广州中医药大学医学生安宁疗护课程教学效果分析  

Teaching effect of end-of-life care course for medical students in Guangzhou University of Chinese Medicine

作　　者：肖文莉[1] 周丽群[2] 孙咪咪 陈莉莉[2] 林洁衡[2] 陈尧[2] 余玲[2] Xiao Wenli;Zhou Liqun;Sun Mimi;Chen Lili;Lin Jieheng;Chen Yao;Yu Ling(Department of Traditional Chinese Medicine Nursing and Nursing Humanities,School of Nursing,Guangzhou University of Chinese Medicine,Guangzhou 510006,China;Department of Oncology,The First Affiliated Hospital,Guangzhou University of Chinese Medicine,Guangzhou 510405,China;Master Degree Candidate,Nursing Major,Enrolled in 2020,School of Nursing,Guangzhou University of Chinese Medicine,Guangzhou 510006,China)

机构地区：[1]广州中医药大学护理学院中医护理与人文教研室,510006 [2]广州中医药大学第一附属医院肿瘤中心,510405 [3]广州中医药大学护理学院,510006

出　　处：《中华医学教育杂志》2021年第12期1090-1094,共5页Chinese Journal of Medical Education

基　　金：广东省教育科学"十三五"规划2020年度研究项目(2020GXJK423);广东省哲学社会科学"十三五"规划2018年度学科共建项目(GD18XGL45);广州中医药大学2021年度人文社科一般培育项目(2021SKYB10)。

摘　　要：目的探讨在广州中医药大学开展安宁疗护课程教学的效果。方法采用量性与质性相结合的方法,2020年10月至12月,选取我校选修安宁疗护课程的66名医学生作为研究对象,在安宁疗护课程教学前后采用中文版死亡态度描绘量表(修订版)(DAP-R)和中文版佛罗梅尔特临终关怀态度量表-B表(FATCOD-B)分别对学生进行问卷调查,并于课程结束后要求学生书写学习体会。采用配对样本t检验、Wilcoxon符号秩和检验和内容分析法对调查结果和学习体会进行分析。结果课程结束后医学生的死亡逃避得分[2.00(0.80)分比2.50(1.00)分]和死亡恐惧得分[(2.19±0.63)分比(2.43±0.65)分]均低于课前,其差异均具有统计学意义(均P<0.01);课后医学生的安宁疗护态度总分高于课前[119.00(12.00)分比107.50(12.00)分],其差异具有统计学意义(P<0.01)。学习体会分析形成"学习收获"和"课程反馈"2个主题。"学习收获"主题包括"正视死亡和思考生命""了解并认同安宁疗护""感悟医学人文精神"3个亚主题;"课程反馈"主题包括"对课程表示认可和满意""建议增加实践和扩大听课学生范围"2个亚主题。结论安宁疗护课程得到医学生的认可,有助于减轻医学生的死亡恐惧和死亡逃避心理、改善其安宁疗护态度并提高其医学人文素养。Objective To evaluate the teaching effect of end-of-life care course in Guangzhou University of Chinese Medicine.Methods A combined quantitative and qualitative evaluation method was adopted.A total of 66 undergraduates in our university were selected as the research subjects from October to December 2020.Before and after the end-of-life care course teaching,the Chinese version of the death attitude profile-revised(DAP-R)and the Chinese version of the frommelt attitude toward care of the dying scale-form B(FATCOD-B)were used to conduct questionnaire surveys,and the students were asked to write personal learning experience after the course.Paired sample t-test,Wilconxon signed rank test and content analysis were used to analyze the data.Results After the course teaching,the scores of death avoidance[2.00(0.80)vs.2.50(1.00)]and fear of death[(2.19±0.63)vs.(2.43±0.65)]decreased significantly(all P<0.01),while the total score of hospice care attitude increased significantly[119.00(12.00)vs.107.50(12.00),P<0.01].Two themes were formed by analyzing the learning experience documents:"learning gains"and"course feedback".The theme of"learning gains"included three sub-themes:"facing death and thinking about life","understanding and accepting the concept of hospice care"and"comprehending the humanistic spirit of medicine".The theme of"course feedback"included two sub-themes:"recognition and satisfaction with the course"and"suggestions to strengthen practice training and expand the scope of students".Conclusions End-of-life care course was recognized by medical students and can help them to reduce fear of death and death avoidance,improve hospice care attitude as well as enhance humanistic quality.

关 键 词：安宁疗护 死亡态度 教学效果 医学生 

分 类 号：R-4[医药卫生]