Department of Community Emergency Health and Paramedic Practice, Monash University, PO Box 527, Frankston 3199, Victoria, Australia.
BMC Med Educ. 2010 Oct 21;10:71. doi: 10.1186/1472-6920-10-71.
There is a long history of certain medical conditions being associated with stigma, stereotypes, and negative attitudes. Research has shown that such attitudes can have a detrimental effect on patients presenting with stigmatised medical conditions and can even flow on to impact their family. The objective of this study was to measure the attitudes of undergraduate students enrolled in six different health-related courses at Monash University toward patients with intellectual disability, substance abuse, and acute mental illness.
A convenience sample of undergraduate students enrolled in six health-related courses in first, second and third years at Monash University were surveyed. The Medical Condition Regard Scale--a valid and reliable, self-report measure of attitudes--was administered to students along with a brief demographic form. Mean scores, t-tests, and ANOVA were used to analyse student attitudes. Ethics approval was granted.
548 students participated. Statistically significant differences were found between the courses (p = 0.05), year of the course (p = 0.09), and gender (p = 0.04) for the medical condition of intellectual disability. There was no statistically significant difference between the courses, year of the course, gender, and age group for substance abuse or acute mental illness conditions.
The findings suggest that students in undergraduate health-related courses, as a group, have a strong regard for patients with intellectual disability and some regard for patients with acute mental illness, but not for patients presenting with substance abuse problems.
某些医学状况与耻辱感、刻板印象和负面态度有着悠久的联系。研究表明,这种态度会对患有受辱医学状况的患者产生不利影响,甚至会影响到他们的家人。本研究的目的是测量在莫纳什大学六门不同健康相关课程中注册的本科生对智障、药物滥用和急性精神疾病患者的态度。
采用便利抽样法,对莫纳什大学一年级、二年级和三年级六门健康相关课程的本科生进行了调查。向学生发放了《医疗状况评价量表》(一种有效的、可靠的、自我报告的态度测量工具),以及一份简短的人口统计表格。使用均值分数、t 检验和方差分析来分析学生的态度。本研究获得了伦理批准。
共有 548 名学生参与了调查。在智障这一医学状况方面,不同课程(p=0.05)、课程年级(p=0.09)和性别(p=0.04)之间存在统计学显著差异。在药物滥用或急性精神疾病状况方面,不同课程、课程年级、性别和年龄组之间没有统计学显著差异。
研究结果表明,作为一个整体,本科健康相关课程的学生对智障患者有强烈的关注,对急性精神疾病患者也有一定的关注,但对药物滥用问题患者则没有关注。