中华医学教育探索杂志
中華醫學教育探索雜誌
중화의학교육탐색잡지
Chinese Journal of Medical Education Research
2014年
1期
97-100
,共4页
骨关节专科%角色扮演%临床带教%应用效果
骨關節專科%角色扮縯%臨床帶教%應用效果
골관절전과%각색분연%림상대교%응용효과
Bone and joint specialist%Role substitution%Clinical teaching%Application results
目的：探讨教学角色扮演法在骨关节专科临床带教中的应用效果。方法选取2010至2012年在医院骨关节专科实习的100名本科临床医学专业实习生为研究对象，将其按照入院实习的先后顺序分为常规组和置换组，常规组的50名实习生给予常规临床带教，置换组的50名实习生给予角色扮演法教学，观察两组实习生的理论知识评分、技能操作评分、自我效能感评分、教师对其满意度和患者治疗依从性。采取SPSS 19.0统计学软件进行数据处理与分析，计量资料行独立样本t检验，采用均数±标准差（x±s）表示，计数资料采取χ2检验，以P＜0.05为差异有统计学意义。结果置换组实习生的理论知识评分、技能操作评分、自我效能感评分分别为（97.3±3.6）分、（95.3±3.3）分、（97.2±5.3）分；常规组实习生的理论知识评分、技能操作评分、自我效能感评分分别为（86.5±4.7）分、（81.6±3.8）分、（82.4±5.5）分；置换组的理论知识评分、技能操作评分、自我效能感评分均明显高于常规组，差异有统计学意义（P＜0.05）；常规组教师对学生满意度为80.0%（40/50），置换组教师对学生满意度为96.0%（48/50），置换组教师对学生满意度明显高于常规组，差异有统计学意义（P＜0.05）。结论教学角色扮演法在骨关节专科临床带教中应用是可行的，能够有效提高实习生的主动学习能力和技能操作水平，并且更好促进与患者之间的沟通，提高患者的临床治疗依从性，整个操作简单，值得推广。
目的：探討教學角色扮縯法在骨關節專科臨床帶教中的應用效果。方法選取2010至2012年在醫院骨關節專科實習的100名本科臨床醫學專業實習生為研究對象，將其按照入院實習的先後順序分為常規組和置換組，常規組的50名實習生給予常規臨床帶教，置換組的50名實習生給予角色扮縯法教學，觀察兩組實習生的理論知識評分、技能操作評分、自我效能感評分、教師對其滿意度和患者治療依從性。採取SPSS 19.0統計學軟件進行數據處理與分析，計量資料行獨立樣本t檢驗，採用均數±標準差（x±s）錶示，計數資料採取χ2檢驗，以P＜0.05為差異有統計學意義。結果置換組實習生的理論知識評分、技能操作評分、自我效能感評分分彆為（97.3±3.6）分、（95.3±3.3）分、（97.2±5.3）分；常規組實習生的理論知識評分、技能操作評分、自我效能感評分分彆為（86.5±4.7）分、（81.6±3.8）分、（82.4±5.5）分；置換組的理論知識評分、技能操作評分、自我效能感評分均明顯高于常規組，差異有統計學意義（P＜0.05）；常規組教師對學生滿意度為80.0%（40/50），置換組教師對學生滿意度為96.0%（48/50），置換組教師對學生滿意度明顯高于常規組，差異有統計學意義（P＜0.05）。結論教學角色扮縯法在骨關節專科臨床帶教中應用是可行的，能夠有效提高實習生的主動學習能力和技能操作水平，併且更好促進與患者之間的溝通，提高患者的臨床治療依從性，整箇操作簡單，值得推廣。
목적：탐토교학각색분연법재골관절전과림상대교중적응용효과。방법선취2010지2012년재의원골관절전과실습적100명본과림상의학전업실습생위연구대상，장기안조입원실습적선후순서분위상규조화치환조，상규조적50명실습생급여상규림상대교，치환조적50명실습생급여각색분연법교학，관찰량조실습생적이론지식평분、기능조작평분、자아효능감평분、교사대기만의도화환자치료의종성。채취SPSS 19.0통계학연건진행수거처리여분석，계량자료행독립양본t검험，채용균수±표준차（x±s）표시，계수자료채취χ2검험，이P＜0.05위차이유통계학의의。결과치환조실습생적이론지식평분、기능조작평분、자아효능감평분분별위（97.3±3.6）분、（95.3±3.3）분、（97.2±5.3）분；상규조실습생적이론지식평분、기능조작평분、자아효능감평분분별위（86.5±4.7）분、（81.6±3.8）분、（82.4±5.5）분；치환조적이론지식평분、기능조작평분、자아효능감평분균명현고우상규조，차이유통계학의의（P＜0.05）；상규조교사대학생만의도위80.0%（40/50），치환조교사대학생만의도위96.0%（48/50），치환조교사대학생만의도명현고우상규조，차이유통계학의의（P＜0.05）。결론교학각색분연법재골관절전과림상대교중응용시가행적，능구유효제고실습생적주동학습능력화기능조작수평，병차경호촉진여환자지간적구통，제고환자적림상치료의종성，정개조작간단，치득추엄。
Objective To investigate the effect of the role playing teaching method applied in clinical teaching of bone and joint. Methods Totally 100 clinical medicine undergraduates practiced in bone and joint department from 2010 to 2012 in our hospital were taken as research objects and were divided in to conventional group and substitution group in accordance with the admission order. Clinical teaching was used for 50 interns in conventional group while role playing teaching method was used for 50 interns in substitution group. Theoretical knowledge score,skill operation score,self-efficacy scores,teachers' satisfaction degree with the treatment and compliance of patient were observed and compared. SPSS 19.0 statistical software was used for data analysis and processing. Measurement data were analyzed by independent samples t test and enumeration data were analyzed by χ2 test. P<0.05 was considered statistically significant. All data were expressed as x±s. Results Theoretical knowledge score,skill operation score and self-efficacy score were (97.3 ± 3.6)points,(95.3 ± 3.3) points and (97.2 ± 5.3)points in substitution group while (86.5 ± 4.7)points,(81.6 ± 3.8)points and (82.4 ± 5.5)points in conventional group,with statistical differences (P<0.05). Satisfaction de-gree was 80.0%(40/50)in conventional group and 96.0%(48/50)in substitution group,with statisti-cal differences(P<0.05). Conclusions Role-playing method is feasible in bone and joint clinical teaching. It can effectively improve the interns' active learning capacity and skills to operate,promote patients' communication,improve patients' compliance and is simple to operate,therefore worthy of clinical application.
