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Updated: Jun 14, 2025
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了解医学学生对基于体重状况的治疗坚持的看法在儿科护理中的差异
Molly C Basch1,2, Francesca Lupini3, David M Janicke4
1Department of Adolescent and Young Adult Medicine, Children's National Hospital, 111 Michigan Ave NW, District of Columbia, Washington, 20010, USA. mbasch@childrensnational.org.
Journal of clinical psychology in medical settings
|September 6, 2024
概括
医学专业的学生有时会认为肥胖的母子对不太坚持治疗. 这种偏见源于对健康行为和母亲特征的假设,可能会加剧医疗保健差异.
科学领域:
- 医疗教育 医学教育
- 医疗保健的不平等 医疗保健的不平等
- 肥胖问题研究研究
背景情况:
- 与肥胖相关的医疗保健偏见会对患者护理产生负面影响.
- 了解医疗学员的偏见对于解决差异至关重要.
研究的目的:
- 为了调查医学学生对治疗坚持的信念,在涉及肥胖的儿童-母亲双边关系中.
- 为了确定这些二合体中感知较低粘附的根本原因.
主要方法:
- 利用虚拟人体模拟,呈现一个儿科背部疼痛病例.
- 在不同的场景中操纵一个儿童患者和她的母亲的体重线索.
- 质量分析了医学学生对感知到的坚持差异的解释.
主要成果:
- 35%的参与者认为患有肥胖症的儿童-母亲双重组与健康体重双重组相比,较少坚持治疗.
- 引用的原因包括关于一般不遵守,母亲特征 (例如,健康意识) 和外部因素 (例如,健康素养,社会经济地位) 的假设.
结论:
- 医学学生偏见将肥胖与较低的坚持联系起来,可能源于低的假设.
- 这种偏见可能会导致医疗保健的差异,突显出需要进行干预.
- 定性方法有效地揭示了驱动知觉的信念,并告知了减少偏见的策略.
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