Ge Nan, Qu Xuan, Ning Xiao-Hong, Liu Xiao-Hong
Department of Geriatric,PUMC Hospital,CAMS and PUMC,Beijing 100730,China.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2018 Jun 28;40(3):390-394. doi: 10.3881/j.issn.1000-503X.2018.03.016.
Objective To analyzed the current situations and needs of the continuing education on hospice and palliative care (HPC) in China based on the response from trainees in the 2016 National Hospice and Palliative Medicine Training Program. Methods A questionnaire-based survey was performed among 141 trainees who attended the program held by Peking Union Medical College Hospital in 2016. The questionnaire items included the awareness and knowledge of HPC,learning Objective s,learning gains,and future plans. Results The trainees came from 19 provinces and municipalities. Their professions included doctors (66.0%),nurses (17.0%),physical therapists (1.4%),psychologists (5.0%),social workers (2.1%),volunteers (6.4%) and hospital managers (2.1%). Doctors'disciplines included geriatrics (56.0%),medical oncology (11.8%),and others (32.2%). Among these 141 participants,111 (78.7%) had not attended any HPC course before,134 (95.0%) were aware of HPC,and 131 (92.9%) needed help from others when providing care for terminally-ill patients. The median score for symptom control and communication skills among 141 trainees were 3.0(2.0,4.0) points and 1.0(0.0,2.0) points,respectively. The average score of the final examination involving case analysis and medical knowledge of symptom control was (59.1±18.0)scores (centesimal system). Finally,136 trainees (96.5%) were willing to receive further training on HPC. Conclusion It is important to do more HPC education and training among medical staff,so as to strengthen their knowledge and capability in symptom control,communication,and evaluation of death quality.
目的 基于2016年全国临终关怀与姑息治疗培训项目学员的反馈，分析我国临终关怀与姑息治疗（HPC）继续教育的现状与需求。方法 对2016年参加北京协和医院举办的该项目的141名学员进行问卷调查。问卷项目包括对HPC的认知与知识、学习目标、学习收获及未来计划。结果 学员来自19个省、直辖市。其职业包括医生（66.0%）、护士（17.0%）、物理治疗师（1.4%）、心理医生（5.0%）、社会工作者（2.1%）、志愿者（6.4%）及医院管理人员（2.1%）。医生的专业包括老年医学（56.0%）、肿瘤内科（11.8%）及其他（32.2%）。在这141名参与者中，111名（78.7%）此前未参加过任何HPC课程，134名（95.0%）知晓HPC，131名（92.9%）在为晚期患者提供护理时需要他人帮助。141名学员在症状控制和沟通技巧方面的中位数得分分别为3.0（2.0，4.0）分和1.0（0.0，2.0）分。涉及病例分析和症状控制医学知识的期末考试平均成绩为（59.1±18.0）分（百分制）。最后，136名学员（96.5%）愿意接受HPC方面的进一步培训。结论 对医务人员开展更多的HPC教育和培训很重要，以增强他们在症状控制、沟通及死亡质量评估方面的知识和能力。
