家庭重大变故与医学生死亡相关态度的关联

Association between major family changes and attitudes towards death among medical students

目的探讨家庭重大变故与医学生死亡相关态度的关联。方法采用Zung抑郁自测量表(self-rating depression scale,SDS)和自行设计的死亡相关态度调查问卷,于2020年9—12月对新疆医科大学医学生实施问卷调查,并对数据进行分析。结果共发放问卷1470份,收回有效问卷1445份。77.4%(1118名)的医学生有过家庭重大变故的经历。是否有过家庭重大变故经历的医学生的SDS情感因子得分、家中或平时是否谈论死亡相关的话题和是否有过自杀的念头问题比较,差异均有统计学意义(均P<0.05)。家庭重大变故经历对医学生关于死亡恐惧、死亡教育、安乐死、器官或遗体捐献的看法无影响。结论医学生家庭重大变故经历是一种常见现象,对大多数死亡相关态度无影响,但应重点关注此类医学生的抑郁情感症状、自杀念头等问题。

Objective To explore the relationship between family major changes and death related attitudes of medical students.Methods From September to December 2020,medical students from Xinjiang Medical University were investigated by using Zung self-rating depression scale(SDS)and self-designed questionnaire on death-related attitudes.And the data were analyzed.Results A total of 1470 questionnaires were sent out and 1445 valid questionnaires were retrieved.77.4%(1118 students)had experienced major family changes.There were statistically significant differences in the score of emotional factor of SDS,whether they talked about death-related topics at home or at ordinary times,and whether they had suicidal thoughts between the students who had experienced major family changes and not(all P<0.05).The experiences of major family changes had no effect on the medical students'views on fear of death,death education,euthanasia,organ or body donation.Conclusion The experience of major family changes is a common phenomenon in medical students,and it has no effect on most death related attitudes,however,more attention should be paid to depressive symptoms and suicidal thoughts of such medical students.