培养实习生在危重病人姑息治疗方面的能力

S. Choudhary, A. Yadav, A. Bhiwal, Seema Partani
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引用次数: 0

摘要

背景:在过去的几十年里,随着有需要的病人的增加和随后提供姑息治疗的卫生保健专业人员的短缺,姑息治疗变得越来越重要,使其成为全球公共卫生关注的问题。患者与方法:在某三级护理教学学院麻醉科进行教育介入研究。在会前和会后分别通过标准化的有效选择题进行了知识和意识评估的前后测试。预测试结束后,进行了与姑息治疗部教师叙述相结合的互动式教学讲座、小组演示以及麻醉科主持下的患者现场演示。在课程结束时,以李克特量表的形式进行反馈问卷,以评估学生的满意度和态度。结果:共有50名实习生参与本研究。在50名实习生中,28名(56%)是男性,22名(44%)是女性。平均预测分数为8.82±2.13(范围4-12)。平均测试后评分为14.44±1.72(范围11-17)。前后检测结果差异有统计学意义(p < 0.0001)。知识和认知度提高的百分比为63.95%。结论:在不久的将来,大多数专业人员将需要各种支持治疗管理模式的基本技能,以充分满足对姑息治疗的需求,在未来几十年内,姑息治疗的需求将翻倍。因此,需要在年轻的崭露头角的医生中定期开展更多这样的课程,包括在早期阶段培养实习生的姑息治疗能力。Palliat Med practice 2023;17,1: 14-18
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Developing competency among interns in palliative care of critically ill patients
Background: Palliative care has become increasingly important in the last decades with a rise in needy patients and subsequent shortage of health care professionals serving palliative care, making it a global public health concern. Patients and methods: Educational interventional study conducted in the Department of Anaesthesi-ology of a tertiary care teaching institute. Pre-and post-tests by standardized validated multiple choice questions for assessment of knowledge and awareness were conducted before and after the session. Interactive didactic lectures integrated with faculty narrative from the Department of Palliative Care, demonstration among small groups, and live demonstration on patients under the aegis of the Anaes-thesia Department were given after the pre-test. A feedback questionnaire in the form of a Likert scale for assessment of students’ satisfaction and attitude was done at end of a session. Results: Fifty (50) interns participated in the study. Out of 50, 28 (56%) were male and 22 (44%) were female interns. The mean pre-test score was 8.82 ± 2.13 (range 4–12) out of a total of 20. The mean post-test score was 14.44 ± 1.72 (range 11–17). The pre-and post-test results difference was significant (p < 0.0001). The percentage gain in knowledge and awareness was 63.95%. Conclusions: Most professionals will need basic skills of various management modalities in supportive therapy in near future to fully fill the demand for palliative care which is going to be doubled within the next few decades so the need for conducting more such sessions regularly amongst young budding doctors including interns at a very early stage to develop competency for palliative care was observed. Palliat Med Pract 2023; 17, 1: 14–18
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Palliative Medicine in Practice
Palliative Medicine in Practice Medicine-Medicine (all)
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15
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