Wisenden Patricia A, Budke Katherine J, Klemetson Chelsea J, Kurtti Tana R, Patel Chandi M, Schwantz Trenda L, Wisenden Brian D
Biosciences Department, Minnesota State University Moorhead, Minnesota.
Clin Anat. 2018 Mar;31(2):224-230. doi: 10.1002/ca.22992. Epub 2017 Oct 27.
The most effective way to learn human anatomy is through cadaver dissection. Historically, cadaver dissection has been the provenance of professional schools. Increasingly, cadaver-based courses in human anatomy are shifting to the undergraduate level, which creates both problems and opportunities because of differences between undergraduate and graduate student populations. Anxiety associated with dissecting cadavers can create a barrier to learning, and ultimately, entry into the health and medical sciences for some demographic subpopulations of undergraduates. We surveyed 76 students in 2007 and 51 students in 2009 at four times in the semester to investigate the timing and sociodemographic predictors of anxiety over cadaver dissection. We followed this with a second survey of 44 students in 2014 to test the effect of humanization of cadaver donors (providing information about donor occupation and cause of death) to reduce student anxiety. Students experienced anxiety upon first exposure to cadaver dissection. Female students experienced greater anxiety than male students upon first exposure to cadavers but this effect was short-lived. Self-identified non-white, non-Christian students experienced sustained anxiety throughout the semester, likely because cadaver stress compounded social and financial stressors unique to international students. Humanization was effective in reducing anxiety in non-white, non-Christian students but had the unexpected effect of increasing anxiety in female students. We recommend that humanizing information be offered to students who seek it out, but not forced upon students for whom the information would only add to their stress. Clin. Anat. 31:224-230, 2018. © 2017 Wiley Periodicals, Inc.
学习人体解剖学最有效的方法是通过尸体解剖。从历史上看,尸体解剖一直是专业院校的领域。越来越多的基于尸体的人体解剖学课程正转向本科层次,由于本科生和研究生群体存在差异,这既带来了问题,也带来了机遇。与解剖尸体相关的焦虑可能会成为学习的障碍,并最终阻碍一些本科人群进入健康和医学领域。我们在2007年对76名学生以及在2009年对51名学生在学期内进行了四次调查,以研究对尸体解剖焦虑的时间点和社会人口统计学预测因素。随后,我们在2014年对44名学生进行了第二次调查,以测试尸体捐赠者人性化(提供捐赠者职业和死因信息)对减轻学生焦虑的效果。学生在首次接触尸体解剖时会感到焦虑。女生在首次接触尸体时比男生经历更大的焦虑,但这种影响是短暂的。自我认定为非白人、非基督徒的学生在整个学期都经历持续的焦虑,这可能是因为尸体压力加剧了国际学生特有的社会和经济压力源。人性化在减轻非白人、非基督徒学生的焦虑方面是有效的,但却意外地增加了女生的焦虑。我们建议向主动寻求的学生提供人性化信息,但不要将其强加给那些这些信息只会增加其压力的学生。《临床解剖学》31:224 - 230,2018年。© 2017威利期刊公司