Cahill Kevin C, Ettarh Raj R
School of Medicine and Medical Science, Conway Institute of Biomolecular and Biomedical Research, University College Dublin, Dublin, Ireland.
Clin Anat. 2009 Apr;22(3):386-91. doi: 10.1002/ca.20777.
Many studies around the world have looked at the stresses placed on medical students by cadaveric dissection. Although these studies have linked the use of cadavers in medical teaching to stress, some investigations have suggested an association with severe psychological stress and even post-traumatic stress disorder. This study assessed the attitudes of medical and biomedical sciences students in an Irish medical school towards cadaveric dissection by recording, through a questionnaire, their perceptions and experience before initial exposure to dissection and subsequently examining their attitudes after the first dissection and after 9 weeks. Student attitudes towards the dissecting room remained consistently positive for the duration of the study with only a minority of respondents reporting negative symptoms. Pre-existing attitudes to the idea of dissection were unaffected by exposure and subsequent continuous experience of dissection. The majority of students in this study did not find the dissecting room experience stressful, and considered time spent in the dissecting room valuable. However, the proportion of students with negative experiences in the dissecting room was higher than has been reported in previous studies. Many respondents felt they could be better prepared for the dissecting room experience, indicating an increasing requirement for effective preparatory programmes.
世界各地的许多研究都关注了解剖尸体给医学生带来的压力。尽管这些研究已将医学教学中使用尸体与压力联系起来，但一些调查表明这与严重的心理压力甚至创伤后应激障碍有关。本研究通过问卷调查记录了爱尔兰一所医学院的医学和生物医学专业学生在初次接触解剖前的认知和经历，并在首次解剖后及9周后考察他们的态度，以此评估他们对尸体解剖的态度。在研究期间，学生们对解剖室的态度始终保持积极，只有少数受访者报告有负面症状。先前对解剖概念的态度并未因接触解剖及随后持续的解剖经历而受到影响。本研究中的大多数学生并未觉得解剖室经历有压力，并认为在解剖室花费的时间很有价值。然而，在解剖室有负面经历的学生比例高于先前研究报告的比例。许多受访者觉得他们可以为解剖室经历做好更充分的准备，这表明对有效准备课程的需求在增加。
