College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
BMC Med Educ. 2012 Mar 19;12:10. doi: 10.1186/1472-6920-12-10.
Health care professionals with positive attitudes towards the functional abilities of patients with low back pain are more likely to encourage activity and avoidance of rest as per recommended guidelines. This study investigated whether medical student training fosters positive attitudes towards patients with back pain and their ability to function.
First (n = 202) and final (n = 146) year medical students at the University of Glasgow completed the Health Care Professionals' Pain and Impairment Relationship Scale (HC-PAIRS) questionnaire. This measures attitudes of clinicians towards the functional ability of patients with back pain. A group of first (n = 62) and final year (n = 61) business students acted as non-health care controls. Attitudes were compared using two-way ANOVA with year of study and discipline of degree as independent variables.
Both year of study [F(1,465) = 39.5, p < 0.01] and discipline of degree [F(1,465) = 43.6, p < 0.01] had significant effects on total HC-PAIRS scores and there was a significant interaction effect [F(1,465) = 9.5, p < 0.01]. Medical students commenced their course with more positive attitudes than non-health care students (65.7 vs. 69.2 respectively; p < 0.01)--lower scores translating into more positive attitudes. In their final year, the difference between the two student groups had widened (56.4 vs. 65.3; p < 0.01).
Undergraduate medical training promotes positive attitudes towards the functional ability of patients with back pain, suggesting that students may be more likely to develop an evidence-based approach to this patient group after qualification. Some adjustments to training may be warranted to encourage a more positive shift in attitudes.
对腰痛患者的功能能力持积极态度的医疗保健专业人员更有可能根据推荐的指南鼓励活动并避免休息。本研究调查了医学生培训是否培养了对腰痛患者及其功能能力的积极态度。
格拉斯哥大学的一年级（n = 202）和最后一年（n = 146）医学生完成了卫生保健专业人员疼痛与功能障碍关系量表（HC-PAIRS）问卷。该量表用于衡量临床医生对腰痛患者功能能力的态度。一组一年级（n = 62）和最后一年（n = 61）商科学生作为非医疗保健对照组。使用双因素方差分析比较两组学生的态度，研究变量为学习年限和学位学科。
研究年限[F（1,465）= 39.5，p < 0.01]和学位学科[F（1,465）= 43.6，p < 0.01]对 HC-PAIRS 总分有显著影响，且存在显著的交互效应[F（1,465）= 9.5，p < 0.01]。医学生入学时的态度比非医疗保健学生更积极（分别为 65.7 分和 69.2 分；p < 0.01）——较低的分数意味着更积极的态度。在最后一年，两组学生之间的差异有所扩大（56.4 分比 65.3 分；p < 0.01）。
本科医学培训促进了对腰痛患者功能能力的积极态度，这表明学生在毕业后可能更倾向于采用基于证据的方法来治疗这一患者群体。可能需要对培训进行一些调整，以鼓励态度的更积极转变。
