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2
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本文引用的文献

1
Factors influencing death attitudes of medical students: a scoping review.影响医学生死亡态度的因素：一项范围综述
Front Public Health. 2024 Apr 8;12:1342800. doi: 10.3389/fpubh.2024.1342800. eCollection 2024.
2
Knowledge and attitudes of medical students toward death: a cross-sectional comparative study between an Arab and a Western University.医学生对死亡的认知和态度：阿拉伯和西方大学的横断面比较研究。
BMC Psychol. 2024 Mar 8;12(1):133. doi: 10.1186/s40359-024-01616-w.
3
Physicians' Lived Experience of Breaking Bad News in Clinical Practice: Five Essentials of a Relational Process.医生在临床实践中传递坏消息的体验：关系过程的五个要素。
Qual Health Res. 2023 Dec;33(14):1349-1359. doi: 10.1177/10497323231197534. Epub 2023 Oct 4.
4
No One Dies Alone: Addressing a Gap in Medical Education.无人独自离世：填补医学教育中的一项空白。
J Community Hosp Intern Med Perspect. 2022 Nov 7;12(6):24-26. doi: 10.55729/2000-9666.1125. eCollection 2022.
5
Corresponding about Death: Analyzing Letters Exchanged between Patients with Cancer and Medical Students.医患通信：对癌症患者与医学生间往来信件的分析。
J Med Humanit. 2023 Dec;44(4):455-462. doi: 10.1007/s10912-023-09785-2. Epub 2023 Feb 16.
6
How Internal Medicine Residents Deal with Death and Dying: a Qualitative Study of Transformational Learning and Growth.内科住院医师如何应对死亡：变革性学习和成长的定性研究。
J Gen Intern Med. 2022 Oct;37(13):3404-3410. doi: 10.1007/s11606-022-07441-4. Epub 2022 Feb 22.
7
Communication in the face of death and dying - how does the encounter with death influence the patient management competence of medical students? An outcome-evaluation.面对死亡和临终的沟通 - 与死亡的相遇如何影响医学生的患者管理能力？一项结果评估。
BMC Med Educ. 2022 Jan 10;22(1):25. doi: 10.1186/s12909-021-03060-5.
8
Ethical Discourse of Medical Students on the Phenomenon of Death: A Qualitative Study.医学生关于死亡现象的伦理话语：一项定性研究。
Omega (Westport). 2023 May;87(1):146-176. doi: 10.1177/00302228211014772. Epub 2021 May 21.
9
The impact of death and dying on the personhood of medical students: a systematic scoping review.死亡和濒死对医学生人格的影响：系统范围界定综述。
BMC Med Educ. 2020 Dec 28;20(1):516. doi: 10.1186/s12909-020-02411-y.
10
The impact of caring for dying patients in intensive care units on a physician's personhood: a systematic scoping review.重症监护病房中照顾临终患者对医生人格的影响：一项系统的范围综述。
Philos Ethics Humanit Med. 2020 Nov 25;15(1):12. doi: 10.1186/s13010-020-00096-1.

“你也必须学会放手”——临终和死亡的形成性经历对医学实习生态度的影响

'You Also Have to Let People Go'-Effects of Formative Experiences with Dying and Death on Medical Trainees' Attitudes.

作者信息

Jedlicska Nana, Rossmanith Carolin, Lichtenberg Sabrina, Srnová Dagmara, Wijnen-Meijer Marjo, Gartmeier Martin, Berberat Pascal O

机构信息

TUM Medical Education Center, TUM School of Medicine and Health, Technical University of Munich, Ismaninger Straße 22, 81675 Munich, Germany.

Institute of Medical Education, Medical Faculty and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstraße 74, 01307 Dresden, Germany.

出版信息

Med Sci Educ. 2024 Jun 12;34(5):1059-1069. doi: 10.1007/s40670-024-02090-0. eCollection 2024 Oct.

DOI:10.1007/s40670-024-02090-0
PMID:39450038
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11496480/
Abstract

This study investigates the effects of medical students' and residents' formative patient death experiences on their understanding of the role of the physician in dealing with dying patients. Analyses revealed a change in attitude, an acceptance of death as 'part of life'. Thoughtful and comprehensive care, allowing patients to die and enabling them to have a beautiful death, were identified as the physician's duty. Honesty, well timing and completeness were determined as the guiding principles of communication. The importance of distancing and keeping in control to practice the medical profession was stressed. The burdensome nature of making therapeutic decisions was emphasized.

摘要

本研究调查了医学生和住院医师在形成性患者死亡经历方面，对他们理解医生在处理临终患者时的角色所产生的影响。分析揭示了态度的转变，即接受死亡是“生命的一部分”。体贴且全面的护理、让患者自然死亡并使其有尊严地离世，被视为医生的职责。诚实、时机恰当和信息完整被确定为沟通的指导原则。强调了在从事医疗职业时保持距离和自我控制的重要性。还强调了做出治疗决策的沉重性质。