CAJ | 학술논문

目的：探讨标准化病人（standard patient，SP）结合案例教学（case-based learning， CBL）对胸外科临床实习学生人文素质培养的效果。方法选取我院胸外科临床实习学生60人为研究对象，随机抽取组号将其分为实验组及对照组，各30人。实验组采用SP＋CBL教学；对照组采用传统教学。学习结束时，采用闭卷考试进行成绩考核；同时以不记名问卷调查方式，用t检验和字2检验评价2种方法教学效果。结果2组学生的考试成绩差异无统计学意义（P>0.05）。实验组学生在病史采集、查体技能、病历书写等方面成绩明显高于对照组（P<0.01）。实验组学生对SP＋CBL教学在激发学习兴趣、改善医患关系和服务态度、提高责任心等方面的满意度显著高于对照组（X2=16.484，10.335，20.376，32.851，P<0.01）。结论 SP＋CBL教学优于传统教学，可以提高学习的积极性，有助于医学生人文素质的培养。
목적：탐토표준화병인（standard patient，SP）결합안례교학（case-based learning， CBL）대흉외과림상실습학생인문소질배양적효과。방법선취아원흉외과림상실습학생60인위연구대상，수궤추취조호장기분위실험조급대조조，각30인。실험조채용SP＋CBL교학；대조조채용전통교학。학습결속시，채용폐권고시진행성적고핵；동시이불기명문권조사방식，용t검험화자2검험평개2충방법교학효과。결과2조학생적고시성적차이무통계학의의（P>0.05）。실험조학생재병사채집、사체기능、병역서사등방면성적명현고우대조조（P<0.01）。실험조학생대SP＋CBL교학재격발학습흥취、개선의환관계화복무태도、제고책임심등방면적만의도현저고우대조조（X2=16.484，10.335，20.376，32.851，P<0.01）。결론 SP＋CBL교학우우전통교학，가이제고학습적적겁성，유조우의학생인문소질적배양。
Objective To evaluate the methods of standard patient (SP)combined with case-based learning (CBL ) in humanistic quality cultivation for interns in the department of thoracic surgery. Methods Medical interns in the department of thoracic surgery were divided randomly into experimental(n=30)and control group(n=30)respectively. In experimental group,SP combined with CBL was used while in control group traditional teaching was used. At the end of the study,teaching effect was assessed by the final examination and questionnaires and the data were processed by t test andX2 test. P<0.05 signifies statistical differences. Results There was no significant difference in test scores between the two groups (P>0.05). Scores of history-taking,medical check-up,paper writing quality in the final examination in experimental group were significantly higher than those in control group(P<0.01). Satisfaction degrees of doctor-patient communication,responsibility and service attitude in experimental group were better than those of control group(X2=16.484,10.335,20.376,32.851,P<0.01). Conclusions SP combined with CBL teaching method can stimulate the students' interests in thoracic surgery practice,improve the doctor-patient relationship and strengthen the ability of human-istic concern. It is a better clinical thoracic practice teaching method and it is beneficial to cultivating medical students with humanistic concern.