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巴西医学专业最后一年学生对痴呆症的认知与态度。

Knowledge and attitudes towards dementia among final-year medical students in Brazil.

作者信息

Jacinto Alessandro Ferrari, Citero Vanessa de Albuquerque, Lima José Luiz de, Boas Paulo José Fortes Villas, Valle Adriana Polachini do, Leite Ananda Ghelfi Raza

机构信息

PhD, Assistant Professor, Department of Internal Medicine, Faculdade de Medicina de Botucatu da Universidade Estadual Paulista "Júlio de Mesquita Filho" (FMB-Unesp), Botucatu, SP, Brazil.

Associated Professor, Department of Psychiatry, Escola Paulista de Medicina da Universidade Federal de São Paulo (EPM-Unifesp), São Paulo, SP, Brazil.

出版信息

Rev Assoc Med Bras (1992). 2017 Apr;63(4):366-370. doi: 10.1590/1806-9282.63.04.366.

DOI:10.1590/1806-9282.63.04.366
PMID:28614541
Abstract

OBJECTIVE

: Among all countries, Brazil is expected to have the sixth largest elderly population in 2025. Dementia syndromes are prominent among aging-related diseases. Despite the necessity of and curriculum for training in geriatric medicine to make recommendations on an approach to this theme, adequate training appears to be infrequent. The present study aimed to evaluate the knowledge about dementia and students' attitude towards it during the last semester of the medical course in two of the most important Brazilian medical schools.

METHOD

: In our study, a sample of 189 students was invited to complete questionnaires comprising demographic and professional topics, knowledge with respect to cognitive alterations in the elderly and attitudes in dealing with an elderly patient with dementia.

RESULTS

: A total of 155 students accepted to participate in the study; 92(59.7%) considered that they had good training in cognitive alterations during their undergraduate medical course, while 67 (58.8%) of them declared having had only theoretical training. Regarding knowledge, the students obtained a mean of 6.9, out of a scale from 0 to 14 points. As for attitudes, the students agreed that they can contribute to the life quality of the patient and of the caregiver, and that it is useful to provide the diagnosis to the family.

CONCLUSION

: The findings of this study are relevant for overturn the educational barriers of physicians in relation to the care of patients with dementia.

摘要

目的

在所有国家中,预计到2025年巴西老年人口数量将位居世界第六。痴呆综合征在与衰老相关的疾病中较为突出。尽管有必要开展老年医学培训课程以就该主题的处理方法提出建议,但充分的培训似乎并不常见。本研究旨在评估巴西两所最重要的医学院校医学课程最后一学期学生对痴呆症的了解及其对痴呆症的态度。

方法

在我们的研究中,邀请了189名学生完成问卷,问卷内容包括人口统计学和专业主题、关于老年人认知改变的知识以及处理老年痴呆患者的态度。

结果

共有155名学生同意参与研究;92名(59.7%)学生认为他们在本科医学课程期间接受了关于认知改变的良好培训,而其中67名(58.8%)学生表示仅接受了理论培训。在知识方面,学生们在0至14分的量表上平均得分为6.9分。在态度方面,学生们一致认为他们可以提高患者及其照顾者的生活质量,并且向家属提供诊断很有用。

结论

本研究结果对于消除医生在照顾痴呆患者方面的教育障碍具有重要意义。

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