CAJ | 학술논문

目的：观察以问题为基础的学习（problem-based learning， PBL）合并案例学习（case-based study， CBS）应用于重症加强护理病房（intensive care unit， ICU）临床教学的效果。方法将2011年3月至2012年2月在广东省中医院芳村医院ICU轮训的研究生按月分组，实验组31人采用PBL合并CBS教学，对照组34人采用传统讲授式教学。对比2组轮训后考试成绩差异，并对实验组进行问卷调查；数据采用SPSS 13.0处理，计量资料采用t检验，方差不齐的采用秩和检验。结果实验组考试成绩[理论考试（85.26±5.96）分，病例分析（80.59±7.33）分]优于对照组[理论考试（79.17±7.31）分，病例分析（76.02±9.27）分]，差异有统计学意义（P<0.05）。实验组问卷调查显示，PBL合并CBS教学增加了学生学习兴趣，但学习系统不足，且大部分学生不愿主动发言。结论 PBL合并CBS在ICU临床教学中应用有一定优势。
목적：관찰이문제위기출적학습（problem-based learning， PBL）합병안례학습（case-based study， CBS）응용우중증가강호리병방（intensive care unit， ICU）림상교학적효과。방법장2011년3월지2012년2월재광동성중의원방촌의원ICU륜훈적연구생안월분조，실험조31인채용PBL합병CBS교학，대조조34인채용전통강수식교학。대비2조륜훈후고시성적차이，병대실험조진행문권조사；수거채용SPSS 13.0처리，계량자료채용t검험，방차불제적채용질화검험。결과실험조고시성적[이론고시（85.26±5.96）분，병례분석（80.59±7.33）분]우우대조조[이론고시（79.17±7.31）분，병례분석（76.02±9.27）분]，차이유통계학의의（P<0.05）。실험조문권조사현시，PBL합병CBS교학증가료학생학습흥취，단학습계통불족，차대부분학생불원주동발언。결론 PBL합병CBS재ICU림상교학중응용유일정우세。
Objective To observe effects of problem-based learning(PBL) combined with case-based study (CBS)teaching mode in clinical teaching in intensive care unit(ICU). Methods Students from ICU of Fangcun Branch of Guangdong Provincial Hospital of Traditional Chinese Medicine from March 2011 to February 2012 were divided into treatment group (31 cases, with PBL combined with CBS teaching mode) and control group (34 cases, with the traditional teaching mode). Scores of two groups were compared and analyzed and questionnaire survey was conducted in treatment group. Data were processed by SPSS 13.0 statistical software. Measurement data were compared by t-test and data of heterogeneous variance were compared by rank-sum test. Results Treatment group achieved better scores ((85.26 ±5.96) in theory examination and (80.59 ±7.33) in case-analyzing examination) compared with those of control group ((79.17 ±7.31) in theory examination and (76.02 ±9.27) in case-analyzing examination)(P<0.05). PBL combined with CBS teaching mode can stimulate learning interests but it was lack of systematization; most students did not volunteer to speak. Conclusion PBL combined with CBS teaching mode has certain advantages in ICU clinical teaching.