“临终关怀”教学在血液内科临床实习医师中的应用

Application of hospice care training for clinical interns in Department of Hematology

目的探究对血液内科临床实习医师进行临终关怀相关医学知识教学的可行性和教学方式。方法选取28名血液内科临床实习医师,随机分成两组,分别运用理论授课和案例教学法进行临终关怀医学知识的临床实习教学,采用临终关怀李克特式量表和调查问卷评估临床实习医师对临终关怀医疗行为的认知度以及对教学模式的认同度,比较两种教学方式的教学效果。结果经过临终关怀医学知识的临床实习教学,临床实习医师对于临终关怀医疗行为认知度和临床实践能力明显提升,其中理论授课组和案例教学组实习医师经教学后临终关怀李克特式量表评分均有不同程度提高(P<0.05);案例教学组实习医师评分提高值明显高于理论授课组(P<0.05)。调查问卷显示案例教学组实习医师对教学方法的认同度高于理论授课组。结论临终关怀教学在血液内科临床实习教学中推行有可行性,而且案例教学法效果更好。

Objective To investigate the feasibility and methods of hospice care training for clinical interns in Department of Hematology. Methods Twenty-eight clinical interns in Department of Hematology were randomly divided into lecture- based learning group and case-based learning group, and were subject to hospice care training through lecture-based learning method and case-based learning method respectively. The awareness of hospice medical practice was evaluated with Likert scale for hospice knowledge, questionnaires were employed to measure the attitudes towards teaching methods, and the training efficacies were compared between groups. Results The awareness and capabilities of hospice medical practice of interns were significantly improved after clinical training for hospice care knowledge, the scores of Likert scale for hospice knowledges were significantly increased in two groups after training （P 〈 0.05）, and the the score in case-based learning group was significantly higher than that in lecture-based learning group （P 〈 0.05）. In addition, questionnaire survey indicated that interns from case-based learning group found more usefulness of training than those from lecture-based learning group. Conclusion It is feasible to carry out hospice care training for interns in Department of Hematology, and case- based learning method may yield better results.