CAJ | 학술논문

目的系统评价“基于问题的学习”( Problem-based learning,PBL)对国内中医类学生学习效果的影响.方法通过检索CBM、CNKI、VIP文献数据库,纳入PBL与LBL教学模式下中医类学生学习效果的对照研究,采用Revman 5.1对数据进行分析.结果纳入9篇文献,研究方法、质量均较低.两种模式下,学生理论考试成绩的差异无统计学意义[SMD=3.76,95％ CI(-0.62,8.15)]；而实践操作成绩的差异具统计学意义,PBL组优于LBL组[SMD=7.62,95％CI(3.92,11.32)]；在学习能力自评上,两组间差异有统计学意义,PBL组优于LBL组[OR=3.69,95％ CI( 1.88,7.21)].结论 PBL教学有助于提高学生主观能动性,提高学生实践能力,适用于中医临床专业课及其拓展型课程的教学；但各纳入研究的质量等级较低,有必要在教学中开展设计严谨的随机对照试验,提供高质量的证据,增加论证强度.
목적 계통평개“기우문제적학습”( Problem-based learning,PBL)대국내중의류학생학습효과적영향.방법 통과검색CBM、CNKI、VIP문헌수거고,납입PBL여LBL교학모식하중의류학생학습효과적대조연구,채용Revman 5.1대수거진행분석.결과 납입9편문헌,연구방법、질량균교저.량충모식하,학생이론고시성적적차이무통계학의의[SMD=3.76,95％ CI(-0.62,8.15)]；이실천조작성적적차이구통계학의의,PBL조우우LBL조[SMD=7.62,95％CI(3.92,11.32)]；재학습능력자평상,량조간차이유통계학의의,PBL조우우LBL조[OR=3.69,95％ CI( 1.88,7.21)].결론 PBL교학유조우제고학생주관능동성,제고학생실천능력,괄용우중의림상전업과급기탁전형과정적교학；단각납입연구적질량등급교저,유필요재교학중개전설계엄근적수궤대조시험,제공고질량적증거,증가론증강도.
Objective To assess the influence of PBL formation study effectiveness of TCM students.Methods The controlled studies with the teaching format of both PBL and LBL were included to assess the effectiveness of learning,by searching CBM,CNKI and VIP database.All data was analyzed on Revman 5.1.Results 9 articles were included ; All were low in the quality of their methodology,and the theoretical scores of students in PBL or LBL format shows no statistical difference [SMD=3.76,95％ CI ( -0.62,8.15 ) ].PBL format was superior to LBL on students' practical scores [SMD=7.62,95％ CI ( 3.92,11.32 ) ]; Compared to LBL format,PBL proved to have a better influence on students' self-assessment for learning ability[OR=3.69,95％ CI( 1.88,7.21 )].Conclusion PBL helps to enhance the activeness of students,to improve their practical ability,which is valuable if applied in clinical concerned courses.But the included studies were low in quality; more rigorously randomized controlled teaching trials are expected to verify the conclusion.