Álvarez-Montero Santiago, Crespí Paula, Gómez-Salgado Juan, Ramírez-Durán María Valle, Rodríguez-Gabriel María Del Pilar, Coronado-Vázquez Valle
Universidad Francisco de Vitoria, Madrid, Spain.
Department of Sociology, Social Work and Public Health. Faculty of Labour Sciences, University of Huelva, Huelva, Spain.
Heliyon. 2023 Oct 12;9(10):e20959. doi: 10.1016/j.heliyon.2023.e20959. eCollection 2023 Oct.
To evaluate the impact of a mentoring programme for medical students doing a palliative care rotation, aimed at improving coping with death and attitudes towards the suffering produced by illness.
A quasi-experimental study without a control group was carried out on second-year medical students. Five 1-h group sessions were conducted. Attitudes towards grief and coping with death were assessed before the mentoring programme began and afterwards, using the Brief Humanizar Scale and the Bugen's Coping with Death Scale, respectively.
In terms of the sense of grieving as measured by the Brief Humanizar Scale, the mean score for the 'Burden' factor was 7 points and for the 'Change' factor it was 28.6, indicating that suffering makes more sense as a lever for positive change than as a burden. Regarding Bugen's Coping with Death Scale, the mean score was 127.8 points before the mentoring programme and 139.2 afterwards. Hence, the score after the mentoring programme increased by 11.4 points, improving strategies to cope with death.
Medical professionals must cope with death and end-of-life patients. In addition to scientific knowledge, students need to acquire competencies for better coping with the death of patients, with mentoring programmes helping to enhance this process of learning.
评估针对正在进行姑息治疗轮转的医学生的指导计划的影响,旨在改善应对死亡的能力以及对疾病所致痛苦的态度。
对二年级医学生开展一项无对照组的准实验研究。进行了五次为时1小时的小组会议。在指导计划开始前和之后,分别使用简易人道化量表和布根应对死亡量表评估对悲伤的态度和应对死亡的能力。
就简易人道化量表所衡量的悲伤感而言,“负担”因素的平均得分为7分,“改变”因素的平均得分为28.6分,这表明痛苦作为积极改变的杠杆比作为负担更有意义。关于布根应对死亡量表,指导计划前的平均得分为127.8分,之后为139.2分。因此,指导计划后的得分提高了11.4分,改善了应对死亡的策略。
医学专业人员必须应对死亡和临终患者。除了科学知识外,学生还需要获得更好应对患者死亡的能力,指导计划有助于加强这一学习过程。