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医学生在参加与痴呆症患者的诗歌工作坊后对痴呆症的认知。

Medical Students' Perceptions of Dementia after Participation in Poetry Workshop with People with Dementia.

作者信息

Garrie Alaina J, Goel Shruti, Forsberg Martin M

机构信息

New Jersey Institute for Successful Aging, Rowan University School of Osteopathic Medicine, Stratford, NJ 08084, USA.

出版信息

Int J Alzheimers Dis. 2016;2016:2785105. doi: 10.1155/2016/2785105. Epub 2016 Feb 9.

DOI:10.1155/2016/2785105
PMID:26977333
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4763010/
Abstract

Purpose. Researchers assessed whether medical students' participation in a poetry workshop with people with Alzheimer's disease and related dementias (ADRD) affected their attitudes towards persons with ADRD. Objective. To add to the growing body of research summarizing the impact of nonclinical interventions on medical students' perspectives about people with ADRD. Design. Researchers used dementia attitudes scale (DAS) and interpretive phenomenological analysis (IPA) to analyze participants' attitudes. Setting. Osteopathic medical school and dementia care unit in the state of New Jersey. Participants. Eleven out of fourteen medical students completed the study. Measurements. Emerging themes were classified from the postintervention semistructured interviews and descriptive statistics were used to compare the preintervention to postintervention DAS. Results. Researchers found statistically significant differences between preintervention and postintervention DAS scores. Study participants scored a preintervention DAS mean, 107.09 (SD = 11.85), that changed positively and significantly to the postintervention DAS mean, 121.82 (SD = 10.38). DAS subdomains, "comfort" (P = 0.002) and "knowledge" (P = 0.01), and eleven of the twenty DAS items underwent a positive and statistically significant shift from preintervention to postintervention. IPA of the interviews yielded five primary and five secondary themes, supporting the measured statistical outcomes. Conclusion. Medical students' participation in a poetry workshop, with people with ADRD, positively impacts their attitudes.

摘要

目的。研究人员评估了医学生参与与阿尔茨海默病及相关痴呆症(ADRD)患者的诗歌工作坊是否会影响他们对ADRD患者的态度。目标。补充越来越多的研究,总结非临床干预对医学生对ADRD患者看法的影响。设计。研究人员使用痴呆症态度量表(DAS)和解释现象学分析(IPA)来分析参与者的态度。背景。新泽西州的一所整骨医学院和痴呆症护理单元。参与者。十四名医学生中有十一名完成了研究。测量。从干预后的半结构化访谈中分类出新兴主题,并使用描述性统计来比较干预前和干预后的DAS。结果。研究人员发现干预前和干预后DAS分数存在统计学上的显著差异。研究参与者在干预前DAS的平均得分是107.09(标准差 = 11.85),干预后积极且显著地变为121.82(标准差 = 10.38)。DAS子领域“舒适度”(P = 0.002)和“知识”(P = 0.01),以及二十个DAS项目中的十一个从干预前到干预后发生了积极且具有统计学意义的转变。访谈的IPA产生了五个主要主题和五个次要主题,支持了测量的统计结果。结论。医学生参与与ADRD患者的诗歌工作坊对他们的态度有积极影响。

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本文引用的文献

1
Education Research: Changing medical student perceptions of dementia: an arts-centered experience.教育研究:改变医学生对痴呆症的认知:以艺术为中心的体验。
Neurology. 2015 Aug 25;85(8):739-41. doi: 10.1212/WNL.0000000000001867. Epub 2015 Jul 29.
2
Healing words: A study of poetry interventions in dementia care.疗愈之语:诗歌干预在痴呆症照护中的研究。
Dementia (London). 2016 Nov;15(6):1377-1404. doi: 10.1177/1471301214560378. Epub 2014 Nov 27.
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Teaching geriatrics using an innovative, individual-centered educational game: students and educators win. A proof-of-concept study.使用创新的、以个体为中心的教育游戏教授老年医学:学生和教育工作者皆有所获。一项概念验证研究。
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4
Attitude adjustment: shaping medical students' perceptions of older patients with a geriatrics curriculum.态度调整:通过老年医学课程塑造医学生对老年患者的认知。
Acad Med. 2013 Nov;88(11):1630-4. doi: 10.1097/ACM.0b013e3182a7f071.
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An arts-based intervention at a nursing home to improve medical students' attitudes toward persons with dementia.养老院中的艺术干预以改善医学生对痴呆症患者的态度。
Acad Med. 2013 Jun;88(6):837-42. doi: 10.1097/ACM.0b013e31828fa773.
6
Elder care as "frustrating" and "boring": understanding the persistence of negative attitudes toward older patients among physicians-in-training.老年照护令人“沮丧”又“无聊”:了解医学生中对老年患者的负面态度为何持续存在。
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Medical student education program in Alzheimer's disease: the PAIRS Program.阿尔茨海默病医学学生教育项目:PAIRS 项目。
BMC Med Educ. 2012 Aug 21;12:80. doi: 10.1186/1472-6920-12-80.
8
Impact of participation in TimeSlips, a creative group-based storytelling program, on medical student attitudes toward persons with dementia: a qualitative study.TimeSlips 参与度对医学生对痴呆症患者态度的影响:一项定性研究。
Gerontologist. 2011 Oct;51(5):699-703. doi: 10.1093/geront/gnr035. Epub 2011 Jun 10.
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Interpretative phenomenological analysis: a discussion and critique.解释现象学分析:讨论与批判
Nurse Res. 2011;18(3):20-4. doi: 10.7748/nr2011.04.18.3.20.c8459.
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Combining the creative arts and the house call to teach medical students about chronic illness care.将创意艺术与家访相结合,教导医学生有关慢性病护理的知识。
J Am Geriatr Soc. 2010 Feb;58(2):346-51. doi: 10.1111/j.1532-5415.2009.02686.x. Epub 2010 Jan 26.