医学生和医护人员对安宁缓和医疗认知情况的调查与分析  

Investigation and analysis of the cognition of medical students and medical staff to hospice and palliative care

作　　者：杜珏 张宇[2] DU Jue;ZHANG Yu(Second Clinical Medical,Zhejiang Chinese Medical University,Hangzhou 310053,China)

机构地区：[1]浙江中医药大学第二临床医学院,浙江杭州310053 [2]浙江医院肿瘤科

出　　处：《全科医学临床与教育》2023年第6期540-543,548,共5页Clinical Education of General Practice

基　　金：全国医学教育发展中心医学模拟教育研究一般项目(2021MNYB09);浙江中医药大学研究生教育教学改革一般项目(YJSYB2021004)。

摘　　要：目的调查杭州地区医学生和医护人员对安宁缓和医疗(HPC)的认知情况,并分析其相关影响因素。方法于2021年8月至2022年9月对杭州地区医疗机构的454名医学生和医护人员进行问卷调查,被调查者均未参加任何HPC课程。结果共调查医学生184名,医护人员270名。其中,医学生和医护人员对HPC认知得分分别为(75.63±11.76)分、(81.00±12.02)分,医护人员对HPC认知情况优于医学生(t=4.72,P<0.05),但总体掌握一般;而了解HPC内涵(50.66%)和听说过HPC(55.50%)的医学生和医护人员占比不高,但有388名(85.46%)的医学生和医护人员认为需要进行HPC相关培训。经多因素分析发现,学历、了解HPC内涵、听说过HPC和认为需要进行HPC相关培训是影响医学生和医护人员HPC认知的主要因素(t分别=-2.23、-2.45、-7.38、-3.10、-4.46、-2.95、-7.23、-4.08,P均<0.05)。结论杭州地区医学生和医护人员对HPC认知情况掌握有所欠缺,可通过系统化和规范化的HPC相关培训,以促进HPC服务的高质量发展。Objective To investigate the cognition of medical students and medical staff on hospice and palliative care(HPC)in Hangzhou,and analyze its related influencing factors.Methods From August 2021 to September 2022,a questionnaire survey was conducted among 454 medical students and medical staff in a medical institution in Hang⁃zhou.None of the respondents participated in any HPC course.Results A total of 184 medical students and 270 medical staff were investigated.Among them,medical students and medical staff scored 75.63±11.76 and 81.00±12.02 on HPC cognition,respectively.The medical staff had better awareness of HPC than medical students(t=4.72,P<0.05),while the percentage of medical students and medical staff who understood the connotation of HPC(50.66%)and had heard of HPC(55.50%)was not high,but 388(85.46%)of medical students and medical staff felt the need for HPC-related training.A multivariate analysis revealed that education,knowledge of HPC connotations,having heard of HPC,and per⁃ceived need for HPC-related training were the main factors that influencing medical students'and medical staff'percep⁃tions of HPC(t=-2.23,-2.45,-7.38,-3.10,-4.46,-2.95,-7.23,-4.08,P<0.05).Conclusion Medical students and medical staff in a certain area of Hangzhou lack knowledge of HPC,so systematized and standardized HPC related train⁃ing should be carried out to promote the high-quality development of HPC services.

关 键 词：医学生 医护人员 安宁缓和医疗 认知 

分 类 号：G642[文化科学—高等教育学] R-4[文化科学—教育学] C975[医药卫生]