中华医学科研管理杂志
中華醫學科研管理雜誌
중화의학과연관리잡지
ZHONGHUA YIXUE KEYAN GUANLI ZAZHI CHINESE JOURNAL OF MEDICAL SCIENCE RESEARCH MANAGEMENT
2011年
2期
95-99
,共5页
循证医学%教学方案%认知能力%专业能力%信息素养%问卷调查
循證醫學%教學方案%認知能力%專業能力%信息素養%問捲調查
순증의학%교학방안%인지능력%전업능력%신식소양%문권조사
Evidence-based medicine%Teaching protocols%Cognition competence%Professional competence%Information literacy%Questionnaires
目的比较新型EBM教学方案与传统EBM教学方案的教学效果,为探索新疆evidence-based medicine(EBM)普及的方法,构建新疆EBM普及教育管理制度提供依据.方法从新疆14个地区中随机抽取4个地区,分别随机划分实验组169位和对照组167位学员,进行EBM培训,实验组采用新型EBM教学方案;对照组采用传统EBM教学方案.培训结束后,对全部学员进行问卷调查,统计分析数据,比较两组差异.结果两组学员能力相比,在提高认知(x2=6.870,P=0.009)、文献检索(x2=22.670,P=0.000)、医患沟通(x2=6.288,P=0.012)和科研(x2=4.667,P=0.031)能力方面的差异具有统计学意义,在提高诊疗能力(x2=0.663,P=0.426)方面的差异无统计学意义;两组考试成绩相比,概论、病因、诊断、系统评价章节和总成绩差异有统计学意义,新型EBM教学方案优于传统EBM教学方案,在治疗和预后章节成绩差异不具有统计学意义.结论新型EBM教学方案能够很好地训练学员在认知、文献检索、医患沟通及科研方面的能力,提高学员对EBM理论掌握程度,对新疆EBM推广普及起到一定的推动作用.
目的比較新型EBM教學方案與傳統EBM教學方案的教學效果,為探索新疆evidence-based medicine(EBM)普及的方法,構建新疆EBM普及教育管理製度提供依據.方法從新疆14箇地區中隨機抽取4箇地區,分彆隨機劃分實驗組169位和對照組167位學員,進行EBM培訓,實驗組採用新型EBM教學方案;對照組採用傳統EBM教學方案.培訓結束後,對全部學員進行問捲調查,統計分析數據,比較兩組差異.結果兩組學員能力相比,在提高認知(x2=6.870,P=0.009)、文獻檢索(x2=22.670,P=0.000)、醫患溝通(x2=6.288,P=0.012)和科研(x2=4.667,P=0.031)能力方麵的差異具有統計學意義,在提高診療能力(x2=0.663,P=0.426)方麵的差異無統計學意義;兩組攷試成績相比,概論、病因、診斷、繫統評價章節和總成績差異有統計學意義,新型EBM教學方案優于傳統EBM教學方案,在治療和預後章節成績差異不具有統計學意義.結論新型EBM教學方案能夠很好地訓練學員在認知、文獻檢索、醫患溝通及科研方麵的能力,提高學員對EBM理論掌握程度,對新疆EBM推廣普及起到一定的推動作用.
목적비교신형EBM교학방안여전통EBM교학방안적교학효과,위탐색신강evidence-based medicine(EBM)보급적방법,구건신강EBM보급교육관리제도제공의거.방법종신강14개지구중수궤추취4개지구,분별수궤화분실험조169위화대조조167위학원,진행EBM배훈,실험조채용신형EBM교학방안;대조조채용전통EBM교학방안.배훈결속후,대전부학원진행문권조사,통계분석수거,비교량조차이.결과량조학원능력상비,재제고인지(x2=6.870,P=0.009)、문헌검색(x2=22.670,P=0.000)、의환구통(x2=6.288,P=0.012)화과연(x2=4.667,P=0.031)능력방면적차이구유통계학의의,재제고진료능력(x2=0.663,P=0.426)방면적차이무통계학의의;량조고시성적상비,개론、병인、진단、계통평개장절화총성적차이유통계학의의,신형EBM교학방안우우전통EBM교학방안,재치료화예후장절성적차이불구유통계학의의.결론신형EBM교학방안능구흔호지훈련학원재인지、문헌검색、의환구통급과연방면적능력,제고학원대EBM이론장악정도,대신강EBM추엄보급기도일정적추동작용.
Objective We compared the new teaching curriculum of evidence-based medicine (EBM) with the traditional one to explore a more effective one of EBM and provide reference for the popularization of EBM in Xinjiang.Methods From the fourteen regions in Xinjiang,we selected randomly four regions,and the trainees of the four regions were allocated randomly to the experimental group (169) and the control group (167).The new teaching curriculum was used in the experimental group and the raditional one in the control group.After training,we investigated all the trainees with questionnaires and compared the differences of the two groups.Results Compared with the control group,trainees of the experimental group were significantly enhanced in the abilities of cognition (χ2 =6.870,P=0.009),literature retrieval (χ2 =22.670,P=0.000),communication (χ2 =6.288,P =0.012)and scientific research (χ2=4.667,P = 0.031).However,the difference in the ability of diagnosis and treatment (χ2 =0.663,P=0.426) was not significant.On the other hand,the total examinational scores and the scores for the chapters of general introduction,etiological factor,diagnosis and system review of the experimental group were significantly higher than those of the control group,but there was not significant difference between the two groups in terms of the scores for the chapters of treatment and prognosis.Conclusion The new teaching curriculum of EBM is beneficial in developing the abilities of cognition,literature retrieval,communication,scientific research and apprehension of EBM theory and is more applicable for the popularization of EBM in Xinjiang.