中华医学教育杂志 ›› 2020, Vol. 40 ›› Issue (9): 679-683.DOI: 10.3760/cma.j.cn115259-20200330-00456

• 人文素质教育 • 上一篇    下一篇

护理学专业实习生对缓和医疗的知识和认知及需求

梁思宇1, 李红滟2, 王巍2, 郑莹3, 葛楠4, 曲璇4, 邵亚娟3, 秦瑛5, 王磊6, 刘薇7, 宁晓红4   

  1. 1北京协和医学院八年制2014级临床医学专业学生 100730;
    2北京协和医院护理部 100730;
    3北京协和医院肿瘤内科 100730;
    4北京协和医院老年医学科 100730;
    5北京协和医院后勤保障处 100730;
    6北京协和医院血管外科 100730;
    7北京协和医院国际医疗部 100730
  • 收稿日期:2020-03-30 出版日期:2020-09-01 发布日期:2020-12-08
  • 通讯作者: 宁晓红,Email:ningxh1973@foxmail.com,电话:010-69154065
  • 基金资助:
    北京协和医学院教育教学改革项目(2019zlgc0119)

Knowledge, awareness and needs of undergraduate nursing intern students on palliative care

Liang Siyu1, Li Hongyan2, Wang Wei2, Zheng Ying3, Ge Nan4, Qu Xuan4, Shao Yajuan3, Qin Ying5, Wang Lei6, Liu Wei7, Ning Xiaohong4   

  1. 1Eight-year Program of Clinical Medicine, Enrolled in 2014 Peking Union Medical College, Chinese Academe of Medical Sciences Peking Union Medical College, Beijing 100730, China;
    2Department of Nursing, Peking Union Medical College Hospital, Beijing 100730, China;
    3Department of Oncology, Peking Union Medical College Hospital, Beijing 100730, China;
    4Department of Geriatric Medicine, Peking Union Medical College Hospital, Beijing 100730, China;
    5Department of Logistics, Peking Union Medical College Hospital, Beijing 100730, China;
    6Department of Vascular Surgery, Peking Union Medical College Hospital, Beijing 100730, China;
    7International Medical Center, Peking Union Medical College Hospital, Beijing 100730, China
  • Received:2020-03-30 Online:2020-09-01 Published:2020-12-08
  • Contact: Ning Xiaohong, Email: ningxh1973@foxmail.com, Tel: 0086-10-69154065
  • Supported by:
    Educational Reform Project of Peking Union Medical College (2019zlgc0119)

摘要: 目的 调查护理学专业实习生对缓和医疗的知识、认知和需求,并分析其主要影响因素。方法 采用问卷调查北京协和医学院护理学专业126名实习生对缓和医疗的知识、认知和需求。结果 64.3%(81/126)的学生不同意“缓和医疗以延长患者生存时间为目的”;37.3%(47/126)的学生不同意“缓和医疗以症状管理为治疗中心”。34.1%(43/126)的学生不同意或不确定“对终末期患者进行心理关怀能减轻其心理上的痛苦”。护生对缓和医疗相关技能培训有强烈需求。已接触过终末期患者的学生对缓和医疗的知识和培训需求显著高于没有接触过终末期患者的学生。结论 缺乏系统缓和医疗教育的护理学专业实习生对于缓和医疗基本理念理解不准确,对于缓和医疗基本实践方式认知不足,对于缓和医疗培训需求高。

关键词: 缓和医疗, 临终关怀, 护理学生, 护理教育

Abstract: Objective To investigate the knowledge, awareness and needs of undergraduate nursing intern students on palliative care through a cross-sectional survey and analyze the main influencing factors.Methods A questionnaire survey was conducted among 126 undergraduate nursing intern students of Peking Union Medical College to investigate palliative knowledge, awareness, needs.Results 64.3% (81/126) students did not agree that “palliative care is aimed at prolonging the survival time of patients”; 37.3%(47/126) students did not agree that “palliative care takes symptom management as the treatment center”. 34.1% (43/126) students did not agree or were not sure that “psychological care for end-stage patients can reduce their psychological pain”. Nursing students have a strong demand for palliative care related skills training. Students who have been exposed to end-stage patients have higher demand for palliative care knowledge and training than those who have not.Conclusions Undergraduate nursing students who lack palliative care education have inaccurate understanding of the basic concepts of palliative medicine, insufficient knowledge of palliative practice, and high demand for palliative training.

Key words: Palliative care, End-of-life, Nursing students, Nursing education

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