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实施多专业教师老年保健课程,提高马来西亚公立大学医学生的能力:一项准实验性前后研究。

Implementation of a Healthcare of Elderly Course With Multi-Professional Teachers for Undergraduate Medical Students in a Public University in Malaysia-A Quasi-Experimental Pre and Post Study.

机构信息

Department of Medicine, Faculty of Medicine and Health Sciences, Putra Malaysia University, Seri Kembangan, Malaysia.

Malaysian Research Institute on Ageing, Putra Malaysia University, Seri Kembangan, Malaysia.

出版信息

Front Public Health. 2021 Nov 11;9:743804. doi: 10.3389/fpubh.2021.743804. eCollection 2021.

Abstract

Clinical practise in the ageing population is changing from organ-specific specialty care to holistic care. This is done through comprehensive geriatric assessment and multi-disciplinary team management. Hence, we adopted an approach consisting of multi-professional teachers teaching a Healthcare of Elderly Course (HEC), in a public university in Malaysia. We aimed to analyze the students' attitude, self-perceived competency and interest in geriatric medicine as a career before and after the course. We also investigated variables that might influence this interest among these students. All 96 students in the course were invited to participate in the survey. Sixty-eight (70.8%) completed both pre and post-course questionnaires. Although most students (93%) have a positive attitude (University of California at Los Angeles Geriatric Attitude Scale >3) toward older adults at baseline, it did not significantly increase post-course. We found that the mean scores for self-perceived competency increased from 3.62 (±0.76) to 3.81 (±0.56) post-course ( < 0.01). However, the students remained neutral with no significant change in the mean interest in pursuing a geriatric medicine career after the course. Students with higher self-perceived competency post-course were found to be more interested in geriatric medicine (β = 0.56, < 0.001). In conclusion, the HEC in our centre could sustain a positive attitude and increase self-perceived competency in students. It is important to increase the preparedness of our graduates in managing older adults with frailty and multimorbidity. Future studies may involve inter-professional education of students from multiple disciplines undergoing the same course to nurture real-life collaborations in managing the ageing population.

摘要

临床实践在老龄化人口正在从器官特异性专科护理转变为整体护理。这是通过全面的老年评估和多学科团队管理来实现的。因此,我们在马来西亚的一所公立大学采用了一种由多专业教师教授老年保健课程(HEC)的方法。我们旨在分析学生在课程前后对老年医学作为职业的态度、自我感知能力和兴趣。我们还调查了可能影响这些学生兴趣的变量。该课程的所有 96 名学生都被邀请参加调查。68 名(70.8%)学生完成了课前和课后的问卷调查。尽管大多数学生(93%)在基线时对老年人有积极的态度(加利福尼亚大学洛杉矶分校老年态度量表>3),但课后并没有显著增加。我们发现,自我感知能力的平均得分从 3.62(±0.76)增加到 3.81(±0.56)课后(<0.01)。然而,学生们仍然保持中立,课后对从事老年医学职业的平均兴趣没有明显变化。我们发现,课后自我感知能力较高的学生对老年医学更感兴趣(β=0.56,<0.001)。总之,我们中心的 HEC 可以维持学生的积极态度并提高自我感知能力。重要的是要提高我们毕业生管理脆弱和多病老年人的能力。未来的研究可能涉及来自多个学科的学生的跨专业教育,以培养管理老龄化人口的现实生活中的合作。

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本文引用的文献

1
A national survey on the teaching provision of undergraduate geriatric medicine in Malaysia.马来西亚本科老年医学教学情况的全国性调查。
Gerontol Geriatr Educ. 2022 Oct-Dec;43(4):456-467. doi: 10.1080/02701960.2021.1914027. Epub 2021 Apr 26.

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