牙科本科学生照顾病人的困难及感受。

IF 1.6 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Bruna B Rodrigues, Ana L Santos-Sousa, Tamara F Castro, Vitor B Valente, Glauco I Miyahara, Daniel G Bernabé
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引用次数: 0

摘要

目的:处理病人的疾病过程是医疗保健专业学生学术轨迹的一部分。病人和他们的医疗保健专业人员之间的关系可能是复杂和具有挑战性的,特别是对本科牙科学生。本研究的目的是评估牙科学生在本科护理病人时所引发的认知、感受和困难。方法:对86名口腔医学本科学生进行半结构化问卷调查,了解他们在口腔医学门诊的护理经历。结果:42名学生(48.8%)对患者的记忆问题感到不舒服。其中,询问性传播感染(STIs)是最让患者感到不安的话题(65%),其次是药物滥用(35%)和性行为(15%)。据学生说,最难与病人讨论的话题是阴性诊断(40%),其次是性传播感染和性行为(25.3%),以及身体暴力和性暴力(20%)。29名学生(36.7%)报告说,在病人护理过程中,主要的挑战问题是处理不合作的病人。关于在病人访谈中所面临的挑战,当病人分享消极的生活故事(90.7%)或当他们描述创伤性生活事件(83.7%)时,大多数学生报告感觉不好。一部分学生(26.7%)报告说,听到病人消极的生活故事时的不适会对他们为病人提供的护理产生负面影响。结论:口腔医学专业学生在临床实践中遇到了明显的困难,特别是在记忆过程中涉及的一些主题。了解这些困难对于制定新的学习和教学策略以及提高学生在牙科本科课程中的专业训练是必不可少的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Difficulties and Feelings Experienced by Undergraduate Dental Students When Caring for Patients.

Purpose: Dealing with the patient's illness process is part of the academic trajectory of healthcare students. The relationship between patients and their healthcare professionals can be complex and challenging, especially for undergraduate dental students. The purpose of this study was to evaluate the perceptions, feelings, and difficulties of dental students triggered when caring for patients during their undergraduate course.

Methods: Eighty-six undergraduate dental students responded to a semi-structured questionnaire about their experiences with patient care in the oral medicine clinic.

Results: Forty-two students (48.8%) felt uncomfortable with the patients' anamnesis questions. Among these, the inquiries about sexually transmitted infections (STIs) were the most discomforting topic to address with the patient (65%), followed by drug abuse (35%) and sexual behavior (15%). According to the students, the most difficult topic to discuss with the patient was a negative diagnosis (40%), followed by STIs and sexual behavior (25.3%), and physical and sexual violence (20%). During patient care, the main challenging issue was dealing with uncooperative patients, reported by 29 students (36.7%). About the challenges faced during patient interviews, the majority of the students reported feeling bad when the patient shared a negative life story (90.7%) or when they described a traumatic life event (83.7%). A portion of the students (26.7%) reported that this discomfort in hearing a patient's negative life story can negatively impact the care they provide to the patient.

Conclusion: Dental students experience evident difficulties in clinical practice with patients in the oral medicine clinic, especially in relation to some themes addressed during the anamnesis. Knowledge of these difficulties is essential to develop new learning and teaching strategies and improve the students' professional training during their dental undergraduate course.

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来源期刊
Journal of Dental Education
Journal of Dental Education 医学-牙科与口腔外科
CiteScore
3.50
自引率
21.70%
发文量
274
审稿时长
3-8 weeks
期刊介绍: The Journal of Dental Education (JDE) is a peer-reviewed monthly journal that publishes a wide variety of educational and scientific research in dental, allied dental and advanced dental education. Published continuously by the American Dental Education Association since 1936 and internationally recognized as the premier journal for academic dentistry, the JDE publishes articles on such topics as curriculum reform, education research methods, innovative educational and assessment methodologies, faculty development, community-based dental education, student recruitment and admissions, professional and educational ethics, dental education around the world and systematic reviews of educational interest. The JDE is one of the top scholarly journals publishing the most important work in oral health education today; it celebrated its 80th anniversary in 2016.
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