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Experience , Acknowledge , Attitudes and demand of education toward advance directive among Pre-Clinical medical students
Chuang Hui Jung
demand of advance directive education
As the coming of aged society and the improvement of medicine, the care of terminal patient become a big issue as well as advance directives. Our research is using a structured questionnaire to investigate the experience, acknowledge, attitudes and demand of education toward advance directives among pre-clinical medical students. The effective samples were 354. The data were analyzed by t-test, Chi-Square test, Fisher’s Exact test, Anova test and Pearson product-moment correlation. The major findings of the study were as follows: 1. The acknowledge of advance directives was significantly difference on grade. 2. Ther is no significant relationship between attitude and acknowledge of advance directives, but attitudes and demand of education correlated positively. 3. More than 70% students would like to promote and do advance directives 4. Students view advance directives as an important life issue and also think it is important to make advance care planning by self. However to discuss death is an prohibition in Taiwan culture, also without enough confidence to discuss disease prognosis with patient and their family may discourage students. 5. The time to remove life-survive machine, the time to discuss advance directives, the skill of trueth-telling of illness are the most 3 point that studens want to know. Students have positive attitude toward educational demand and think advance directives teaching should be a must-learn class and including in internship. Based on the finding of the study, recommendations which was suggestions for future study and demand of education intervention were drawn
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