KMID : 0856920190220040166
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Journal of Hospice and Palliative Care 2019 Volume.22 No. 4 p.166 ~ p.173
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Changes in Perceptions and Attitudes of Medical Students toward End-of-Life Care after Hospice and Palliative Medicine Education
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Cha Jee-Hyun
Lihm Ho-Seob Kim Yoon-Young Kang Ji-Hun
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Abstract
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Purpose: High-quality hospice and palliative medicine curricula are necessary in Korean medical schools. This study evaluated changes in students¡¯ knowledge and attitudes toward both hospice and palliative care following the completion of a course on these topics, as well as the course¡¯s overall role in the basic medical education curriculum.
Methods: Questionnaires measuring knowledge and attitudes were collected before and after the course from 76 fourth-year medical students, who had received instructions integrating both hospice and palliative care in 2016.
Results: The questionnaire item ¡°Select the correct answer on the use of opioid pain control in hospice and palliative care¡± changed the most in terms of number of correct answers pre- and post-course (3.50 and 5.32, respectively; P<0.001). Pre- and post-course, the numbers of students who answered ¡°Strongly Agree¡± and ¡°Agree¡± to questions concerning their attitudes toward hospice and palliative care (¡°I know the purposes and roles of hospice and palliative care¡±) were 17 (22.4%) and 65 (85.6%), respectively (P¡Â0.001). Affirmative responses also increased for ¡°As a pre-physician, I know when to describe and advise hospice and palliative care to patients¡±, from 22 (28.9%) to 65 (85.6%; P¡Â0.001).
Conclusion: This study showed that comprehensive hospice education in the form of an integrated educational course might promote changes in medical students¡¯ knowledge and attitudes toward hospice and palliative medicine.
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KEYWORD
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Hospice care, Palliative medicine, Perception, Attitude, Medical education
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