临终关怀教学在住院医师规范化培训中的效果分析

Application of hospice care teaching in standardized training of residents

目的探索临终关怀教学是否能改善老年医学科规范化培训的住院医师对临终关怀的态度。方法选取北京某三甲医院老年科进行规范化培训的住院医师144名,在临终关怀教学的前后进行中文版佛罗梅尔特临终关怀态度量表的调查,观察教学前后规培医师们对临终关怀的态度变化。结果临终关怀态度量表总体得分在教学前为(103.47±4.672)分,而进行教学后再次行得分的平均值为(105.70±5.147)分,且P<0.001,差异具有统计学意义。并且教学后无论男性还是女性、年龄分层、既往学历高低及是否曾经接受过临终关怀教育,对临终关怀态度量表的得分均有提高,差异具有统计学意义。结论对规范化培训的住院医师进行临终关怀教学可以使住院医师对临终关怀的态度更积极。

Objective To explore whether the geriatric residents􀆳attitude to hospice care can been improved by hospice care teaching.Methods 144 geriatric residents in a Beijing hospital were selected for standardized training,evaluated by Chinese Frommelt Attitudes Toward Care of the Dying Scale Form before and after hospice care teaching,and observed for attitude changes towards hospice care.Results After hospice care teaching,there was a significant difference in scores of the Chinese Frommelt Attitudes Toward Care of the Dying Scale Form after hospice care teaching than before(103.47±4.672 vs 105.70±5.147,P<0.001),and statistically significant differences in the scores of the hospice attitude scale for both sexes,age stratification,previous education level and whether they had ever received hospice care education.Conclusion Hospice care teaching to geriatric residents can make them more positive towards hospice care.