Ozcakir Alis, Uncu Yesim, Sadikoglu Ganime, Ercan Ilker, Bilgel Nazan
Uludag University School of Medicine, Department of Family Medicine Gorukle, Bursa, Turkey.
Educ Health (Abingdon). 2008 Mar;21(1):149. Epub 2008 Apr 11.
Students start their medical study with the opinion that saving lives and preventing deaths are the main goals of medicine. So, what will they do when faced with dying patients? How will they feel; how will they communicate? These are important, but often unspoken and neglected, issues.
We assessed the attitudes and opinions of first-year medical students regarding doctor-patient communication, chronic diseases, death, and dying patients at Uludag University Medical School in Bursa/Turkey. Our secondary objective was to delineate the educational needs related to this field.
Cross-sectional survey of the first-year students in the class of 2004-2005. Students were evaluated using a questionnaire consisting of six questions and 18 Likert-type statements.
Completed questionnaires were received from 253 of the 265 (95.5%) students. According to the students, the most fatal diseases were cancer and AIDS. Students strongly agreed with the importance of talking to patients, where female students agreed more than males with this statement (p<0.05). Most students disagreed that patients should be informed that they are dying. Older students feared less for the death of patients. Female students would like to work in an environment where they can communicate with their patients and where they can be with them for a longer period.
The results of this survey indicate that the need of providing palliative care, enhancing communication skills with terminally ill patients, and integrating different teaching strategies are important aspects of the undergraduate medical curriculum.
学生们开始医学学习时认为拯救生命和预防死亡是医学的主要目标。那么，当他们面对濒死患者时会怎么做？他们会有怎样的感受？会如何沟通？这些都是重要但常常未被提及和忽视的问题。
我们评估了土耳其布尔萨乌鲁达大学医学院2004 - 2005级一年级医学生对医患沟通、慢性病、死亡及濒死患者的态度和看法。我们的次要目的是明确该领域的教育需求。
对2004 - 2005级一年级学生进行横断面调查。使用一份包含六个问题和18条李克特式陈述的问卷对学生进行评估。
265名学生中有253名（95.5%）完成了问卷。据学生们认为，最致命的疾病是癌症和艾滋病。学生们强烈认同与患者交谈的重要性，其中女生比男生更认同这一说法（p<0.05）。大多数学生不同意告知患者他们即将死亡。年龄较大的学生对患者死亡的恐惧较小。女生希望在一个能与患者交流且能陪伴他们更长时间的环境中工作。
本次调查结果表明，提供姑息治疗、提高与绝症患者的沟通技巧以及整合不同教学策略的需求是本科医学课程的重要方面。
