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医学生对尸检的态度。尸检经历如何影响观点?

Medical students' attitudes toward autopsy. How does experience with autopsies influence opinion?

作者信息

Sanner M A

机构信息

Department of Social Medicine, Uppsala (Sweden) University.

出版信息

Arch Pathol Lab Med. 1995 Sep;119(9):851-8.

PMID:7668947
Abstract

OBJECTIVE

To assess the attitudes of medical students and compare them with those of resident physicians and the public.

DESIGN

A survey of medical students during the term following their pathology course. Data from this survey were compared with data from previous studies conducted with resident physicians and the public.

SETTING

The Medical School, Uppsala University, Sweden.

PARTICIPANTS

Three cohorts of third-year medical students.

MAIN OUTCOME MEASURES

(1) Evaluation of autopsy activities, (2) attitudes toward having an autopsy performed on oneself and a relative, and (3) discomfort reactions at the thought of having an autopsy performed on oneself.

RESULTS

The 129 respondents (response rate 75%) had a high appreciation of the autopsy and 90% accepted being autopsied themselves. The majority thought the autopsies were respectfully performed, but 75% still felt uneasy when confronted with an autopsy or when contemplating one on themselves. The more discomfort felt, the less willing respondents were to be autopsied and the fewer the reasons were given for agreeing to an autopsy. The students and the public had very similar response patterns. Both groups were more positive toward their own autopsy than were the residents.

CONCLUSIONS

Immediately after a course in pathology the usefulness of autopsies stands out clearly, but it seems that this opinion subsides when students become qualified doctors and feelings of uneasiness take over. The similarities between the students and the public were striking, but there were some differences that were obviously attributable to medical training.

摘要

目的

评估医学生的态度,并将其与住院医师及公众的态度进行比较。

设计

在医学生病理学课程结束后的学期内进行一项调查。将本次调查的数据与之前针对住院医师和公众进行的研究数据进行比较。

地点

瑞典乌普萨拉大学医学院。

参与者

三组三年级医学生。

主要观察指标

(1)对尸检活动的评价;(2)对自己及亲属进行尸检的态度;(3)想到自己接受尸检时的不适反应。

结果

129名受访者(回复率75%)对尸检高度认可,90%的人接受自己接受尸检。大多数人认为尸检进行得很庄重,但75%的人在面对尸检或想到自己接受尸检时仍感到不安。不适感越强,受访者接受尸检的意愿越低,同意尸检的理由也越少。学生和公众的反应模式非常相似。两组对自己接受尸检都比住院医师更积极。

结论

在病理学课程结束后,尸检的有用性立刻凸显出来,但当学生成为合格医生后,这种观点似乎有所消退,取而代之的是不安情绪。学生和公众之间的相似之处很显著,但也存在一些明显归因于医学培训的差异。

相似文献

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Medical students' attitudes toward autopsy. How does experience with autopsies influence opinion?医学生对尸检的态度。尸检经历如何影响观点?
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A survey of general practitioners' views on autopsy reports.全科医生对尸检报告看法的调查。
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