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医学生面对死亡:墨西哥学生的观点

Facing Death in Medical Training: A View From Students in Mexico.

机构信息

Departamento de Psiquiatría y Salud Mental, Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico City, Mexico.

Instituto de Investigaciones Psicológicas, Universidad Veracruzana, Xalapa, Mexico.

出版信息

Omega (Westport). 2020 Feb;80(3):340-354. doi: 10.1177/0030222817729611. Epub 2017 Sep 5.

Abstract

This study explores how medical students feel about caring for terminally ill patients as well as how their medical courses prepare them for addressing end-of-life (EOL) issues with patients. Four hundred and five Mexican medical students were surveyed through the Student Views on Death questionnaire. The vast majority of students (94%) felt that physicians should inform patients of their impending death. Most students said they felt comfortable talking with (61%) or examining (76%) terminally ill patients. However, only half the students actually talked with patients about death. Participants in our study were interested in learning about EOL medical attention, yet most considered themselves poorly prepared to offer this type of care to terminally ill patients. The study provides objective data on a topic that has scarcely been explored in Mexico, data that will be useful in designing educational activities to improve EOL medical training.

摘要

本研究探讨了医学生对照顾绝症患者的感受,以及他们的医学课程如何为他们处理患者临终(EOL)问题做好准备。通过死亡学生观点问卷对 405 名墨西哥医学生进行了调查。绝大多数学生(94%)认为医生应该告知患者即将死亡。大多数学生表示,他们对与(61%)或检查(76%)绝症患者交谈感到舒适。然而,只有一半的学生实际上与患者谈论过死亡。我们研究的参与者对学习临终医疗护理很感兴趣,但大多数人认为自己在为绝症患者提供这种护理方面准备不足。该研究提供了一个在墨西哥几乎没有探讨过的话题的客观数据,这些数据将有助于设计教育活动以改善临终医疗培训。

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