全科医学专业住院医师规范化培训学员对缓和医疗的认知和培训需求调查

doi:10.3760/cma.j.cn115259-20221002-01252

中华医学教育杂志 ›› 2023, Vol. 43 ›› Issue (7): 539-542.DOI: 10.3760/cma.j.cn115259-20221002-01252

全科医学专业住院医师规范化培训学员对缓和医疗的认知和培训需求调查

严飞, 柴栖晨, 吕晶, 陈进

浙江医院全科医学科,杭州 310030

收稿日期:2022-10-02 发布日期:2023-06-30
通讯作者: 陈进, Email: cnjn1111@sina.com
基金资助:
浙江中医药大学研究生教育教学改革项目(731100G00862);浙江省医药卫生科技计划项目(2021KY429)

A preliminary investigation of trainees′ basic knowledge and needs on palliative care in general practice standardized residency training

Yan Fei, Chai Qichen, Lyu Jing, Chen Jin

Department of General Practice, Zhejiang Hospital, Hangzhou 310030, China

Received:2022-10-02 Published:2023-06-30
Contact: Chen Jin, Email: cnjn1111@sina.com
Supported by:
Postgraduate Education Reform Project of Zhejiang University of Traditional Chinese Medicine(731100G00862); Project of Zhejiang Provincial Health Commission(2021KY429)

摘要/Abstract

摘要： 目的了解全科医学专业住院医师规范化培训(简称住培)学员对缓和医疗的认知和培训需求情况。方法采用问卷调查法,于2022年5月对浙江省杭州、温州、宁波、丽水4个城市共8家住培基地的147名学员进行调查,了解其对缓和医疗的认知和培训需求等,采用秩和检验分析影响学员缓和医疗认知的主要因素。结果全科医学专业住培学员的缓和医疗认知得分为(39.74±5.71)分。147名学员中,103名(70.0%)学员表示需要缓和医疗培训,100名(68.0%)学员认为有必要在社区推行缓和医疗服务,分别有94名(63.9%)和100名(68.0%)学员认为全科医生应该或有能力成为缓和医疗的主要提供者。是否有宗教信仰(Z=-2.56,P=0.010),在过去一年中失去亲人的经历(H=6.06,P=0.048)对其缓和医疗认知的差异具有统计学意义。结论全科医学专业住培学员对于缓和医疗认知不足,对缓和医疗培训的需求较大,对开展社区缓和医疗服务有信心,建议在全科医学专业住培中融入缓和医疗培训。

关键词: 缓和医疗, 全科医学, 住院医师规范化培训, 认知, 培训, 需求

Abstract: Objective To get a preliminary understanding of trainees′ knowledge and needs on palliative care in standardized residency training in general practice. Methods Using a questionnaire survey method,a total of 147 trainees from 8 bases in Hangzhou, Wenzhou, Ningbo and Lishui were investigated by questionnaire to understand their perception of palliative care and demand for palliative care education in May 2022. Descriptive analysis and rank sum test were used to analyze the influencing factors. Results The score of palliative care knowledge of general practice trainees was (39.74±5.71). Among the 147 trainees, 103 trainees (70.0%) indicated the need for palliative care training courses, 100 trainees (68.0%) believed that it was necessary to provide palliative care services in the community, 94(63.9%) and 100(68.0%) trainees believed that general practitioners should be or have the ability to be the main providers of palliative care, respectively. Religious affiliation (Z=-2.56,P=0.010) and the experience of bereavement in the past year (H=6.06,P=0.048) had statistically significant differences in their cognition of palliative care. Conclusions The general practice trainees have insufficient awareness of palliative care, a large demand for palliative care education, and confidence in community palliative care services. It is suggested to integrate palliative care education into standardized residency training of general practice.

Key words: Palliative care, General practice, Standardized residency training, Cognition, Training, Demand

中图分类号:

严飞, 柴栖晨, 吕晶, 陈进. 全科医学专业住院医师规范化培训学员对缓和医疗的认知和培训需求调查[J]. 中华医学教育杂志, 2023, 43(7): 539-542.

Yan Fei, Chai Qichen, Lyu Jing, Chen Jin. A preliminary investigation of trainees′ basic knowledge and needs on palliative care in general practice standardized residency training[J]. Chinese Journal of Medical Education, 2023, 43(7): 539-542.

参考文献

[1] 杨锡宇, 潘慧, 赵峻, 等. 医学生缓和医疗认知的调查研究[J]. 中华医学教育杂志, 2019, 39(2):98-103. DOI: 10.3760/cma.j.issn.1673-677X.2019.02.003.
[2]董丽丽, 梁涛, 杨浩杰. WHO关于《将缓和医疗整合至初级卫生保健指南》要点介绍及对我国的启示[J]. 中国全科医学, 2021, 24(34):4319-4323,4329. DOI: 10.12114/j.issn.1007-9572.2021.00.179.
[3]Peter S, Volkert AM, Pfaff H, et al. General practitioners′ perspectives on general and specialized palliative home care in north rhine, germany: an explorative focus group study[J]. Am J Hosp Palliat Care, 2021, 38(1):32-38. DOI: 10.1177/1049909120920541.
[4]Groot MM, Vernooij-Dassen MJ, Verhagen SC, et al. Obstacles to the delivery of primary palliative care as perceived by GPs[J]. Palliat Med, 2007,21(8):697-703. DOI: 10.1177/026921630
7083384.
[5]Malik S, Goldman R, Kevork N, et al. Engagement of primary care physicians in home palliative care[J]. J Palliat Care, 2017, 32(1):3-10. DOI: 10.1177/0825859717706791.
[6]Tan HM, O′Connor MM, Miles G, et al. GP and nurses′ perceptions of how after hours care for people receiving palliative care at home could be improved: a mixed methods study[J]. BMC Palliat Care, 2009,8:13. DOI: 10.1186/1472-684X-8-13.
[7] 王昊, 曾彦英, 王虹, 等. 住院医师规范化培训学员对缓和医疗认知的调查[J]. 中华医学教育杂志, 2019,39(1):60-63. DOI:10.3760/cma.j.issn.1673-677X.2019.01.015.
[8] 梁思宇, 李红滟, 王巍, 等. 护理学专业实习生对缓和医疗的知识和认知及需求[J]. 中华医学教育杂志, 2020, 40(9):679-683. DOI: 10.3760/cma.j.cn115259-20200330-00456.
[9] 李康,贺佳. 医学统计学[M]. 7版.北京:人民卫生出版社,2013:168-169.
[10]黎雯霞, 马珺, 杜雪. 国外全科医生参与居家安宁疗护实践经验与启示[J]. 中国全科医学, 2021, 24(34):4330-4335. DOI: 10.12114/j.issn.1007-9572.2021.00.223.
[11]王助衡, 孙立平, 周冠华, 等. 我国缓和医疗立法研究[J].中国医学伦理学,2017,30(8):978-981. DOI: 10.12026/j.issn.1001-8565.2017.08.13.
[12]李晓京, 乔爱春, 李丽琪, 等. 将舒缓医学融入全科医学教育培训中的实践与探索[J]. 中国全科医学, 2019, 22(28):3479-3481. DOI: 10.12114/j.issn.1007-9572.2019.00.382.

[1]	包文晗, 王悦. 临床病理讨论会在肾内科住院医师规范化培训中的应用研究[J]. 中华医学教育杂志, 2023, 43(7): 525-528.
[2]	艾慧俊, 周利芬, 戴丽雅, 卢陈英, 周宁, 叶玲红, 陈方红. 分级进阶式以图导学在住院医师心脏超声教学中的应用[J]. 中华医学教育杂志, 2023, 43(7): 534-538.
[3]	王亚新, 何景波, 孙崟, 阿依达那·开尔得别克, 张素菡, 刘娜娜, 林航, 马良坤. 2022年北京市孕期营养培训满意度及需求调查分析[J]. 中华医学教育杂志, 2023, 43(7): 543-547.
[4]	胡鑫悦, 翟双庆, 叶同乐, 李晓曼, 王乾, 袁娜, 焦楠. 医学院校教师德育认知现状的调查和分析[J]. 中华医学教育杂志, 2023, 43(6): 401-405.
[5]	张家玮, 祁祯楠, 齐建光, 姚弥, 刘舒嫣, 吴娜威, 张欣, 闫辉, 迟春花. 混合式教学在全科医师的儿科临床思维培训中的应用[J]. 中华医学教育杂志, 2023, 43(6): 414-417.
[6]	刘畅, 李广普, 陈梦欢, 王培松, 刘东伟, 李胜云. 基于深度学习的心肺复苏术人工智能实时辅助培训和考核系统的构建[J]. 中华医学教育杂志, 2023, 43(6): 418-422.
[7]	金三丽, 黄天笑, 李佳晋. 护理学专业本科生在实景教学与模拟教学环境中学习效果的比较[J]. 中华医学教育杂志, 2023, 43(6): 437-440.
[8]	闫琦, 吴鸽, 张紫嫣, 安海燕, 冯艺. 麻醉科专科医师规范化培训方案的设计与实施[J]. 中华医学教育杂志, 2023, 43(6): 455-458.
[9]	陈军, 乔松, 徐芬, 杨杰, 陈芳. 两种医护团队临床急救综合能力模拟培训方法的对比研究[J]. 中华医学教育杂志, 2023, 43(6): 463-466.
[10]	潘赛英, 周汝云, 陈宏翔, 李偶连, 杨荣萍. 形成性评价在住院医师核心胜任力培养中的应用探索[J]. 中华医学教育杂志, 2023, 43(6): 467-470.
[11]	颜峰, 王子尧, 罗辰, 杨旭, 张立刚, 程化琴. 国外精神科医师置信职业行为评价的研究进展[J]. 中华医学教育杂志, 2023, 43(6): 471-476.
[12]	刘芳, 王凌云, 刘维维. 以胜任力为导向的社区慢性病管理专科护士培训方案的构建[J]. 中华医学教育杂志, 2023, 43(5): 321-325.
[13]	杨森, 王俊鹏, 张含之, 葛许华, 马乐, 加参, 洛桑仁增, 石建军, 于德华. 西藏日喀则地区基层医疗机构全科医生培训需求分析[J]. 中华医学教育杂志, 2023, 43(5): 381-385.
[14]	黄燕芳, 张赟, 梁烨蕴, 黄晓曼, 陈伟婷. 广东省医学本科生医学伦理道德教育现状及相关认知的调查研究[J]. 中华医学教育杂志, 2023, 43(4): 250-254.
[15]	蒋金芸, 邹玉仙, 杨晓, 卓业鸿, 陈荣新. PDCA循环在眼科学学术学位研究生临床前培训中的应用[J]. 中华医学教育杂志, 2023, 43(4): 284-287.

全科医学专业住院医师规范化培训学员对缓和医疗的认知和培训需求调查

A preliminary investigation of trainees′ basic knowledge and needs on palliative care in general practice standardized residency training

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价