of medical students regarding cerebral palsy and to examine the effects of the videotape 'Understanding Cerebral Palsy' on these two areas.
The attitudes and knowledge regarding cerebral palsy of 54 medical students in their penultimate year were measured before and after watching a video produced to educate health professionals about cerebral palsy. They were assessed using a self-administered questionnaire constructed specifically for the study, adapted from previously validated questionnaires.
These medical students generally had limited knowledge about cerebral palsy and displayed negative attitudes toward people with cerebral palsy. It was also found that males had less positive attitudes than females (P = 0.014) and that students educated mainly in Asia had less positive attitudes than students educated mainly in Australia (P = 0.012). The videotape was shown to be effective in improving the students' knowledge about cerebral palsy. A small but significant improvement in attitudes was also shown (P = 0.014), with the attitudes of some students improving dramatically. However, negative attitudes remained in many.
Based on the findings, structured teaching about cerebral palsy is necessary within the medical curriculum at the University of Melbourne. Greater promotion of positive attitudes toward people with cerebral palsy and other disabilities is required.
对包括脑瘫患者在内的残疾人的消极态度,可能与对残疾的误解或知识匮乏有关。如果这种态度存在于医学从业者中,可能会对残疾人的护理产生不利影响。本研究的目的是调查医学生对脑瘫的了解和态度,并考察录像带《了解脑瘫》对这两个方面的影响。
54名医学专业大三学生在观看一部为教育卫生专业人员了解脑瘫而制作的视频之前和之后,接受了关于脑瘫的态度和知识测试。他们使用一份专门为该研究构建的自填式问卷进行评估,该问卷改编自先前经过验证的问卷。
这些医学生对脑瘫的了解普遍有限,对脑瘫患者表现出消极态度。研究还发现,男性的态度不如女性积极(P = 0.014),主要在亚洲接受教育的学生的态度不如主要在澳大利亚接受教育的学生积极(P = 0.012)。录像带被证明在提高学生对脑瘫的了解方面是有效的。态度也有小幅但显著的改善(P = 0.014),一些学生的态度有了显著改善。然而,许多学生仍然持有消极态度。
基于这些发现,墨尔本大学医学课程中需要开展关于脑瘫的结构化教学。需要更大力度地促进对脑瘫患者和其他残疾人的积极态度。