Rubin J D, Sobal J, Moran M T
Department of Epidemiology, University of Maryland School of Medicine, Baltimore, MD 21201.
Am J Prev Med. 1990 Mar-Apr;6(2):106-11.
Little is known about medical student beliefs about health promotion issues or about their prevention practices with patients. We administered a questionnaire about health promotion beliefs and practices to fourth-year medical students in a required course, "Preventive Medicine in Clinical Practice," at the University of Maryland School of Medicine. During a three-year period we surveyed 343 students. A majority of students believed that most of 23 health behaviors were of some importance to health promotion, and their responses were similar to those of practicing physicians in prior studies. Most students reported that they assessed preventive practices in their patients but did not feel well prepared to counsel patients about health issues. Students reported they were currently unsuccessful in modifying patient health behaviors and expressed limited optimism about future success in helping patients change health promotion behaviors with further training and support. There were no differences between students entering primary care specialties and other students. Information about medical student health promotion and disease prevention beliefs and practices can be applied in curriculum development.
对于医学生有关健康促进问题的看法以及他们与患者的预防实践，人们了解甚少。我们在马里兰大学医学院的一门必修课“临床实践中的预防医学”中，向四年级医学生发放了一份关于健康促进观念和实践的问卷。在三年时间里，我们调查了343名学生。大多数学生认为23种健康行为中的大多数对健康促进具有一定重要性，他们的回答与先前研究中执业医生的回答相似。大多数学生报告说，他们会评估患者的预防措施，但觉得自己没有充分准备好就健康问题向患者提供咨询。学生们报告说，他们目前在改变患者健康行为方面没有取得成功，并且对通过进一步培训和支持帮助患者改变健康促进行为的未来成功表示有限的乐观态度。进入初级保健专业的学生与其他学生之间没有差异。有关医学生健康促进和疾病预防观念及实践的信息可应用于课程开发。
