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一门关于死亡与濒死的课程会降低学生对死亡与濒死的焦虑吗?

Will a course on death and dying lower students' death and dying anxiety?

作者信息

Kaye J M

机构信息

Medical College of Pennsylvania, Philadelphia 19129.

出版信息

J Cancer Educ. 1991;6(1):21-4. doi: 10.1080/08858199109528083.

Abstract

This course describes a 7-week, one-and-one-half-hour per week course on Death and Dying and examines its impact on medical students' attitudes. The 30 participants were tested on attitudes about death and dying pre- and post-course. The pre- and post-course fears about death and dying were measured with the 32-item Collett-Lester Death Anxiety Scale, which measures fear of death and the dying process as these apply to self and others. The Semantic Differential technique was used to measure the pre- and post-course attitudes toward "treating the dying patient" and "dealing with the dying patient's family." There was a decrease in anxiety about death and dying when the posttest was compared with the pretest on the anxiety scales, with death of self and death of others reaching significance (p = .04 and .04). There was a decrease in anxiety scores on the Semantic Differential on treating the dying patient and dealing with the dying patient's family (p = less than .001 for both).

摘要

本课程介绍了一门为期7周、每周时长为一个半小时的关于死亡与临终的课程,并探讨了其对医学生态度的影响。30名参与者在课程前后接受了关于死亡与临终态度的测试。课程前后对死亡与临终的恐惧通过32项科利特 - 莱斯特死亡焦虑量表进行测量,该量表测量对死亡及临终过程的恐惧,这些恐惧涉及自我和他人。语义差异技术用于测量课程前后对“治疗临终患者”和“与临终患者家属打交道”的态度。与焦虑量表的前测相比,后测时对死亡与临终的焦虑有所降低,对自我死亡和他人死亡的焦虑达到显著水平(p = 0.04和0.04)。在语义差异量表上,治疗临终患者和与临终患者家属打交道的焦虑得分均有所降低(两者p值均小于0.001)。

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