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罗马尼亚医学生对解剖室的伦理观点、态度及反应

Ethical views, attitudes and reactions of Romanian medical students to the dissecting room.

作者信息

Bob M H, Popescu Codruţa Alina, Armean M S, Suciu Soimita Mihaela, Buzoianu Anca Dana

机构信息

University of Medicine and Pharmacy Iuliu Haţ ieganu, Cluj-Napoca, Department of Anatomy and Embryology.

出版信息

Rev Med Chir Soc Med Nat Iasi. 2014 Oct-Dec;118(4):1078-85.

PMID:25581973
Abstract

AIM

Our objective was to evaluate the attitudes and views of first year medical students towards cadaver dissection in anatomy learning and discuss various findings in relation with ethical problems).

MATERIAL AND METHOD

The study was conducted at the "Iuliu Hat ieganu" University of Medicine and Pharmacy, during the academic year 2012-2013 at the end of the second semester. There were 121 first year medical students included. We developed a questionnaire to asses among other, the degree of fear, anxiety and stress in the dissection room, methods of coping, ethical aspects of dissection and hand it to the students.

RESULTS

34.7% of students experienced different levels of fear on exposure to the dissection room practical sessions. Many students experienced anxiety in reaction to dissection. In the first semester most students reported physical and behavioral reaction towards certain stimuli, with a decrease in the second semester. Recurring visual images of cadavers, reported by 57% of students in the first semester, dropped to 44.6% in the second semester. Students used most frequently the "rationalization and emotional detachment" as a coping method.

CONCLUSIONS

Anatomists, most often the firsts who need to be aware of emotional and ethical issues, need to explain in detail the steps necessary for dissection and that dissection is performed with the respect of legislation, ethics and human rights.

摘要

目的

我们的目标是评估一年级医学生对解剖学学习中尸体解剖的态度和看法,并讨论与伦理问题相关的各种发现。

材料与方法

该研究于2012 - 2013学年第二学期末在“尤利乌·哈蒂根努”医科药科大学进行。纳入了121名一年级医学生。我们编制了一份问卷,以评估除其他方面外,学生在解剖室的恐惧、焦虑和压力程度、应对方法、解剖的伦理方面,并将问卷发放给学生。

结果

34.7%的学生在接触解剖室实践课时经历了不同程度的恐惧。许多学生对解剖有焦虑反应。在第一学期,大多数学生报告了对某些刺激的身体和行为反应,第二学期有所减少。第一学期57%的学生报告有反复出现的尸体视觉图像,第二学期降至44.6%。学生最常使用“合理化和情感超脱”作为应对方法。

结论

解剖学家通常是最需要意识到情感和伦理问题的人,需要详细解释解剖所需的步骤,并且解剖是在尊重法律、伦理和人权的前提下进行的。

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