基于网络的课程对内科医学的影响 住院医生对物质使用障碍的耻辱语言的使用
Diana Samberg1, Sara Spinella2, Scott Rothenberger1
1Division of General Internal Medicine, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
一个新的课程旨在减少对物质使用障碍 (SUD) 文档的耻辱. 虽然在统计学上并不显著,但趋势显示语言有所改善,教育模块得到了内科医生的好评.
科学领域:
- 医学教育 医学教育
- 成 药物 药物 药物 药物
- 卫生沟通健康沟通
背景情况:
- 药物使用障碍 (SUDs) 是可以治疗的,但被污名化,影响临床感知和患者护理.
- 污名化语言会对临床医生的观点和SUD治疗患者的结果产生负面影响.
- 建议采取教育举措来减少SUD的耻辱,但经验证据有限.
研究的目的:
- 评估标准化,非耻辱化的语言课程对SUD文档和临床医生耻辱的影响.
- 通过教学适当的术语来改善对物质使用障碍的记录.
- 为了减少医疗保健专业人员治疗SUD患者的可测的耻辱感.
主要方法:
- 开发了一个25分钟的在线互动课程,讲述与成相关的词汇.
- 内科医生完成了课程前后的评估,包括视频接触,病例记录和耻辱调查.
- 分析的重点是耻辱化与临床术语的频率和量化的耻辱程度.
主要成果:
- 在课程前,污名化术语的使用率是临床术语的四倍 (30对7.6每100篇文章).
- 在课程后,临床术语的使用增加了134% (24对7.6每100笔写作),虽然不是显著的.
- 在课程前和课程后测量的耻辱程度没有显著差异;然而,75.6%的人学习了新信息,71.1%的人会推该模块.
结论:
- 趋势表明,使用污名化语言减少,使用临床术语增加,尽管在统计学上并不显著.
- 基于网络的课程受到了很好的欢迎,这表明了广泛的医疗保健部门交付的潜力.
- 由于COVID-19大流行,研究参与受到限制,影响了统计能力.
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