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.
Yang Xiaojing
,
Gan Yutian
,
Duan Xinyu
,
Lu Feng
,
Wang Jianye
,
Zhao Lijie
,
Zhang Shue
,
Cao Depin
. Research on influencing factors of medical students′ death attitudes[J]. Chinese Journal of Medical Education, 2025
, 45(5)
: 370
-374
.
DOI: 10.3760/cma.j.cn115259-20241030-01126
[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.
