检查卫生保健学员肺癌耻辱的证据
Jamie L Studts1, Catherine M Deffendall2, Shelby L McCubbin3
1Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Journal of the National Cancer Institute. Monographs
|June 5, 2024
概括
医疗保健学员对有吸烟史的患者表现出耻辱的看法,而不是肺癌诊断. 培训应解决与吸烟相关的偏见,以改善未来的患者护理,并减少肺癌的耻辱.
科学领域:
- 医学教育 医学教育
- 健康差异 在健康上的差异
- 在瘤学瘤学.
背景情况:
- 肺癌的污名化阻碍了护理创新的进展.
- 在公共场合记录的耻辱,幸存者和临床医生,但不是学员.
- 发现未来医疗保健专业人员对耻辱的理解存在差距.
研究的目的:
- 在临床前医疗保健学员中调查肺癌污名.
- 评估吸烟史和癌症诊断对学员感知的影响.
- 为未来临床医生预防和减轻耻辱的干预提供信息.
主要方法:
- 使用临床图片的2x2因数设计.
- 评估了有 (与没有) 吸烟史和肺癌 (与结直肠癌) 患者的看法.
- 评估的临床前医疗 (n=94) 和护理 (n=138) 实习生.
主要成果:
- 实习生对有吸烟史的患者表现出更多的耻辱感 (行为,同情,愤怒,帮助).
- 基于癌症诊断 (肺癌与结直肠癌) 的认知没有可靠的差异.
- 慈善捐赠范式显示,团体之间没有可靠的差异.
结论:
- 医疗保健学员的看法受到吸烟状况的影响,而不是癌症诊断.
- 干预措施必须侧重于减轻与吸烟史相关的污名化看法和行为.
- 未来的临床培训需要解决对有吸烟史的个体的偏见.
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