本科医学课程中的姑息治疗教育：学生对姑息治疗重要性的看法、他们对姑息治疗的信心和知识。
Palliative care education in the undergraduate medical curricula: students' views on the importance of, their confidence in, and knowledge of palliative care.
机构信息
Department of Educational Development and Research Faculty of Health, Medicine and Life Sciences, Maastricht University, Universiteitssingel 60, 6229, ER, Maastricht, The Netherlands.
Centre of Expertise for Palliative Care, Maastricht UMC+, Maastricht, The Netherlands.
出版信息
BMC Palliat Care. 2019 Aug 28;18(1):72. doi: 10.1186/s12904-019-0458-x.
BACKGROUND
The need for palliative care is increasing. Since almost every junior doctor will come across palliative care patients, it is important to include palliative care in the undergraduate curriculum. The objective of this research is to gather undergraduate students' views on palliative care in terms of its importance, their confidence in and knowledge of the domain.
METHODS
Final-year medical students at four Dutch medical faculties were surveyed. The questionnaire measured their views on the education they had received, their self-reported confidence in dealing with palliative care patients and their knowledge of palliative care.
RESULTS
Two hundred twenty-two medical students participated in this study. Students considered palliative care education relevant, especially training in patient-oriented care and communication with the patient. Students felt that several topics were inadequately covered in the curriculum. Overall, the students did not feel confident in providing palliative care (59.6%), especially in dealing with the spiritual aspect of palliative care (77%). The knowledge test shows that only 48% of the students answered more than half of the questions correctly.
CONCLUSION
The students in this study are nearly junior doctors who will soon have to care for palliative patients. Although they think that palliative care is important, in their opinion the curriculum did not cover many important aspects, a perception that is also in line with their lack of confidence and knowledge in this domain. Therefore, it is important to improve palliative care education in the medical curriculum.
背景
对姑息治疗的需求正在增加。由于几乎每一位初级医生都会遇到姑息治疗患者，因此将姑息治疗纳入本科课程非常重要。本研究的目的是了解医学生对姑息治疗的看法，包括他们对姑息治疗的重要性、信心和知识的看法。
方法
对荷兰四所医学院的四年级医学生进行了问卷调查。该问卷衡量了他们对所接受教育的看法、他们处理姑息治疗患者的自我报告信心以及他们对姑息治疗的了解。
结果
共有 222 名医学生参与了这项研究。学生们认为姑息治疗教育是相关的，特别是在以患者为中心的护理和与患者沟通方面的培训。学生们认为课程中有些主题涵盖不足。总的来说，学生们在提供姑息治疗方面没有信心（59.6%），特别是在处理姑息治疗的精神方面（77%）。知识测试表明，只有 48%的学生答对了一半以上的问题。
结论
本研究中的学生即将成为初级医生，他们很快就要照顾姑息治疗患者。尽管他们认为姑息治疗很重要，但他们认为课程没有涵盖许多重要方面，这种看法也与他们在这一领域缺乏信心和知识相符。因此，在医学课程中改进姑息治疗教育非常重要。
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