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意大利医学生对遗体捐献的认知与态度调查:伦理与科学考量

A Survey on the Knowledge and Attitudes of Italian Medical Students toward Body Donation: Ethical and Scientific Considerations.

作者信息

Ciliberti Rosagemma, Gulino Matteo, Gazzaniga Valentina, Gallo Fabio, Vellone Valerio Gaetano, De Stefano Francesco, Santi Pierluigi, Baldelli Ilaria

机构信息

Section of Forensic Medicine and Bioethics, Department of Health Sciences, University of Genoa, Via De Toni 12, 16132 Genova, Italy.

Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Corso della Repubblica, 79, 04100 Latina, Italy.

出版信息

J Clin Med. 2018 Jul 9;7(7):168. doi: 10.3390/jcm7070168.

DOI:10.3390/jcm7070168
PMID:29987216
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6068798/
Abstract

Post mortem body donation (PMBD) for medical training and research plays a key role in medical-surgical education. The aim of this study is to evaluate Italian medical students’ awareness and attitudes regarding this practice. A questionnaire was sent to 1781 Italian medical students (MS). A total of 472 MS responded: 406 (92.91%) had a strongly positive attitude to PMBD, while 31 (7.09%) were not in favor. The majority of subjects were Catholic (56.36%), while 185 and 21 subjects, said that they did not hold any religious beliefs, or were of other religions, respectively. Multivariate analysis showed significant associations (-values < 0.05) between PMBD and religion, as well as perceptions of PMBD as an act of altruism, a tool for learning surgical practices, body mutilation, and an act contrary to faith. Although Italian MS believed cadaver dissection to be an important part of their education, they did not know much about it and had not received training on this altruistic choice. As future doctors, MS can play an important role in raising public awareness of the importance of PMBD for medical education and research. Specific educational programs to improve knowledge of this topic among MS are needed.

摘要

用于医学培训和研究的尸体捐赠在外科医学教育中起着关键作用。本研究旨在评估意大利医学生对这种做法的认知和态度。向1781名意大利医学生发放了问卷。共有472名医学生回复:406名(92.91%)对尸体捐赠持非常积极的态度,而31名(7.09%)不赞成。大多数受试者是天主教徒(56.36%),而分别有185名和21名受试者表示他们没有任何宗教信仰或属于其他宗教。多变量分析显示,尸体捐赠与宗教之间存在显著关联(P值<0.05),同时还涉及对尸体捐赠作为一种利他行为、学习外科手术实践的工具、身体残害以及违背信仰行为的认知。尽管意大利医学生认为尸体解剖是他们教育的重要组成部分,但他们对此了解不多,也没有接受过关于这种利他选择的培训。作为未来的医生,医学生可以在提高公众对尸体捐赠对医学教育和研究重要性的认识方面发挥重要作用。需要开展具体的教育项目来提高医学生对这一主题的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77cd/6068798/d69b3de3e675/jcm-07-00168-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77cd/6068798/d69b3de3e675/jcm-07-00168-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77cd/6068798/d69b3de3e675/jcm-07-00168-g001.jpg

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