广西医学生死亡态度现状及其影响因素分析  

Study on attitude to death and its influencing factors among medical students in Guangxi

作　　者：农炳金[1] 张志勇[1] 秦桂秀[1] NONG Bing-jin;ZHANG Zhi-yong;QIN Gui-xiu.(Guangxi Medical University, Nanning 530021, China)

机构地区：[1]广西医科大学,广西南宁530021

出　　处：《中国健康教育》2017年第10期898-901,共4页Chinese Journal of Health Education

基　　金：2013年度广西高等学校人文社会科学研究重点资助项目:广西医学生生命意识现状调查及对策研究(SK13ZD010)

摘　　要：目的了解广西医学生死亡态度现状及其影响因素,为开展死亡教育提供参考依据。方法采用分层整群随机抽样方法对广西1062名医学生进行问卷调查,根据问卷结果进行死亡态度及其影响因素分析。结果死亡逃避得分男生(2.78±0.82)高于女生(2.59±0.70)(P<0.01);自然接受得分护理(3.90±0.61)高于临床(3.77±0.66)(P<0.05);死亡恐惧得分大一(2.68±0.74)高于大二(2.50±0.72)、身体一般者(2.79±0.70)高于身体良好者(2.54±0.70)(P<0.05);死亡逃避得分有参加葬礼经历者(2.68±0.72)高于无参加葬礼经历者(2.52±0.83)、目前家中有患重病成员者(2.85±0.78)高于无患重病成员者(2.61±0.73)(P<0.05);层次回归分析发现,在控制了人口社会学变量后,心理因素对死亡态度作出了新的贡献,解释的变异量增加了12.10%、5.90%、5.60%、13.00%和17.10%。结论不同特征医学生死亡态度差异显著,提示我国在死亡教育上的不足,未能通过教育使不同背景的医学生树立统一的科学、客观、理性的死亡态度。Objective To understand the current situation and influencing factors of medical students＇ death attitude and provide reference for the development of death education. Methods A questionnaire survey was conducted among 1062 medical students, according to the questionnaire results to analyse the death attitude and its imquencing factors. Results In death escape boys （2. 78 ± 0. 82） scored higher than girls （2. 59 ± 0. 70） （P 〈 0. 01 ） ; in natural acceptance nursing student （3.90_±0.61） scored higher than the clinical student （3.77 ±0.66） （P 〈0.05）; in death fear the freshman （2.68 ± 0. 74） scored higher than the sophomore （2. 50 ±0. 72）, who with general health （2. 79 ±0. 70） higher than who with good health （2. 54±0. 70） （P 〈0. 05） ; in death avoidance who with funeral experience （2. 68 ±0. 72） scored higher than with- out funeral experience （2. 52 ±0. 83） , who with serious illness of family members （2. 85 ±0. 78） scored higher than without ill member （2. 61 ±0. 73） （P 〈0. 05） ; hierarchical regression analysis found that, in the control of the demographic varia- bles, psychological factors to make new contribution to the attitude toward death, the explained variance was increased by 12. 10%, 5.90%, 5. 60%, 13.00%, 17. 10%. Conclusion Death attitudes of medical students with different characteris- tic factors differed significantly, suggesting that there was educational deficiency about death in China, and students had not established unified, scientific, objective and rational death attitude. We needed to develop death education.

关 键 词：医学生 死亡态度 死亡教育 

分 类 号：R193[医药卫生—卫生事业管理]