Sadhu Sakshi, Salins Naveen Sulakshan, Kamath Asha
KMC Manipal, Manipal University, Manipal, India.
Indian J Palliat Care. 2010 Sep;16(3):154-9. doi: 10.4103/0973-1075.73645.
Quality assurance data worldwide suggests that the current healthcare system is providing inadequate care for the dying. Current health care education focuses entirely on cure and care is almost compromised or nonexistent in end-of-life settings. The purpose of this study was to determine palliative care awareness among Indian undergraduate health care students and assess the need for incorporating palliative medicine education into undergraduate health education.
A non-randomized population based study was conducted using 39-point questionnaire. Undergraduate medical, nursing and allied health students of Manipal University were the target population.
326 students participated in the study. 61.7% of students feel that resuscitation is appropriate in advanced metastatic cancer. 67.5% feel that all dying patients need palliative care and most of the students think that palliative care is equivalent to pain medicine, geriatric medicine and rehabilitation medicine. 89% of students think that Morphine causes addiction in palliative care setting. 60.7% of students feel that prognosis should only be communicated to the family.
The outcomes of the study showed that the basic knowledge of palliative care among students was inadequate, and students are unprepared and uncertain in their approach of delivering end-of-life care.
全球质量保证数据表明，当前的医疗保健系统为临终患者提供的护理不足。当前的医疗保健教育完全侧重于治愈，而在临终环境中，护理几乎受到损害或不存在。本研究的目的是确定印度本科医疗保健专业学生对姑息治疗的认识，并评估将姑息医学教育纳入本科健康教育的必要性。
使用39项问卷进行了一项基于人群的非随机研究。马尼帕尔大学的本科医学、护理和相关健康专业学生为目标人群。
326名学生参与了研究。61.7%的学生认为在晚期转移性癌症中进行复苏是合适的。67.5%的学生认为所有临终患者都需要姑息治疗，并且大多数学生认为姑息治疗等同于疼痛医学、老年医学和康复医学。89%的学生认为在姑息治疗环境中吗啡会导致成瘾。60.7%的学生认为预后只应告知家属。
研究结果表明，学生对姑息治疗的基本知识不足，并且在提供临终护理的方法上没有准备好且不确定。
