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2010年,埃塞俄比亚亚的斯亚贝巴提库尔·安贝萨专科医院患者对医学生参与其医疗护理的态度。

Patients' attitude towards medical students involvement in their health care at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia, 2010.

作者信息

Temesgen Worku Animaw

机构信息

Arba Minch University, Arbaminch, Ethiopia.

出版信息

Ethiop J Health Sci. 2013 Jul;23(2):158-64.

Abstract

BACKGROUND

Patients' willingness to the involvement of medical students in their health care is the mandatory input to medical education. Admitted patients' willingness level should be known and factors affecting willingness should be identified and it is necessary to act upon them for better medical care.

METHODOLOGY

A cross-sectional hospital based survey was conducted to assess the admitted patients' attitude towards medical students' involvement in their health care at Tikur Anbesa Specialized Hospital in 2010. Data were collected from 422 adult patients admitted in Tikur Anbesa Specialized Hospital from April to May 2010 using structured questionnaire and by interview method. The data gathered in this way were then processed using SPSS version 15.

RESULT

Three hundred and ninety-two participants had responded to all questions they were asked (response rate = 92.8%). One hundred and five (26.8%) patients had negative attitude to medical students' involvement in their health care. The proportion of patients' having positive attitude towards students was slightly reduced from medical to surgical and to gynecology wards 77.4%, 72.0%, 69.2% respectively. Patients who had previous interactions with students were more likely to have negative attitude (AOR (95% CI) = 1.72(1.03, 2.87). The odds patients admitted in gynecology and obstetrics ward to prefer female students to care for them was higher (AOR (95% CI) =1.93(1.13, 3.30).

CONCLUSION

Almost half of the patients admitted to Tikur Anbessa Specialized Hospital objected to clinical procedures on them even physical examination, hence developing clinical skills in TASH might be challenging for the majority of students. The challenge might be worsened for male students in gynecology wards.

摘要

背景

患者对于医学生参与其医疗护理的意愿是医学教育的必要输入。应了解住院患者的意愿水平,识别影响意愿的因素,并针对这些因素采取行动以提供更好的医疗护理。

方法

2010年在提库尔·安贝萨专科医院开展了一项基于医院的横断面调查,以评估住院患者对医学生参与其医疗护理的态度。2010年4月至5月期间,采用结构化问卷和访谈法,从提库尔·安贝萨专科医院收治的422名成年患者中收集数据。然后使用SPSS 15版对以这种方式收集的数据进行处理。

结果

392名参与者回答了所有问题(回复率 = 92.8%)。105名(26.8%)患者对医学生参与其医疗护理持消极态度。患者对医学生持积极态度的比例从内科病房到外科病房再到妇科病房略有下降,分别为77.4%、72.0%、69.2%。之前与医学生有过互动的患者更有可能持消极态度(优势比(95%置信区间)= 1.72(1.03,2.87))。在妇产科病房住院的患者更倾向于让女医学生护理他们的可能性更高(优势比(95%置信区间)= 1.93(1.13,3.30))。

结论

提库尔·安贝萨专科医院近一半的住院患者反对对他们进行临床操作,甚至是体格检查,因此对于大多数学生来说,在该医院培养临床技能可能具有挑战性。对于妇科病房的男学生来说,这一挑战可能会更加严峻。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9079/3742893/8805bf65af68/EJHS2302-0158Fig1.jpg

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