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中国大陆医学生对死亡和临终关怀的当前态度。

The Current Attitude Toward Death and Hospice Care Among Medical Students in Mainland China.

作者信息

Gan Luo, Wan Yuxin, Su Yanwei

机构信息

School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

College of Life Science and Technology, Huazhong University of Science and Technology, Wuhan 430030, China.

出版信息

Healthcare (Basel). 2025 Aug 15;13(16):2012. doi: 10.3390/healthcare13162012.

Abstract

BACKGROUND

This study stems from the perceived need to update skills and training in the process of educating healthcare professionals in light of the needs of individuals and their families.

OBJECTIVES

This study aimed to assess the prevailing attitudes toward death and hospice care among medical students in China, providing a foundation for implementing hospice care and death education within these institutions.

METHODS

We conducted an online survey questionnaire with 568 medical students.

RESULTS

The results indicate that the overall attitude toward death was more inclined to accepting death neutrally. Gender, place of origin, educational background, willingness to care for terminally ill patients, experience in caring for terminally ill patients, and more will affect the attitude toward death of medical students. Compared to their rural counterparts, medical students in urban areas are more likely to view death as neutral. Instead of reducing fear, death and hospice education made people more likely to avoid situations. All five dimensions of death attitude exhibit a substantial positive connection with attitudes toward hospice care. In comparison to earlier research, medical students exhibit increasingly favorable attitudes regarding hospice care, and their overall perspective on death remains one of natural approval, suggesting that the integration of death and hospice care teaching is progressing effectively in mainland China.

CONCLUSIONS

Simultaneously, it was discovered that numerous deficiencies required enhancement, including the need for timely feedback and optimization in hospice care instruction and death education, as well as insufficient attention and educational guidance regarding the individual differences and psychological conditions of medical personnel in the future.

摘要

背景

鉴于个人及其家庭的需求,本研究源于更新医疗保健专业人员教育过程中的技能和培训的迫切需求。

目的

本研究旨在评估中国医学生对死亡和临终关怀的普遍态度,为在这些机构中实施临终关怀和死亡教育奠定基础。

方法

我们对568名医学生进行了在线调查问卷。

结果

结果表明,对死亡的总体态度更倾向于中立地接受死亡。性别、籍贯、教育背景、照顾绝症患者的意愿、照顾绝症患者的经历等都会影响医学生对死亡的态度。与农村医学生相比,城市医学生更倾向于将死亡视为中立。死亡和临终关怀教育并没有减少恐惧,反而使人们更倾向于回避相关情况。死亡态度的所有五个维度与临终关怀态度都呈现出显著的正相关。与早期研究相比,医学生对临终关怀的态度越来越积极,他们对死亡的总体看法仍然是自然认可,这表明中国大陆在死亡和临终关怀教学的整合方面进展有效。

结论

同时,发现了许多需要改进的不足之处,包括临终关怀教学和死亡教育需要及时反馈和优化,以及未来对医务人员的个体差异和心理状况关注和教育指导不足。

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本文引用的文献

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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.
4
Death attitudes and associated factors among health professional students in China.中国医学生的死亡态度及其相关因素。
Front Public Health. 2023 May 25;11:1174325. doi: 10.3389/fpubh.2023.1174325. eCollection 2023.

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