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卫生专业学生对生命终末期照护的态度和教育需求的认知:一项中国的横断面研究。

Attitudes toward and Perceptions of Educational Needs for End-of-Life Care among Health Professions Students: A Cross-Sectional Study in China.

机构信息

School of Nursing, Naval Medical University, Shanghai, China; School of Nursing and Health Management, Shanghai University of Medicine & Health Science, Shanghai, China.

School of Nursing, Fudan University, Shanghai, China.

出版信息

J Pain Symptom Manage. 2021 Dec;62(6):1229-1238. doi: 10.1016/j.jpainsymman.2021.05.008. Epub 2021 May 19.

Abstract

CONTEXT

To provide effective end-of-life care education for health professions students, it is important to understand students' views of death in addition to their perceptions of educational needs and preferences. However, there is a lack of studies addressing interindividual variability in perceptions of end-of-life care educational needs among health professions students.

OBJECTIVES

This study aimed to identify latent profiles of perceptions of end-of-life care educational needs among health professions students and examine whether the demographic characteristics, death-related events, death attitude, and death anxiety differed by need subgroup.

METHODS

Through convenience sampling, health professions students from three universities in China were recruited between March 2020 and June 2020. Data were collected using a demographic information and death-related experience questionnaire, the End-of-Life Care Curriculum Needs Questionnaire, the End-of-Life Care Educational Needs Questionnaire, the Death Attitudes Profile-Revised, and the Templer's Death Anxiety Scale.

RESULTS

A total of 1048 students completed the survey. Two classes of perceptions of end-of-life care educational needs were identified: approximately 29.80% of students belonged to a medium-need group class (1), and 70.20% belonged to a high-need group class (2). Being female and having knowledge of end-of-life care significantly increased the probability of membership in class 2. Students with the two latent profiles reported having varied curriculum needs. In addition, a positive attitude toward death and low death anxiety increased the probability of membership in class 1.

CONCLUSION

Two classes of perceptions of end-of-life care educational needs were identified, and these classes were significantly associated with sex and death-related knowledge (P < 0.05). Interindividual variability should be considered in the future development of end-of-care curricula.

摘要

背景

为了为卫生专业学生提供有效的临终关怀教育,除了了解学生对教育需求和偏好的看法外,了解学生对死亡的看法也很重要。然而,目前缺乏研究探讨卫生专业学生对临终关怀教育需求的个体差异。

目的

本研究旨在确定卫生专业学生对临终关怀教育需求的认知的潜在特征,并检验人口统计学特征、与死亡相关的事件、死亡态度和死亡焦虑是否因需求亚组而异。

方法

通过便利抽样,于 2020 年 3 月至 6 月期间从中国三所大学招募卫生专业学生。使用人口统计学信息和死亡相关经历问卷、临终关怀课程需求问卷、临终关怀教育需求问卷、修订后的死亡态度量表和 Templer 的死亡焦虑量表收集数据。

结果

共有 1048 名学生完成了调查。确定了两种临终关怀教育需求认知类型:约 29.80%的学生属于中等需求组(1 类),70.20%属于高需求组(2 类)。女性和具有临终关怀知识显著增加了属于第 2 类的概率。具有两种潜在特征的学生报告说课程需求存在差异。此外,对死亡持积极态度和低死亡焦虑会增加属于第 1 类的可能性。

结论

确定了两种临终关怀教育需求认知类型,这些类型与性别和与死亡相关的知识显著相关(P<0.05)。未来的临终关怀课程发展应考虑个体差异。

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