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“我喜欢年轻、活跃、有活力”:一年级医学生对自身衰老的态度。

"I like being young, active, alive": first-year medical students' attitudes to their own aging.

机构信息

Virginia Center on Aging, College of Health Professions, Virginia Commonwealth University, Richmond, Virginia, United States.

Department of Gerontology, College of Health Professions, Virginia Commonwealth University, Richmond, Virginia, United States.

出版信息

Gerontol Geriatr Educ. 2024 Jul-Sep;45(3):410-423. doi: 10.1080/02701960.2023.2184811. Epub 2023 Mar 2.

DOI:10.1080/02701960.2023.2184811
PMID:36863393
Abstract

BACKGROUND AND OBJECTIVES

Senior Mentoring programs have been developed to expose students to older adults, increase knowledge of geriatrics, and prepare them to provide patient-centered care. However, even while participating in a senior mentoring program, health professions students demonstrate discriminatory language toward older adults and the aging process. In fact, research suggests ageist practices occur, intentionally or not, among all health professionals and within all healthcare settings. Senior mentoring programs have primarily focused on improving attitudes about older people. The current study evaluated a different approach to anti-ageism by examining medical students' perceptions of their own aging.

RESEARCH DESIGN AND METHODS

This qualitative, descriptive study explored medical students' beliefs about their own aging at the beginning of their medical education using an open-ended prompt immediately before beginning a Senior Mentoring program.

RESULTS

Thematic analysis identified six themes: Biological, Psychological, Social, Spiritual, Neutrality and Ageism. Responses suggest that students enter medical school with a complex view of aging that goes beyond biological considerations.

DISCUSSION AND IMPLICATIONS

Understanding that students enter medical school with a multi-faceted view of aging provides an opportunity for future work to explore senior mentoring programs as a way to tap into this complex view of aging by changing the way students think not just about older patients but about aging more broadly, and specifically about themselves as aging individuals.

摘要

背景与目的

老年导师计划旨在让学生接触老年人,增加老年医学知识,并培养他们提供以患者为中心的护理的能力。然而,即使在参与老年导师计划的过程中,健康专业的学生也会对老年人和衰老过程使用歧视性语言。事实上,研究表明,所有健康专业人士和所有医疗保健环境中都有意或无意地存在着年龄歧视行为。老年导师计划主要侧重于改善对老年人的态度。本研究通过考察医学生对自身衰老的看法,评估了一种针对反年龄歧视的不同方法。

研究设计与方法

本定性、描述性研究在开始老年导师计划之前,通过开放式提示,在医学生接受医学教育之初,探索他们对自身衰老的看法。

结果

主题分析确定了六个主题:生物学、心理学、社会、精神、中立和年龄歧视。学生的回应表明,他们在进入医学院时对衰老的看法复杂,不仅涉及生物学因素。

讨论与启示

了解到学生在进入医学院时对衰老有一个多方面的看法,为未来的工作提供了机会,可以探索老年导师计划,通过改变学生的思维方式,不仅仅是针对老年患者,而是更广泛地针对衰老本身,以及他们自己作为衰老个体的看法,从而利用这种对衰老的复杂看法。

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