医学教育管理 ›› 2020, Vol. 6 ›› Issue (6): 575-580.doi: 10.3969/j.issn.2096-045X.2020.06.013

• 毕业后教育 • 上一篇    下一篇

临终关怀教学在住院医师规范化培训中的效果分析

张  丽,  魏占云,  李  耘,  钱玉英,  马丽娜   

  1. 首都医科大学宣武医院老年医学科,北京 100053
  • 收稿日期:2020-06-09 出版日期:2020-12-20 发布日期:2021-01-05
  • 通讯作者: 魏占云
  • 基金资助:
    首都医科大学宣武医院教育教学改革课题:医务人员、患者及家属对缓和医疗认知的调查和分析(2018XWJXGG-23)

Application of hospice care teaching in standardized training of residents

Zhang Li, Wei Zhanyun, Li Yun, Qian Yuying, Ma Lina   

  1. Department of Geriatrics, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
  • Received:2020-06-09 Online:2020-12-20 Published:2021-01-05

摘要: 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。

关键词: 临终关怀,  住院医师,  老年人

Abstract: 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.

Key words: hospice care, geriatric residents, older adults

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