Learning Situation Analysis on "Living Will" and "Hospice Care" in Teaching Practice of Geriatrics
10.12026/j.issn.1001-8565.2023.12.13
- VernacularTitle:老年医学教学实践中“生前预嘱”与“安宁疗护”的学情分析
- Author:
Wei YANG
1
;
Rong ZHOU
2
;
Ying WANG
3
;
Caixia LI
1
;
Yanping REN
1
Author Information
1. Department of Geriatrics, the First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, China
2. Department of Medical Administration, Xi’an Eight Hospital, Xi’an 710061, China
3. Department of General Medicine, the First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, China
- Publication Type:Journal Article
- Keywords:
Living Will;
Hospice Care;
Geriatrics;
Medical Undergraduate Education
- From:
Chinese Medical Ethics
2023;36(12):1376-1381
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate the cognitive status of "living will" and "hospice care" among geriatrics students with different identities, and to provide a basis for improving teaching in corresponding sections of geriatric medicine. Methods:An online questionnaire was used to collect data from 426 students participating in specific courses in geriatric medicine and compare their differences in understanding of different issues. Results: There was no statistically significant difference in the understanding of the concept of "living will" among students with different identities (χ2=5.84, P=0.054). In terms of the concept of "hospice care" , geriatricians and general practitioners had a better understanding than that of medical undergraduates (χ2=37.932, P<0.001). Compared to geriatricians and medical undergraduates, general practitioners had a lower level of autonomy in deciding whether to use life support treatment, and the difference was statistically significant (χ2=28.737, P<0.001). There was a statistically significant difference between general practitioners and medical undergraduates in the understanding of "signing living will" (χ2=12.75, P=0.01). Conclusion: The promotion of "living will" and "hospice care" in humanities courses of medical undergraduate and continuing medical education needs to be strengthened, and the popularization and publicity among the general public should be enhanced to lay the groundwork for improving the quality of hospice care.