醫學系學生之死亡概念

Death Concepts among Medical School Students

洪栩隆(Hsu-Lung Hong) ； 鍾秉穎(Ping-Ying Chung) ； 張利中(Li-Jung Chang)

《Journal of Medical Education》 10卷3期 (2006/09) Pp. 215-224

https://doi.org/10.6145/jme.200609_10(3).0005

摘要

本研究旨在了解醫學系學生的死亡相關概念，以供往後醫學教育中死亡學課程的設計與國內量表研發之參考。本研究以個人建構理論為基礎，採用三角比較法，對36名分層隨機抽樣產生的研究對象進行半結構式的訪談。蒐集到的資料，應用以「個人建構」為基礎的編碼系統來分析醫學系學生的死亡概念。結果發現這群醫學系學生的死亡建構面向分布情形，與含有醫學院其他科系學生的死亡建構分佈情形及排序情形不同。後者最普遍的概念是在死後生命的存在感，而前者則強調自由選擇程度，顯示他們在面對死亡時，希望能擁有較多的控制權，並企圖扮演「終極拯救者」的決心與自信來面對死亡的威脅。因此應妥善規劃醫學生的死亡教育，讓未來醫師擁有正確的知能，不僅使自己能適切地因應死亡的焦慮，也有能力協助處理臨終病人及家屬們的情緒，在全人的照顧上有更好的成效。

關鍵字

個人建構理論 ； 死亡建構 ； 死亡概念 ； 醫學系學生

並列摘要

The present study aimed to explore death concepts among medical school undergraduates. The results can be used as a reference for the development of a death education course as well as the creation of a death attitude scale for medical school students. A reliable coding system based on the Personal Construct Theory was applied to semi-structured interview texts contributed by 36 medical school undergraduates. Content analysis of these texts found that the death construct dimension distribution and rank order of these subjects differ from the results of a previous study obtained from medical college undergraduates. More subjects had believed in the existence of life after death in the previous study, while choice was more strongly emphasized in the present study. This indicated that the subjects wanted a greater sense of being in control and also wanted to act as an ultimate life-saver when facing a death threat. Therefore, death education for medical students should be well planned so that it empowers doctors-to-be by providing them with adequate knowledge about how to cope with death anxiety, which will allow them to help dying patients and their family to deal with their emotions.

並列關鍵字

personal construct theory ； personal death construct death concept ； medical school undergraduates

參考文獻

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