温州医科大学医学生缓和医疗认知度与态度的调查分析

Palliative care awareness among Wenzhou undergraduate medical students: a cross-sectional study

目的对临床医学大学生的缓和医疗意识进行横断面调查分析,为推进缓和医疗服务,建立完善的缓和医疗服务体系提供科学依据。方法采用问卷调查的方式,对温州医科大学400名不同年级的临床医学学生进行横断面调查。问卷分为认知度测评和态度测评两部分。有效问卷数为345份。结果不同性别(P=0. 000)、年级(P=0. 009)、实习经验(P=0. 000)等因素均对缓和医疗认知度具有统计学意义。其中,年级高、有实习经验的女性医学生得分更高。年级高、有实习经验、认知度测评得分高的学生对缓和医疗的态度更积极。结论临床医学生对缓和医疗的态度总体较积极,但知识水平总体较弱,且参与度意愿不高,这应该是目前缓和医疗教育和培训较为缺乏的现状所致。学校应积极组织面向医学生缓和医疗志愿活动,加强缓和医疗教育,广泛普及,理清概念。

Objective To explore the awareness of palliative care among undergraduate medical students. Methods We developed a cross-sectional study in Wenzhou Medical University, using a self-completion questionnaire. This questionnaire included a knowledge part and an attitude part. 345 students were enrolled in this survey. Results Higher knowledge scores were associated with being female（P=0.000）, being in the third year of study（P=0.009） and having experience of clinical practice（P=0.000）. The undergraduate medical students who were in the third year of study, and had experience of clinical practice and higher knowledge scores reported that they had more positive attitudes towards palliative care. Conclusion Undergraduate medical students′ attitudes towards palliative care are mostly positive but their willingness to involve in palliative voluntary activities is not strong. For school education, interventions require further development to foster better knowledge of palliative care.