Dept. of Family & Community Medicine, University of New Mexico School of Medicine, Albuquerque, NM, USA.
Acad Psychiatry. 2012 Nov 1;36(6):457-60. doi: 10.1176/appi.ap.11070134.
The study objective was to determine whether medical students' attendance at a rehabilitation residence for pregnant women with substance-use disorders yielded changes in their attitudes and comfort levels in providing care to this population.
This randomized educational trial involved 96 consecutive medical students during their obstetrics and gynecology clerkship. In addition to attending a half-day prenatal clinic designed for women with substance-use disorders, every student was randomly assigned either to attend (Study group) or not to attend (Control group) a rehabilitation residence for pregnant women with substance-use disorders. The primary objective was to measure differences in responses to a confidential 12-question survey addressing comfort levels and attitudes, at the beginning and end of the clerkship.
Survey responses revealed improvements in students' comfort levels and attitudes toward pregnant women with substance-use disorders by attending the clinic alone or the clinic and residence. Those who attended the residence reported becoming more comfortable in talking with patients about adverse effects from substance abuse, more understanding of "street" terms, and stronger belief that patients will disclose their substance use to providers. Residents expressed more openly their hardships and barriers while trying to set therapeutic goals.
Medical students became more comfortable and insightful about pregnant women with substance-use disorders after attending a rehabilitation residence in addition to a prenatal clinic dedicated to this population.
本研究旨在确定医学生参加针对药物滥用孕妇的康复住所是否会改变他们对该人群提供护理的态度和舒适度。
这是一项随机教育试验，涉及 96 名连续的医学生，他们在妇产科实习期间参加了该试验。除了参加专为药物滥用妇女设计的半天产前诊所外，每位学生还被随机分配参加（研究组）或不参加（对照组）针对药物滥用孕妇的康复住所。主要目的是衡量在实习开始和结束时，对解决舒适度和态度的 12 个机密问题调查的回答的差异。
调查结果显示，仅参加诊所或诊所和住所，都可以提高学生对药物滥用孕妇的舒适度和态度。那些参加住所的学生表示，在与患者讨论药物滥用的不良影响、更理解“街头”术语以及更相信患者会向提供者透露他们的药物使用方面变得更加舒适。居民们更坦率地表达了他们在努力设定治疗目标时所面临的困难和障碍。
在参加专门针对该人群的产前诊所的基础上，医学生在参加针对药物滥用孕妇的康复住所后，对药物滥用孕妇变得更加舒适和有洞察力。
