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临终教育对医学生和医护人员死亡态度的影响。

Effect of end of life education on medical students' and health care workers' death attitude.

作者信息

Hegedus K, Zana A, Szabó G

机构信息

Institute of Behavioural Sciences, Semmelweis University, Budapest, Hungary.

出版信息

Palliat Med. 2008 Apr;22(3):264-9. doi: 10.1177/0269216307086520.

Abstract

One of the goals of education in end of life care is to make communication more open by exploring critical issues related to fear of dying and death in order to reduce anxiety and improve an individual's attitude to dying patients. The aim of our research was to evaluate the effects of courses for health care workers and medical students in care at the end of life. One hundred and twenty-seven health care professionals and 41 undergraduate medical students completed the Multidimensional Fear of Death Scale (MFODS) on the first and last day of the course. The most significant factors of fear of death are: Fear for Significant Others, Fear of the Dying Process and Fear of the Unknown. Overall fear of death scores were reduced as an effect of the courses. Changes in the components and level of fear of death are influenced by the participants' gender, age and profession. Improvement was evident in the attitudes to dying patients in both groups, which was related to an increase in knowledge of high-quality care of dying patients.

摘要

临终关怀教育的目标之一是通过探讨与对死亡和临终的恐惧相关的关键问题,使沟通更加开放,以减轻焦虑并改善个人对临终患者的态度。我们研究的目的是评估针对医护人员和医学生的临终关怀课程的效果。127名医护专业人员和41名本科医学生在课程的第一天和最后一天完成了多维死亡恐惧量表(MFODS)。对死亡恐惧的最重要因素是:对重要他人的恐惧、对临终过程的恐惧和对未知的恐惧。课程的效果使总体死亡恐惧得分降低。死亡恐惧的组成部分和程度的变化受参与者的性别、年龄和职业影响。两组对临终患者的态度都有明显改善,这与对临终患者高质量护理知识的增加有关。

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