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家庭医生应对残疾患者的能力范围。

The extent to which family doctors have the ability to deal with patients with disabilities.

作者信息

Saffar Ohud Adnan

机构信息

Department of Special Education, College of Education, King Saud University, Riyadh, Saudi Arabia.

出版信息

Front Med (Lausanne). 2025 Apr 16;12:1524123. doi: 10.3389/fmed.2025.1524123. eCollection 2025.

DOI:10.3389/fmed.2025.1524123
PMID:40309733
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12040965/
Abstract

Lack of training of health workers presents a unique challenge in meeting the needs of patients with disabilities (PWD). Therefore, the current study aimed to determine the level of medical students' ability to deal with PWD in hospitals by knowing the IFD 'attitudes and the challenges they face while working with this group. Additionally, the study sought to understand the intern family doctors' (IFD) perspectives on problem-solving strategies. To achieve the study objectives, a questionnaire was designed to measure trends, challenges, and solutions to the problems facing IFD. The study sample comprised 152 doctors from various medical colleges in Riyadh. At this point, the data underwent descriptive analysis, and the ordinal alpha indicated a reliability of 0.71 for the internal consistency measure. The study found that IFD have a median ability to deal with PWD, with a median score of 2.37. IFD have positive attitudes, with a median score of 2.27. However, trainee IFD face difficulties in communication, proficiency, implementing rights and legislation, and attending special education training workshops (a median 2.21). The study found a positive correlation between solutions to these problems and the enhancement of medical students' understanding of PWD characteristics and strategies, with a median score of 2.63. However, the multiplicity of areas in the Kingdom of Saudi Arabia (KSA) hinders the generalization of the results. Finally, participants recommended establishing special education diplomas and curricula for IFD', ensuring the presence of a PWD specialist in clinics to address doctors' challenges, and providing periodic training workshops for doctors to attend.

摘要

卫生工作者缺乏培训给满足残疾患者(PWD)的需求带来了独特挑战。因此,本研究旨在通过了解实习家庭医生(IFD)对残疾患者的态度以及他们在与该群体合作时所面临的挑战,来确定医学生在医院应对残疾患者的能力水平。此外,该研究还试图了解实习家庭医生对解决问题策略的看法。为实现研究目标,设计了一份问卷来衡量实习家庭医生所面临问题的趋势、挑战和解决方案。研究样本包括利雅得各医学院的152名医生。此时,对数据进行了描述性分析,序数阿尔法系数表明内部一致性测量的信度为0.71。研究发现,实习家庭医生应对残疾患者的能力中位数为2.37分。实习家庭医生态度积极,中位数得分为2.27分。然而,实习家庭医生在沟通、专业能力、实施权利和立法以及参加特殊教育培训工作坊方面面临困难(中位数为2.21分)。研究发现,这些问题的解决方案与医学生对残疾患者特征和策略理解的增强之间存在正相关,中位数得分为2.63分。然而,沙特阿拉伯王国(KSA)地区的多样性阻碍了研究结果的推广。最后,参与者建议为实习家庭医生设立特殊教育文凭和课程,确保诊所中有残疾患者专家以应对医生面临的挑战,并为医生提供定期培训工作坊以供参加。

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本文引用的文献

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Integration of Disability Awareness Improves Medical Students' Attitudes Toward People with Disabilities.残疾意识的融入改善了医学生对残疾人的态度。
Med Sci Educ. 2024 Mar 9;34(3):561-569. doi: 10.1007/s40670-024-02004-0. eCollection 2024 Jun.
2
Work Productivity Impairment in Persons with Inflammatory Bowel Diseases: A Systematic Review and Meta-analysis.炎症性肠病患者的工作生产力受损:系统评价和荟萃分析。
J Crohns Colitis. 2024 Sep 3;18(9):1486-1504. doi: 10.1093/ecco-jcc/jjae057.
3
The United Nations Convention on the Rights of Persons with Disabilities and Social Work: Evidence for Impact?《联合国残疾人权利公约》与社会工作:影响证据?
Int J Environ Res Public Health. 2023 Oct 16;20(20):6927. doi: 10.3390/ijerph20206927.
4
How are students learning to care for people with disabilities?: exploring the curriculum design of a sample of disability electives offered by US health professions schools.学生如何学习关爱残疾人士?:探索美国健康职业学校提供的残疾选修课程样本的课程设计。
Disabil Rehabil. 2024 Aug;46(16):3749-3759. doi: 10.1080/09638288.2023.2254694. Epub 2023 Sep 6.
5
Doctors and Disability: Improving Inclusion in Medical Education.医生与残疾:改善医学教育中的包容性
HCA Healthc J Med. 2022 Jun 28;3(3):179-187. doi: 10.36518/2689-0216.1393. eCollection 2022.
6
Explicit and implicit: Ableism of disability professionals.显性和隐性:残疾专业人员的能力歧视。
Disabil Health J. 2023 Oct;16(4):101482. doi: 10.1016/j.dhjo.2023.101482. Epub 2023 May 12.
7
Disability competency training in medical education.医学教育中的残疾能力培训。
Med Educ Online. 2023 Dec;28(1):2207773. doi: 10.1080/10872981.2023.2207773.
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The importance of disability representation to address implicit bias in the workplace.残疾代表性对于解决职场中隐性偏见的重要性。
Front Rehabil Sci. 2023 Mar 22;4:1048432. doi: 10.3389/fresc.2023.1048432. eCollection 2023.
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Come Roll with Me: An Interprofessional Experience to Promote Disability Awareness.来和我一起滚吧:一个促进残疾意识的跨专业体验。
Teach Learn Med. 2024 Apr-May;36(2):183-197. doi: 10.1080/10401334.2022.2148107. Epub 2022 Nov 25.
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'I Am Not The Doctor For You': Physicians' Attitudes About Caring For People With Disabilities.“我不适合为你诊治”:医生对照顾残障人士的态度。
Health Aff (Millwood). 2022 Oct;41(10):1387-1395. doi: 10.1377/hlthaff.2022.00475.