儿科姑息治疗教育对医学生知识和态度的影响。

The impact of pediatric palliative care education on medical students' knowledge and attitudes.

作者信息

Korzeniewska-Eksterowicz Aleksandra, Przysło Łukasz, Kędzierska Bogna, Stolarska Małgorzata, Młynarski Wojciech

机构信息

Pediatric Palliative Care Unit, Department of Pediatrics, Oncology, Hematology and Diabetology, Medical University of Lodz, 36/50 Sporna Street, 91-738 Łodz, Poland ; Gajusz Foundation, Pediatric Palliative Care Center, Home Hospice for Children of Lodz Region, 87 Dąbrowskiego Street, 93-271 Lodz, Poland.

Institute of Psychology, University of Lodz, 10/12 Smugowa Street, 91-433 Lodz, Poland.

出版信息

ScientificWorldJournal. 2013 Dec 31;2013:498082. doi: 10.1155/2013/498082. eCollection 2013.

DOI:10.1155/2013/498082

PMID:24501581

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3899714/

Abstract

PURPOSE

Most undergraduate palliative care curricula omit pediatric palliative care (PPC) issues. Aim of the study was to evaluate the pilot education programme.

METHODS

All 391 students of Faculty of Medicine (FM) and 59 students of Division of Nursing (DN) were included in anonymous questionnaire study. Respondents were tested on their knowledge and attitude towards PPC issues before and at the end of the programme and were expected to evaluate the programme at the end.

RESULTS

For final analysis, authors qualified 375 double forms filled in correctly (320 FM and 55 DN). Before the programme, students' knowledge assessed on 0-100-point scale was low (FM: median: 43.35 points; 25%-75%: (40p-53.3p); DN: 26.7p; 13.3p-46.7p), and, in addition, there were differences (P < 0.001) between both faculties. Upon completion of the programme, significant increase of the level of knowledge in both faculties was noted (FM: 80p; 73.3-100; DN: 80p; 66.7p-80p). Participation in the programme changed declared attitudes towards some aspects of withholding of special procedures, euthanasia, and abortion. Both groups of students positively evaluated the programme.

CONCLUSIONS

This study identifies medical students' limited knowledge of PPC. Educational intervention changes students' attitudes to the specific end-of-life issues. There is a need for palliative care curricula evaluation.

摘要

目的

大多数本科姑息治疗课程都忽略了儿童姑息治疗（PPC）问题。本研究的目的是评估该试点教育项目。

方法

医学院（FM）的所有391名学生和护理系（DN）的59名学生都参与了匿名问卷调查研究。在项目开始前和结束时，对受访者关于PPC问题的知识和态度进行测试，并要求他们在项目结束时对该项目进行评估。

结果

为进行最终分析，作者筛选出375份正确填写的双份问卷（FM：320份；DN：55份）。在项目开始前，学生在0 - 100分制下的知识评估得分较低（FM：中位数：43.35分；25% - 75%：（40分 - 53.3分）；DN：26.7分；13.3分 - 46.7分），此外，两个学院之间存在差异（P < 0.001）。项目结束后，两个学院的知识水平都有显著提高（FM：80分；73.3 - 100分；DN：80分；66.7分 - 80分）。参与该项目改变了学生对一些特殊程序的放弃、安乐死和堕胎方面的既定态度。两组学生都对该项目给予了积极评价。