Exploration of training model of community hospice and palliative care conducted by tertiary hospitals and analysis of its effects
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(1.Department of International Medical Services, Beijing 100730, China;3. Department of Geriatrics, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;2. Beijing United Hospice and Palliative Cultural Center, Beijing 100102, China)

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R48

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    Abstract:

    Objective To explore the training mode of community hospice and palliative care conducted by tertiary hospitals and analyze its effects. Methods A retrospective analysis was performed of the data from 37 participants who participated in the community hospice and palliative care training led by Peking Union Medical College Hospital from January 2021 to May 2021. Conducted online and offline, the training featured independent learning, knowledge explanation and case discussion. After the training, a questionnaire survey was conducted among the participants using self-made scale. SPSS statistics 26.0 was used for analysis, McNemar test for paired dichotomous data, and Wilcoxon signed rank test for paired ordered categorical variables. Results The training lasted for 4 months, totaling 3524 minutes of online learning (1834 minutes of self-study and 1690 minutes teaching for 14 times) with an average attendance of 96.5%. Two offline teaching workshops were held during the training. Compared with before the training, the scores after the training were significantly lower in "Many of my colleagues (doctors or nurses) felt uncomfortable when discussing palliative care options with patients and their families [(2.43±0.93) vs (2.78±0.85) points]and in "Palliative care support assisted suicide (i.e. euthanasia)" [(1.54±0.96) vs (2.03±1.07) points], and significantly higher in "I usually prescribe (or am asked to) a sufficient amount of analgesics to relieve the dying patients from pain" [(3.32±1.08) vs (2.57±0.93) points] and in "I usually inform the patient once I know that radical treatment is no longer effective" [(3.46±0.87) vs (2.95±0.85) points], the differences being statistically significant. The correct rate of responses to palliative medical knowledge after the training was higher than that before the training. There were statistically significant differences (P<0.05) between before and after the training in "The course of the disease determines the method of pain management" [64.9%(24/37) vs 40.5%(15/37)], "Adjuvant therapies are important for pain control" [100.0% (37/37) vs 86.5% (32/37)], "The main problem of long-term morphine analgesia is drug addiction" [45.9% (17/37) vs 24.3% (9/37)], and "The concept of palliative care is consistent with that of active treatment" [81.1% (30/37) vs 43.2% (16/37)]. The overall satisfaction of the trainees with the course was over 97.6%, and they scored, out of 5,4.94 for the course setting, 4.95 for knowledge point explanation, 4.94 for case discussion, 4.94 for teachers′ explanation of cases and 4.96 for personal gains. Conclusion Multi-mode community hospice and palliative care training led by tertiary hospitals enhances the trainee′s cognition and service competence and can be popularized.

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History
  • Received:September 26,2022
  • Revised:
  • Adopted:
  • Online: December 01,2022
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