中华医学教育杂志

中华医学教育杂志 ›› 2020, Vol. 40 ›› Issue (5): 349-353.DOI: 10.3760/cma.j.cn115259-20190620-00492

• 临床教学 • 上一篇    下一篇

医学生对缓和医疗及其在终末期肾病治疗中的认知度调查

李则1, 刘玉梅1, 关建2, 周亭1, 汪年松1, 范瑛1,2   

  1. 1上海交通大学附属第六人民医院肾脏科 200233;
    2上海市睡眠呼吸障碍疾病重点实验室 200233
  • 收稿日期:2019-06-20 出版日期:2020-05-01 发布日期:2020-12-09
  • 通讯作者: 范瑛, Email: fanyingsh@126.com, 电话: 021-64369181
  • 基金资助:
    国家自然科学基金面上项目(81870468);上海市睡眠呼吸障碍疾病重点实验室开放课题(SHKSDB-KF-19-04);中华医学会医学教育分会和中国高等教育学会医学教育专业委员会2016年医学教育研究立项课题(2016B-JS009)

A survey from medical students on the cognition and application of palliative care in end-stage kidney disease

Li Ze1, Liu Yumei1, Guan Jian2, Zhou Ting1, Wang Niansong1, Fan Ying1,2   

  1. 1Department of Nephrology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai 200233, China;
    2Shanghai Key Laboratory of Sleep and Breathing Disordered,Shanghai 200233, China
  • Received:2019-06-20 Online:2020-05-01 Published:2020-12-09
  • Contact: Fan Ying, Email: fanyingsh@126.com, Tel: 0086-21-64369181
  • Supported by:
    National Natural Science Foundation of China(81870468); Open Project of Shanghai Key Laboratory of Sleep Disordered Breathing(SHKSDB-KF-19-04); Chinese Medical Association Medical Education Branch and China Association of Higher Education Medical Education Specialized Committee 2016 Medical Education Research Project(2016B-JS009)

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摘要： 目的 通过调查临床医学专业学生对缓和医疗及其在终末期肾脏病(end-stage renal disease,ESRD)治疗中应用的认知度,对国内缓和医疗教育现状进行补充。方法 2018年12月,随机抽取上海交通大学医学院2014级和2015级临床医学专业200名学生,采用问卷星调查医学生对缓和医疗及其在终末期肾脏病治疗中应用的认知度、医学生在本科教育期间缓和医疗教育现状。结果 临床医学专业学生对缓和医疗关注度较欠缺,59.6%(102/171)的学生未能正确认识缓和医疗和姑息治疗的区别;42.1%(72/171)的学生对ESRD患者的缓和医疗需求认知不足;对于家属的缓和医疗需求,有实习经验的学生理解深度明显高于没有实习经验的学生[(4.53±0.55)分比(4.34±0.69)分,t=2.08]。81.3%(139/171)的学生未接触过缓和医疗知识,其中83.5%(116/139)的学生更希望从临床实践中获取缓和医疗知识。结论 临床医学专业学生对缓和医疗及其在ESRD中应用的认知度仍需提高,有关部门应丰富学生获取缓和医疗知识的途径,同时结合临床实际,重视开展针对肾脏疾病的缓和医疗教育。

关键词: 缓和医疗, 认知度, 慢性肾脏病, 终末期

Abstract: Objective To investigate the cognition and application of palliative care in ESRD among clinical medicine students and to provide some reference for the reform of medical education in medical curriculums. Methods From December in 2018, self-designed questionnaires were sent out to 200 medical undergraduate selected randomly from the grade 2014 and 2015 of Shanghai Jiao Tong University School of Medicine. Questionnaire stars were used to investigate the awareness of medical students on palliative care and its application in the treatment of end-stage renal disease, and the current situation of palliative medical education of medical students during undergraduate education. Results 59.6%(102/171) students failed to understand the difference between palliative care and palliative care; while 42.1%(72/171) of students had insufficient understanding of palliative care for ESRD patients. 81.3%(139/171) of students had never learned palliative care program in class and 83.5%(116/139) of them prefer to get knowledge of palliative care from clinical practice rather than in class. We also found students experienced clinical practice had deeper understanding on palliative care than those without clinical practice[(4.53±0.55)vs(4.34±0.69),t=2.08]. Conclusions Cognition and application of palliative care in ESRD among medical students still needs to be improved. Effective access is urged to obtain the knowledge of palliative care for medical students.

Key words: Palliative care, Cognition, Chronic kidney disease, End-stage renal disease

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