＂临终关怀＂教学在血液内科临床实习医师中的应用.pdf

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1、上海交通大学学报(医学版)·l420JournalofShanghaiJiaotongUniversity(MedicalScience)V0I．33No．1O0ct．2013[文章编号]1674—8115(2013)10-1420-03·短篇论著·“临终关怀"教学在血液内科临床实习医师中的应用庄衍，程毅敏，唐勇，姚一芸，汪雷，朱琦(上海交通大学医学院附属第九人民医院血液科，上海200011)[摘要]目的探究对血液内科临床实习医师进行临终关怀相关医学知识教学的可行性和教学方式。方法选取28名血液

2、内科临床实习医师，随机分成两组，分别运用理论授课和案例教学法进行临终关怀医学知识的临床实习教学，采用临终关怀李克特式量表和调查问卷评估临床实习医师对临终关怀医疗行为的认知度以及对教学模式的认同度，比较两种教学方式的教学效果。结果经过临终关怀医学知识的临床实习教学，临床实习医师对于临终关怀医疗行为认知度和临床实践能力明显提升，其中论授课组和案例教学组实习医师经教学后临终关怀李克特式量表评分均有不同程度提高(P<0．05)；案例教学组实习医师评分提高值明显高于理论授课组(P<0．05)。调查问卷显示

3、案例教学组实习医师对教学方法的认同度高于理论授课组。结论临终关怀教学在血液内科临床实习教学中推行有可行性，而且案例教学法效果更好。[关键词]临终关怀；临床实习医师；案例教学法[DOI]10．3969／j．issn．1674-8115．2013．10．023[中图分类号]R48[文献标志码]BApplicationofhospicecaretrainingforclinicalinternsinDepartmentofHematology，ZHUANGYan，CHENGYi-min，TANGYon

4、g，YAOYi-yun，WANGLei，ZHUQi(DepartmentofHematology，theNinthPeople'sHospital，ShanghaiJiaotongUniversitySchoolofMedicine，Shanghai20001J，China)【Abstract】ObjectiveToinvestigatethefeasibilityandmethodsofhospicecaretrainingforclinicalinternsinDepartmentofHem

5、atology．MethodsTwenty—eightclinicalinternsinDepartmentofHematologywererandomlydividedintolecture—basedlearninggroupandcase-basedlearninggroup，andweresubjecttohospicecaretrainingthroughlecture—basedlearningmethodandease-basedlearningmethodrespectively

6、．TheawarenessofhospicemedicalpracticewasevaluatedwithLikertscaleforhospiceknowledge，questionnaireswereemployedtomeasuretheattitudestowardsteachingmethods，andthetrainingeficacieswerecomparedbetweengroups．Resul~Theawarenessandcapabilitiesofhospicemedic

7、alpracticeofinternsweresignificantlyimprovedafterclinicaltrainingforhospicecareknowledge，thescoresofLikertscaleforhospiceknowledgesweresignificantlyincreasedintwogroupsaftertraining(P<0．05)，andthethescoreincase—basedlearninggroupwassignificantlyhighe

8、rthanthatinlecture—basedlearninggroup(P<0．05)．Inaddition，questionnairesurveyindicatedthatinternsfromcase—basedlearninggroupfoundmoreusefulnessoftrainingthanthosefromlecture—basedlearninggroup．ConclusionItisfeasibletocarryouthospicecaretrainingforinte