高校医学本科生临终关怀态度调查及影响因素分析

Investigation on attitude of hospice care among medical undergraduates and analysis of influencing factors

目的调查高校医学本科生临终关怀态度并分析其影响因素,为医学院校开展临终关怀教育提供指导。方法采用分层随机抽样的方法,在护理、临床医学、公共卫生管理和健康管理4个专业中抽取406名本科生;采用中文版FROMMELT临终关怀态度问卷B表(FATCOD-B-C)进行问卷调查。结果(1)不同专业医学本科生“针对临终关怀患者的关怀态度”和“针对患者家属的关怀态度”得分差异有统计学意义(F=4.02、3.02,P<0.05);(2)影响高校医学本科生临终关怀态度的主要因素为临终照护意愿、性别、临终关怀教育经历和学医意愿。结论医学院校应根据专业特点,结合影响因素,采取积极有效的措施开展临终关怀教育,以适应我国快速发展的人口老龄化。

Objective To investigate the medical undergraduates′ attitude of hospice care and to analyze its influencing factors to provide the guidance for the medical colleges conducting hospice care education. Methods Totally 406 undergraduates were extracted from the four specialties of nursing care,clinical medicine,public health management and health management by using stratified random sampling method.The Chinese version of Frommelt′s Hospice B questionnaire (FATCOD-B-C) was used to conduct the questionnaire survey. Results (1)The scores of "caring attitude towards hospice patients" and "caring attitude towards patients′ family members" of the hospice attitude were statistically significant ( F =4.02,3.02, P <0.05);(2)The main factors affecting the the hospice attitude of medical undergraduates were the will of final care,gender,experience of hospice care education and willingness to learn medicine. Conclusion According to profession features and influence factors,the medical colleges should take active and effective measures to carry out the hospice care education to adapt the rapid development aging of population.