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    医学本科生预立医疗照护计划知信行现状及影响因素研究以某校临床医学及护理学学生为例

    Study on the current status and influencing facctors of Knowledge, Beliefs, and Practices of Advance Care Planning among medical undergraduatesTaking the clinical medicine and nursing students of a school as an example

      摘要
    • 摘要:
      目的： 探讨安徽省临床医学和护理学本科生对预立医疗照护计划（ACP）知信行现状，分析其影响因素，以便为医学本科生乃至全学科高校学生提供ACP教育和培训提供参考。
      方法： 使用方便采样法于2022年10—12月采用一般资料调查表、医学生ACP知信行问卷、生命意义感量表（MLQ）、死亡态度描绘量表（修订版）（Death Attitude Profile-Revised，DAP-R）对安徽省某大学临床医学和护理学本科生进行调查。在该研究中，采用单因素分析、相关性分析和多元逐步线性回归分析探究医学生ACP的认知现状和相关影响因素。
      结果： 回收有效问卷595份，医学本科生的ACP知信行得分分别为6.00（3.00，8.00）分、3.92（3.46，4.38）分、3.75（3.13，4.38）分，医学本科生的性别、是否接受过姑息治疗课程、是否有宗教信仰、MLQ得分、DAP-R中自然接受与逃避接受得分是医学本科生ACP知信行的影响因素（P ＜ 0.05）。
      结论： 高校医学生对ACP认知较低，行为态度及意愿较高，可开展相关课程培训提高其ACP知信行水平。

       

      Abstract:
      Objective To investigate the current status and influencing facctors of Knowledge, Beliefs and Practices of Advance Care Planning (ACP) among medical undergraduates to provide the reference for ACP education and training for medical undergraduates and even all-disciplinary college students.
      Methods The clinical medicine and nursing undergraduates in a university in Anhui province were investigated using the general Information Questionnaire, Knowledge, Beliefs and Practices of ACP Questionnaire, Life Meaning Scale (MLQ), and Death Attitude Profile-Revised (DAP-R) in October-December 2022. The single factor analysis, correlation analysis and multiple stepwise linear regression analysis were used to explore the cognitive status and related influencing factors of medical students' ACP.
      Results A total of 595 valid questionnaires were collected, and the ACP knowledge, belief and behaviour scores of medical undergraduate students were 6.00 (3.00 ~ 8.00) points, 3.92 (3.46 ~ 4.38) points and 3.75 (3.13 ~ 4.38) points, respectively. The gender of medical undergraduates, receiving palliative care courses, religious beliefs, MLQ score, natural acceptance and escape acceptance scores in DAP-R were the influencing factors of knowledge, belief and behaviour of ACP (P ＜ 0.05).
      Conclusions Medical students in colleges and universities have lower cognition of ACP and higher behavior attitude and willingness, so relevant courses can be carried out to improve their ACP knowledge, belief and practice level.

       

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