scholarly journals Conhecimento sobre Cuidados Paliativos em Estudantes de Medicina da Universidade de Coimbra

2020 ◽  
Vol 33 (13) ◽  
Author(s):  
Sofia Oliveira ◽  
Luiz Miguel Santiago ◽  
Marília Dourado

Introduction: The need for palliative care is increasing. Future doctors must be prepared for this, so it is essential to develop skills during their undergraduate studies. The aim of this study was to evaluate the knowledge of medical students at the Faculty of Medicine of the University of Coimbra regarding palliative care.Material and Methods: An observational and cross-sectional study was performed through the application of a questionnaire answered by fifth year medical students. The collected data were analyzed using IBM® SPSS® Statistics, version 20 for Windows®.Results: All 186 students surveyed were aware of what palliative care is and recognized its importance. From the total, 52.7% of students reported they knew what an informal caregiver is and 96.8% disagreed that palliative care is only provided at the end of life; 88.2% have never had any training on how to deal with palliative care patients. Only 57.5% of students reported that they had been trained to communicate ‘bad news’, but 70.4% assumed that they were not able to communicate such bad news. On the other hand, 89.8% reported their inability to take care of palliative patients and 98.4% admitted that they needed more training in this area.Discussion: With the increasing number of patients who require palliative care, there is the need to investigate whether medical students are being adequately prepared to care for these patients and assess their knowledge level in this context.Conclusion: Fifth-year medical students know what palliative care is and consider it important. However, they do not feel adequately trained and ready to take care of patients who need palliative care. It is essential to reflect on how physicians should be trained and to reconsider the medical syllabus, given the present lack of undergraduate medical training in palliative care.

2021 ◽  
Vol 55 (1) ◽  
pp. 52-59
Author(s):  
Henry J. Lawson ◽  
Makafui Yigah ◽  
Phaedra Yamson

Emotional Intelligence is a form of interpersonal intelligence. There’s evidence that high emotional intelligence (EQ) of a medical student is associated with better coping with the tedious medical training. We evaluated EQ in medical students in their clinical years. This cross-sectional study was conducted in the University of Ghana Medical School (UGMS), Accra. In all, 111 students completed the questionnaires. Their average age was 24±1.5 years with marginal male preponderance. There were 37, 31 and 43 students in the 1st, 2nd and 3rd clinical years respectively. For global scores, 16 (14.1%) had good EQ (>120) with a mean total score of 105.49. The mean EQ for males was 104.2±17 an 106.2±12 for females, however this difference was not statistically significant (p=0.319). Mean EQ for 1st, 2nd and 3rd clinical years were 104.4±13, 104.4±20, and 107.1±12. This rise with increasing years was however not significant (p=0.659). EQ showed a weak positive correlation with age (r=0.1) but this was not significant (p=0.29). We report low EQ among students of the UGMS with no significant difference between gender, age and clinical year. EQ should be actively taught as part of the curriculum in UGMS. A larger study involving other medical schools in Ghana isrecommended.


2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Evans Paul Kwame Ameade ◽  
Linda Ama Owusuaa Amoah ◽  
Benjamin Yeboah Ofori

Green care, an alternative healthcare system that involves the use of nature, is proven to be useful in the management of organic and psychological disorders worldwide. There are various forms of Green care including Animal-Assisted Therapy (AAT), a type where animals play pivotal roles in the healing process and is widely used in many developed countries. We assessed the level of awareness and attitude towards Green care among medical students of Ghana. Using a cross-sectional study design and a semistructured questionnaire designed on Google Forms, data were collected from randomly selected 4th-, 5th-, and 6th-year medical students of the University for Development Studies, Tamale, Ghana. The data submitted by 206 of the students were analyzed using Statistical Package for the Social Sciences, Version 25, and the results were presented as frequencies, percentages, and charts. The association between sociodemographic characteristics of respondents and awareness about Animal-Assisted Therapy (AAT) was considered significant at p < 0.05 . The study found that only 7 (3.4%) of the medical students had ever heard of Green care while a higher number of 36 (17.5%) were aware of AAT mostly through movies and television. However, the majority, 122 (59.3%), had a positive attitude towards the introduction of AAT, into their medical training curriculum. Up to 146 (70.9%) of the respondents suggested lectures and practical sessions as their preferred way of acquiring knowledge and skills on AAT. Only the sex of the respondents was significantly associated with awareness of AAT, with females having a better awareness of AAT (28.6% vs. 11.0%, p = 0.003 ). We conclude that awareness of Green care practices among medical students in Ghana was highly inadequate, but the desire of the majority of them to acquire knowledge and skills in this proven alternative therapy makes its future use in Ghana promising.


2020 ◽  
Author(s):  
Emília Pinto ◽  
Teresa Schwalbach ◽  
Ferraz Gonçalves ◽  
Jahit Sacarlal ◽  
Luisa Castro ◽  
...  

Abstract Background: Palliative Care (PC) needs have been increasing in low- and middle-income countries. The education of its contents avoids the patients and families´ suffering and therapeutic futility. Aim: to assess the pain and palliative care´s knowledge in Mozambican medical students of the fifth and sixth years. Methods: A cross–sectional study was conducted between August 2018 and July 2019. Data was collected by applying a self-administered survey directed to students from 2 medical schools in Mozambique. Comparison of answer’s frequencies between hospitals was performed using chi-square and Fisher’s exact test. Results: From the 146 participants, 52.7% were female and the median age was 24 years old. Regarding general knowledge: 90.1% think they need to improve their knowledge on pain management, 50.3% of the participants did not know the palliative care World Health Organization´s (WHO) definition. Concerning to therapeutic approach, 36.4% did not have knowledge in control of symptoms, 43.7% did not know the WHO pain management scale, 65.3% did not know how to initiate analgesia for cancer pain. There are significant differences between universities in training related to medical posture on communication to bad news to patients and family as well as training in terminally ill patients. Conclusion: Results show that students from these 2 medical schools have gaps in pain and palliative care knowledge. There is a need to introduce palliative care education in medical training in Mozambique.


Author(s):  
AA Toubasi ◽  
BR Khraisat ◽  
RB AbuAnzeh ◽  
HM Kalbouneh

Objective Medicine is considered one if not the most stressful educational field. Thus, the aim of this study is to investigate the prevalence of stress and poor sleeping quality among medical students and the association between them. Method This cross-sectional study was conducted at the University of Jordan on second- and third-year medical students. The questionnaire consisted of: 1) Demographics; 2) The assessment tools which were Pittsburgh Quality of Sleep Index (PSQI) and Kessler Psychological Distress Status (K10). Binary logistic regression, chi-square and linear regression were used to investigate the association between PSQI, K10, and their determinants. Results The mean for PSQI score was 6.76 ± 3.32. PSQI scores interpretation revealed that 61.7% of the 282 participants of this study were poor sleepers. Logistic regression results showed that only the category of not napping at all from the napping hours variable was significantly associated with sleeping quality. Furthermore, the mean of K10 scores was 24.5 ± 8.5. K10 scores revealed that 66.3% of the participants were stressed. Logistic regression results showed that gender and regular exercise were significantly associated with psychological distress. Additionally, chi-square test, logistic regression and linear regression showed that PSQI was significantly associated with K10 (P <0.01). Conclusions Stress and poor sleeping quality in medical students at the University of Jordan were highly prevalent and strongly associated. What determined PSQI was daytime napping, and for K10 were regular exercise and gender. Further investigations into stress and sleep quality in the Arabian region are needed.


2017 ◽  
Vol 9 (4) ◽  
pp. 266 ◽  
Author(s):  
Husam Eldin Elsawi Khalafalla ◽  
Mohamed Salih Mahfouz ◽  
Muath Hassan Ibrahim Najmi ◽  
Sayyaf Abdullah Mohammad Najmi ◽  
Qasem Ali Yahya Arishi ◽  
...  

BACKGROUND: Physical activity is one of the most important factors that affect human health; it reduces the chances of hypertension, coronary heart disease, stroke, diabetes, breast and colon cancer, and depression.OBJECTIVES: The objectives of this study were to measure prevalence of physical activity and to determine the factors affecting the level of physical activity among medical student in Jazan University.METHODS: A cross-sectional study was conducted among the students of medical colleges of Jazan University. A random sample of 419 was determined using most recent physical activity prevalence. A validated self-administered questionnaire was used for data collection.RESULTS: There is a high prevalence of inactivity among study participants (88.1%). Females (91.7%) were more significantly (p value=0.013) inactive than males (83.8%). The most influential barrier perceived by participants is (heavy) academic work as well as lack of places for physical activity; the latter factor being more effective in hindering female students' physical activity.CONCLUSION: Results revealed that the inactivity rate was very high among medical students. The results of this study call for a well-planned intervention at the university level for improving the level of physical activity among university students.


Author(s):  
Danielle Lemes Dutra ◽  
André Abrantes Rosique ◽  
Asaphe Lemes Dutra ◽  
Sarah Da Silva Candido ◽  
Cynthia Kallás Bachur

Stress is a general wear and tear of the body, being responsible for changes in the state of health and well-being of the individual. The present study had as objective apply an Inventory of Stress Symptoms among both medical and physiotherapy students, compare and identify the stage of stress they encounter. This is a descriptive and cross-sectional study. The sample consisted of students of the 4th year of both Medicine and Physiotherapy courses from Universidade de Franca- São Paulo, volunteers, regardless of sex or ethnicity. An inventory of Stress Symptoms I.S.S. Lipp to characterize the stress phase of students. A total of 70 students participated in the study, 25 of which were physiotherapists, 22 male and 48 female, 21.92 ± 1.57 years old, and 45 medical students, with a mean age of 24, 87 + 4.26 years. In both courses, the sample analyzed showed a predominance in the Resistance phase, corresponding to a score of 4.26 in relation to medical students and 1.57 in physiotherapy. Based on the data from the present study, it was possible to identify that the students of the health area are in a predominantly Exhaustion phase, according to the Lipp inventory. Avaliação da Fase de Estresse em Estudantes da Área da Saúde O estresse é causado pelas alterações psicofisiológicas que ocorrem quando o indivíduo é forçado a enfrentar situações que o irritem. O presente estudo teve como objetivo aplicar um Inventário de Sintomas de estresse entre estudantes de medicina e fisioterapia, comparar e identificar a fase de estresse que eles se encontram. Trata-se de um estudo de caráter descritivo e transversal. A amostra foi composta por estudantes do 4º ano do curso de Medicina e de Fisioterapia da Universidade de Franca- São Paulo, voluntários,sem distinção de sexo ou etnia. Foi aplicado um Inventário de Sintomas de estresse I.S.S. Lipp para caracterizar a fase do estresse dos estudantes. Participaram deste estudo70 estudantes, 25 do curso de Fisioterapia, com idade 21,92 + 1,57 anos e 45 estudantes do curso de medicina, com idade média de 24,87 + 4,26 anos. A amostra analisada apresenta, em ambos os cursos, uma predominância na fase de Resistência, correspondendo um escore de 4,26 em relação aos estudantes de Medicina e 1,57 aos de Fisioterapia. Com base nos resultados dos dados do presente estudo, foi possível identificar que os estudantes da área de saúde encontram-se em uma fase predominantemente de Exaustão segundo o inventário de Lipp.


2017 ◽  
Vol 23 (1) ◽  
pp. 5 ◽  
Author(s):  
Roshini Jain ◽  
Ch Chiech Chang ◽  
Mpho Koto ◽  
Alden Geldenhuys ◽  
Richard Nichol ◽  
...  

<p><strong>Background:</strong> Faced with demanding training programmes, medical students may be more prone to use methylphenidate for non-medical purposes in order to improve concentration, alertness and academic performance.</p><p><strong>Aim:</strong> The study aimed to investigate the prevalence of the non-medical use of methylphenidate and knowledge of this drug among undergraduate medical students of the University of the Free State.</p><p><strong>Methods:</strong> This was a cross-sectional study. A self-administered, anonymous questionnaire was distributed during lectures to all students in the five year groups of the undergraduate medical programme.</p><p><strong>Results:</strong> Of the 643 undergraduate medical students, 541 completed the questionnaire (response rate: 84.1%). Approximately 11.0% of surveyed students were using methylphenidate at the time of the study, of which the majority (67.9%) used it for academic purposes and 70.6% received it from a medical health professional. Less than a third of users had been diagnosed with Attention-Deficit/Hyperactivity Disorder. Methylphenidate users’ median knowledge was greater than non-users, and methylphenidate knowledge increased from first-year and second-year students to third-year to fifth-year students. Median knowledge scores per year group ranged from 52.0% to 60.0%.</p><p><strong>Conclusion:</strong> Methylphenidate is mainly used for non-medical purposes by medical students. Students generally have a low level of knowledge on methylphenidate. Specific information on methylphenidate should be included in lectures on stress management and study methods during the course of the medical curriculum.</p>


F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 108
Author(s):  
Christian Richard Mejia-Alvarez ◽  
Jhosselyn Chacon-I ◽  
Dayanne Benites-Gamboa ◽  
Niels Pacheco-Barrios ◽  
Giancarlo F. Castillo-Tarrillo ◽  
...  

Background: Examples of addiction problems that have been reported in growing populations are those related to sexual impulses and addictions. However, such studies have not been carried out in Latin America. The aim of this study was to characterize and identify possible associations of sexual addiction in medical students in Latin America. Methods: An analytical cross-sectional study was carried out among the university students of a medical school in 16 cities; students of medical schools were interviewed during the first semester of 2016. To define sexual addiction, the multi-cage cad-4 test was used, categorizing individuals as possibly or not a potential problem. Additionally, associations with several social and educational variables were obtained. Results: In our study, 6% (221) of the 3691 respondents exhibited a possible problem of sexual addiction; men had 95% more problems (95% confidence interval (95%CI): 21-214, p=0.006), for each year of age it increased by 9% (95%CI: 1-18%, p=0.034 ), those who had a partner were 67%  more likely to exhibit sexual addiction (95%CI: 1.34-2.08%, p <0.001) and those who professed a religion present 44% less frequency (95%CI: 20-60%, p: 0.001). When adjusted for marital status, having children, year of studies, and the university where the respondent studied were not associated. Conclusion: Although the percentage of students who had problems with sexual addiction is minimal, screening programs should be created to find students who suffer from these problems, to avoid the possible consequences that may arise.


2019 ◽  
Author(s):  
Zohar Mor ◽  
Adam Cadesky ◽  
Ran Halleluyan ◽  
Rivka Sheffer

Abstract Background: Undocumented migration to developed countries poses practical concerns, as migrants are not medically insured. This cross-sectional study aims to appraise the attitudes of Israeli medical students towards the uninsured migrant population. Methods: Participants from five medical schools in Israel completed anonymous questionnaires in Hebrew, based on the "Medical Students’ Attitudes Toward the Underserved" (MSATU), which assessed students' attitudes regarding the professional responsibility and societal expectations towards the migrants. It also evaluated students' views of the migrants as eligible for expensive medical procedures. Results: A total of 891 students completed the survey with a median age of 28 years. The majority were Jews (N=816, 91.6%) and singles (N=681, 68.5%). Participants in the pre-clinical years were likely to be female and unmarried compared to those in clinical training. They also demonstrated higher scores on professional responsibilities and societal expectations than students in clinical training, but no significant differences were found in their views on expensive medical services. Students of minorities (non-Jews and migrants) scored higher on professional responsibilities and societal expectations. The scores for professional responsibilities and societal expectations decreased as students progressed in their medical training (Spearman coefficient p=0.04 and p=0.01, respectively). This trend was more apparent in males rather than females. Conclusion: MSATU scores declined as students progressed through medical school, with females maintaining more favorable attitudes than males. Medical schools should attempt to maintain the enthusiasm and idealism that students possess as they enter medical training and provide clinical experience with migrant populations that allows for cross-cultural communication.


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