目的:调查医学院校本科实习生安宁疗护知识、态度的现状。方法:采用自行设计的一般人口学问卷、医学人文相关知识调查、福罗尔梅特临终关怀态度量(FATCOD-B)、姑息护理知识问卷(PCQN)及共情能力量表(JSE-HP),通过问卷星对新疆某医学高校...目的:调查医学院校本科实习生安宁疗护知识、态度的现状。方法:采用自行设计的一般人口学问卷、医学人文相关知识调查、福罗尔梅特临终关怀态度量(FATCOD-B)、姑息护理知识问卷(PCQN)及共情能力量表(JSE-HP),通过问卷星对新疆某医学高校2023届实习生开展网络调查。结果:356名医学院校实习生了解医学人文相关知识主要通过校内课程(85.11%)、临床实习(73.03%)、校内外讲座(64.89%);310名(91.18%)的实习生认为临床诊疗能力为最重要的医学生核心能力;197名(55.34%)实习生非常同意“临终关怀是一件有意义的事情”,311名(87.18%)实习生同意或非常同意“在病人临终期间及死亡后都要对病人家属进行关怀”;108名(30.34%)实习生非常不同意“我不想照料临终病人”;127名(35.67%)没有见过临终病人或做过临终关怀服务,172名(48.31%)见过临终病人但没做过临终关怀服务,仅57名(16.01%)做过临终关怀服务;178名(50.01%)实习生在观察病情或询问病史时,会注意病人的情绪变化;286名(80.34%)实习生在诊治病人时会尝试从病人的立场来思考。97名(27.25%)实习生认为“情感的投入在疾病治疗中是没有作用的”。结论:医学院校实习生安宁疗护态度有待提高、安宁疗护知识水平一般,安宁疗护教育亟待普及、伦理决策能力在医学生核心能力中的重要性认识不足,共情能力有待提高且医学人文相关知识来源较为分散,建全医学人文课程系统性指导,可有效改善医学院校实习生安宁疗护态度。Objective: To investigate the status quo of hospice care knowledge and attitude of undergraduates in medical colleges. Methods: A self-designed general demographic questionnaire, medical humanistic knowledge survey, Fololmet end-of-life Care attitude Measure (FATCOD-B), Palliative care Knowledge Questionnaire (PCQN) and Empathy Ability Scale (JSE-HP) were used to conduct a network survey on 2023 interns in a medical university in Xinjiang. Results: Among 356 medical college interns, medical humanities related knowledge was mainly learned through on-campus courses (85.11%), clinical practice (73.03%) and lectures (64.89%). 310 interns (91.18%) considered clinical diagnosis and treatment ability as the most important core ability of medical students;197 (55.34%) interns strongly agreed that “hospice care is a meaningful thing”, 311 (87.18%) interns agreed or strongly agreed that “care should be given to patients’ families during and after their death”;108 interns (30.34%) strongly disagreed with “I don’t want to take care of dying patients”;127 (35.67%) had never seen a terminally ill patient or provided hospice services, 172 (48.31%) had seen a terminally ill patient but had not provided hospice services, and only 57 (16.01%) had provided hospice services;178 trainees (50.01%) paid attention to the emotional changes of patients when observing the condition or inquiring the medical history;286 trainees (80.34%) tried to think from the patient’s point of view when treating patients. 97 trainees (27.25 percent) believed that “emotional involvement has no role in disease treatment.” Conclusion: The hospice care attitude of medical college interns needs to be improved, the knowledge level of hospice care is average, the hospice education needs to be popularized, the importance of ethical decision-making ability in the core competence of medical students is insufficient, the empathy ability needs to be improved, and the sources of knowledge related to medical humanities are relatively scattered. It can effectively improve the hospice care attitude of medical college interns.展开更多
文摘目的:调查医学院校本科实习生安宁疗护知识、态度的现状。方法:采用自行设计的一般人口学问卷、医学人文相关知识调查、福罗尔梅特临终关怀态度量(FATCOD-B)、姑息护理知识问卷(PCQN)及共情能力量表(JSE-HP),通过问卷星对新疆某医学高校2023届实习生开展网络调查。结果:356名医学院校实习生了解医学人文相关知识主要通过校内课程(85.11%)、临床实习(73.03%)、校内外讲座(64.89%);310名(91.18%)的实习生认为临床诊疗能力为最重要的医学生核心能力;197名(55.34%)实习生非常同意“临终关怀是一件有意义的事情”,311名(87.18%)实习生同意或非常同意“在病人临终期间及死亡后都要对病人家属进行关怀”;108名(30.34%)实习生非常不同意“我不想照料临终病人”;127名(35.67%)没有见过临终病人或做过临终关怀服务,172名(48.31%)见过临终病人但没做过临终关怀服务,仅57名(16.01%)做过临终关怀服务;178名(50.01%)实习生在观察病情或询问病史时,会注意病人的情绪变化;286名(80.34%)实习生在诊治病人时会尝试从病人的立场来思考。97名(27.25%)实习生认为“情感的投入在疾病治疗中是没有作用的”。结论:医学院校实习生安宁疗护态度有待提高、安宁疗护知识水平一般,安宁疗护教育亟待普及、伦理决策能力在医学生核心能力中的重要性认识不足,共情能力有待提高且医学人文相关知识来源较为分散,建全医学人文课程系统性指导,可有效改善医学院校实习生安宁疗护态度。Objective: To investigate the status quo of hospice care knowledge and attitude of undergraduates in medical colleges. Methods: A self-designed general demographic questionnaire, medical humanistic knowledge survey, Fololmet end-of-life Care attitude Measure (FATCOD-B), Palliative care Knowledge Questionnaire (PCQN) and Empathy Ability Scale (JSE-HP) were used to conduct a network survey on 2023 interns in a medical university in Xinjiang. Results: Among 356 medical college interns, medical humanities related knowledge was mainly learned through on-campus courses (85.11%), clinical practice (73.03%) and lectures (64.89%). 310 interns (91.18%) considered clinical diagnosis and treatment ability as the most important core ability of medical students;197 (55.34%) interns strongly agreed that “hospice care is a meaningful thing”, 311 (87.18%) interns agreed or strongly agreed that “care should be given to patients’ families during and after their death”;108 interns (30.34%) strongly disagreed with “I don’t want to take care of dying patients”;127 (35.67%) had never seen a terminally ill patient or provided hospice services, 172 (48.31%) had seen a terminally ill patient but had not provided hospice services, and only 57 (16.01%) had provided hospice services;178 trainees (50.01%) paid attention to the emotional changes of patients when observing the condition or inquiring the medical history;286 trainees (80.34%) tried to think from the patient’s point of view when treating patients. 97 trainees (27.25 percent) believed that “emotional involvement has no role in disease treatment.” Conclusion: The hospice care attitude of medical college interns needs to be improved, the knowledge level of hospice care is average, the hospice education needs to be popularized, the importance of ethical decision-making ability in the core competence of medical students is insufficient, the empathy ability needs to be improved, and the sources of knowledge related to medical humanities are relatively scattered. It can effectively improve the hospice care attitude of medical college interns.