The effects of a training program on coping with death in palliative care
The effects of a training program on coping with death in palliative care
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DOI：
10.1016/j.medipa.2010.11.001
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发表时间：
2012-07-01
影响因子：
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通讯作者：
Cruz-Quintana, Francisco
中科院分区：
文献类型：
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作者：
Schmidt-RioValle, Jacqueline;Montoya-Juarez, Rafael;Cruz-Quintana, Francisco
目的：应用布根应对死亡量表对健康科学专业学生进行姑息治疗培训进行评价。方法：准实验研究。为未来的保健专业人员（护理、医学、心理学、职业治疗和物理治疗）设计了一个培训方案。学生的参与是自愿的。唯一的选择标准是没有接受过姑息治疗方面的培训。从2008年10月至2009年2月，课程时长为15周45学时。共有90名参与者开始了这个项目，87人完成了这个项目（3人停止了参加）。在项目开始和结束时，所有参与者都填写了布根应对死亡量表，以确定他们在项目前后的应对技能。结果：在87名参与者中，74%为女性，其余为男性。平均年龄21.35岁。大多数参与者是护士（64%），其次是职业治疗（23.6%），心理学（5.6%），最后是医学和物理治疗（2.2%）。在计划前后，可以观察到应对技能的明显差异（p=.000）。培训前平均得分为121.46 +/- 19.7，培训后平均得分为158.16 +/- 20.6。该量表的最低得分为30分，最高得分为210分。数值低于105（百分位数50）表明应对不足，数值高于147（百分位数70）表明应对适当。结论：根据结果，可以说该培训计划显著提高了未来健康科学专业人员的应对技能。文献回顾表明，良好的应对技能，使卫生专业人员提供更好的护理病人在生命结束的过程。(C) 2010年西班牙高等教育学会。Elsevier Espana， S.L.出版，版权所有。
Objective: To evaluate a training program in palliative care for Health Science students using Bugen's Coping with Death Scale.Method: Quasi-experimental research. A training program was designed for future health professionals (nursing, medicine, psychology, occupational therapy and physiotherapy). Students' participation was voluntary. The sole selection criterion was not having previous training in palliative care. The course duration was 45 hours over 15 weeks from October 2008 to February 2009. A total of 90 participants started the program, and 87 completed it (three stopped attending). Bugen's Coping with Death Scale was filled in by all participants both at the beginning and at the end of the program in order to establish their coping skills before and after the program.Results: Of the 87 participants, 74% were female, with the rest being male. The mean age was 21.35 years. Most participants were nurses (64%), followed by occupational therapy (23.6%), psychology (5.6%), and finally medicine and physiotherapy (2.2%). A clear difference could be observed in coping skills before and after the program (p=.000). Before the training program the average score was 121.46 +/- 19.7, while after the course it was 158.16 +/- 20.6. The Scale's minimum score is 30, the maximum being 210. Values below 105 (percentile 50) indicate inadequate coping and values above 147 (percentile 70) indicate adequate coping.Conclusions: According to the results it can be said that this training program dramatically improves coping skills of future professionals in Health Sciences. The literature reviewed indicates that good coping skills allow health professionals to offer better care to patients in end of life processes. (C) 2010 Sociedad Espanola de Cuidados Paliativos. Published by Elsevier Espana, S.L. All rights reserved.