School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
College of Nursing and Health Innovation, Arizona State University, Phoenix, USA.
Teach Learn Med. 2022 Oct-Dec;34(5):455-463. doi: 10.1080/10401334.2021.1971988. Epub 2021 Sep 26.
Dementia is a huge burden to the economic and health care system in China. As the next generation of health care providers, undergraduate health professional students play a pivotal role in caring for dementia patients during their clinical placements and in independent practice. Nevertheless, they may not be adequately prepared to care for patients with dementia by their undergraduate programs. Measuring the knowledge and attitudes of health professional students could be an important step in providing evidence regarding the need to enhance dementia care training in the curriculum. Approach: Responses from 325 Chinese health professional (nursing, medical, and public health) students were included in the analyses. After providing informed consent, students answered questionnaires including a demographic data questionnaire, the Alzheimer's Disease Knowledge Scale (ADKS) and the Dementia Attitudes Scale (DAS). Univariate analyses were performed to test the association between outcomes and potential explanatory variables. Multiple linear regression analysis was used to determine the predictive factors for knowledge and attitudes toward dementia. Findings: Chinese health professional students had a mean ADKS score of 18.92 ( = 3.20). Better knowledge was associated with advanced education, having family members with medical knowledge, having heard of dementia, and having interest in learning about dementia. Students had a mean DAS score of 89.10 ( = 8.93), and their attitudes were significantly associated with majoring in public health and having heard of dementia. Students' knowledge was positively, but weakly related with attitudes ( = 0.122, = 0.028). Insights: Chinese undergraduate health professional students demonstrate insufficient knowledge and less positive attitudes toward dementia than their counterparts in developed countries. Enhanced dementia care-specific curriculum and training are urgently needed in China to meet the growing demand for dementia care services.
在中国,痴呆症给经济和医疗保健系统带来了巨大负担。作为下一代医疗保健提供者,本科医疗专业学生在临床实习和独立实践中为照顾痴呆症患者发挥着关键作用。然而,他们可能没有通过本科课程为照顾痴呆症患者做好充分准备。衡量健康专业学生的知识和态度可能是提供证据表明需要在课程中加强痴呆症护理培训的重要步骤。方法:分析中纳入了 325 名中国医疗专业(护理、医学和公共卫生)学生的回复。在提供知情同意后,学生回答了包括人口统计学数据问卷、阿尔茨海默病知识量表(ADKS)和痴呆态度量表(DAS)在内的问卷。进行单变量分析以检验结果与潜在解释变量之间的关联。使用多元线性回归分析确定痴呆症知识和态度的预测因素。结果:中国医疗专业学生的 ADKS 平均得分为 18.92( = 3.20)。更好的知识与高等教育、有医学知识的家庭成员、听说过痴呆症以及对学习痴呆症感兴趣有关。学生的 DAS 平均得分为 89.10( = 8.93),他们的态度与主修公共卫生和听说过痴呆症显著相关。学生的知识与态度呈正相关,但相关性较弱( = 0.122, = 0.028)。见解:与发达国家的同龄人相比,中国本科医疗专业学生对痴呆症的知识水平较低,态度也不太积极。中国迫切需要加强针对痴呆症的特定课程和培训,以满足对痴呆症护理服务不断增长的需求。