人文素质教育

医学生死亡态度影响因素探究

  • 杨晓静 ,
  • 甘雨甜 ,
  • 段新宇 ,
  • 卢凤 ,
  • 王建业 ,
  • 赵丽杰 ,
  • 张淑娥 ,
  • 曹德品
展开
  • 1哈尔滨医科大学卫生管理学院医学教育管理教研室,哈尔滨 150081;
    2哈尔滨医科大学离退休工作处,哈尔滨 150081

网络出版日期: 2025-04-29

Research on influencing factors of medical students′ death attitudes

  • Yang Xiaojing ,
  • Gan Yutian ,
  • Duan Xinyu ,
  • Lu Feng ,
  • Wang Jianye ,
  • Zhao Lijie ,
  • Zhang Shue ,
  • Cao Depin
Expand
  • 1Department of Medical Education Management, School of Health Management, Harbin Medical University, Harbin 150081, China;
    2Office of Retirement Affairs, Harbin Medical University, Harbin 150081, China

Online published: 2025-04-29

摘要

为了解医学生死亡态度的影响因素,为医学院校开展生命教育提供依据,2024年6月至8月,以某医科大学15名在读医学生为研究对象,采用半结构化访谈法收集资料,通过柯莱兹7步资料分析法识别医学生死亡态度的影响因素。分析提炼出医学生死亡态度影响因素,即具身因素、情境因素、互动因素。具身因素包括自觉身心健康状况、自我控制能力、积极心理情绪;情境因素包括传统文化、校园文化氛围、网络媒介环境、个体周围朋友或亲人离世的经历;互动因素包括学校内师生互动、个体与家庭互动、个体与同伴互动。医学生死亡态度受多重复杂因素影响,高等医学院校应当关注医学生实际需求,将优秀传统文化融入生命教育课程,营造良好校园文化氛围,鼓励医学生参与生命相关的学术活动。

本文引用格式

杨晓静 , 甘雨甜 , 段新宇 , 卢凤 , 王建业 , 赵丽杰 , 张淑娥 , 曹德品 . 医学生死亡态度影响因素探究[J]. 中华医学教育杂志, 2025 , 45(5) : 370 -374 . DOI: 10.3760/cma.j.cn115259-20241030-01126

Abstract

To scientifically identify factors influencing death attitudes of medical students, and provide a basis for further carrying out life education for medical students in medical universities. From June to August 2024, 15 medical students enrolled in a medical university were used to collect data using semi-structured interviews to diagnose and identify the factors influencing medical students′ attitudes towards death through the phenomenological Colaizzi′s 7-step data analysis method. The analysis and extracted the influencing factors of medical students′ death attitudes include three main genera, embodied factors, situational factors, and interaction factors. Embodied factors include self-conscious physical and mental health, self-control, and positive psychological emotions. Situational factors include traditional culture, campus cultural atmosphere, online media environment, the experience of the death of friends or relatives around the individual. Interaction factors include teacher-student interaction within the school, individual-family interaction, and individual-peer interaction. The death attitude of medical students is formed by multiple and complex factors. Higher medical schools should pay attention to the actual needs of medical students, integrate excellent traditional culture into life education programs, create a good campus cultural atmosphere, and encourage medical students to participate in life-related academic activities.

参考文献

[1] Bonnewyn A, Shah A, Bruffaerts R, et al. Are religiousness and death attitudes associated with the wish to die in older people?[J]. Int Psychogeriatr, 2016,28(3):397-404. DOI: 10.1017/S1041610215001192.
[2] 曾连, 李长英, 曾成姚, 等. 三级综合医院医护人员死亡态度和职业倦怠现状及相关性研究[J].当代护士, 2022,29(2):122-127. DOI: 10.19792/j.cnki.1006-6411.2022.05.038.
[3] Thyson T, Schallenburger M, Scherg A, et al. Communication in the face of death and dying - how does the encounter with death influence the patient management competence of medical students? An outcome-evaluation[J]. BMC Med Educ, 2022,22(1):25-31. DOI: 10.1186/s12909-021-03060-5.
[4] Anderson WG, Williams JE, Bost JE, et al. Exposure to death is associated with positive attitudes and higher knowledge about end-of-life care in graduating medical students[J]. J Palliat Med, 2008,11(9):1227-1233. DOI: 10.1089/jpm.2008.0058.
[5] Ratanawongsa N, Teherani A, Hauer KE. Third-year medical students′ experiences with dying patients during the internal medicine clerkship: a qualitative study of the informal curriculum[J]. Acad Med, 2005,80(7):641-647. DOI: 10.1097/00001888-200507000-00006.
[6] 杨锡宇, 庞海玉, 宁晓红, 等. 医学生死亡态度调查及影响因素分析[J].基础医学与临床,2018,38(8):1203-1206. DOI: 10.3969/j.issn.1001-6325.2018.08.032.
[7] 李文玉, 涂文怡, 郑静, 等. 样本量对质性研究主题与现象诠释的影响研究[J].护理学报,2020,27(3):62-65. DOI: 10.16460/j.issn1008-9969.2020.03.062.
[8] 江玉军, 张静. 护理学位论文现象学研究方法中访谈提纲设计方法的内容分析[J].解放军护理杂志,2016,33(24):32-35. DOI: 10.3969/j.issn.1008-9993.2016.24.007.
[9] 刘明. Colaizzi七个步骤在现象学研究资料分析中的应用[J].护理学杂志,2019,34(11):90-92. DOI: 10.3870/j.issn.1001-4152.2019.11.090.
[10] 彭亚, 赵莉, 沈梦蝶, 等. 本科护生的死亡态度及其影响因素分析[J].护理研究,2018,32(3):380-383. DOI: 10.3969/j.issn.1009-6493.2018.03.013.
[11] 郝永贞. 90后职校生生命观存在的问题与教育策略[J].当代教育论坛,2011,(26):108-110. DOI: 10.3969/j.issn.1671-8305.2011.26.047.
[12] 胡嘉敏, 李红林, 杨祎玲, 等. 大学生突发公共卫生事件网络谣言辨别能力调查[J].护理学杂志,2022,37(8):65-68,93. DOI: 10.3870/j.issn.1001-4152.2022.08.065.
[13] 张思怡, 周英华. 本科实习护生临床死亡态度现状及其影响因素分析[J].卫生职业教育,2023,41(4):134-138. DOI: 10.20037/j.issn.1671-1246.2023.04.40.
文章导航

/