- 期刊
修習「家庭、社會與醫療」醫學生課程後對緩和醫療之認知
The Knowledge of Palliative Care Amongst Senior Medical Students Undertaking the Course “Family, Society and Medicine”
摘要
Hospice and palliative care has been recognized to be a better care modle for the terminally ill patients. However inadequate training for medical professionals and the lack of education for students have been noted in previous studies. The study was performed to investigate the knowledge of palliative care amongst the senior medical students (fifth grade in seven) undertaking the course “Family, Society and Medicine” and to compare the change after a short course including: one hour lecture, one hour patients visit, one hour journal reading and one hour discussion. Otherwise, the belief to the ethical dilemmas commonly occurred in palliative care was also investigated. A total of 110 medical students who received completed this course completed the questionnaire interview both in the time to pre and post course. The results showed that students got a higher accurate response rate in the philosophy of palliative care, which was improved significantly after this course (pre-test 66.7%vs. post-test 75.8%, p＜0.001). However the accurate response rate in the management of palliative acre was lower, but still could be significantly improved after the course (pre-test 55.4%vs. post-test 66.6%, p＜0.001). Otherwise, the medical students didn’t have the positive belief in “artificial nutrition and hydration always has no benefit for the terminal cancer patients” with a mean score of belief only 3.13 and 3.54 (pre-test and post-test, respectively; range 1-5). Furthermore, there was no significant correlation between knowledge of palliative care and belief of ethical decision, which implicated some other factors, may influence the belief in the decision-making for the ethical conditions. In conclusion, a short course of palliative care for students can improve significantly the knowledge of palliative care including philosophy and clinical management, and the sense of decision-making in ethical dilemma. To find other related factors influencing the belief of ethical dilemmas and incorporated those into further course of medical education are worthwhile efforts.
並列摘要
Hospice and palliative care has been recognized to be a better care modle for the terminally ill patients. However inadequate training for medical professionals and the lack of education for students have been noted in previous studies. The study was performed to investigate the knowledge of palliative care amongst the senior medical students (fifth grade in seven) undertaking the course “Family, Society and Medicine” and to compare the change after a short course including: one hour lecture, one hour patients visit, one hour journal reading and one hour discussion. Otherwise, the belief to the ethical dilemmas commonly occurred in palliative care was also investigated. A total of 110 medical students who received completed this course completed the questionnaire interview both in the time to pre and post course. The results showed that students got a higher accurate response rate in the philosophy of palliative care, which was improved significantly after this course (pre-test 66.7%vs. post-test 75.8%, p＜0.001). However the accurate response rate in the management of palliative acre was lower, but still could be significantly improved after the course (pre-test 55.4%vs. post-test 66.6%, p＜0.001). Otherwise, the medical students didn’t have the positive belief in “artificial nutrition and hydration always has no benefit for the terminal cancer patients” with a mean score of belief only 3.13 and 3.54 (pre-test and post-test, respectively; range 1-5). Furthermore, there was no significant correlation between knowledge of palliative care and belief of ethical decision, which implicated some other factors, may influence the belief in the decision-making for the ethical conditions. In conclusion, a short course of palliative care for students can improve significantly the knowledge of palliative care including philosophy and clinical management, and the sense of decision-making in ethical dilemma. To find other related factors influencing the belief of ethical dilemmas and incorporated those into further course of medical education are worthwhile efforts.