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
2013年
4期
352-356
,共5页
王继红%施大为%吴雅%李畋静%韩健%焦峰军%寇战利%杨帅
王繼紅%施大為%吳雅%李畋靜%韓健%焦峰軍%寇戰利%楊帥
왕계홍%시대위%오아%리전정%한건%초봉군%구전리%양수
住院医师%全身体格检查%技能干预%行为改变
住院醫師%全身體格檢查%技能榦預%行為改變
주원의사%전신체격검사%기능간예%행위개변
Resident%General physical examination%Skills intervention%Behavior change
目的 探讨改善住院医师基本技能及其行为持续改变的适宜方法,为住院医师基本技能规范化培训及其行为改变提供建议.方法 将某三级乙等医院2008-2010年参加工作的71名住院医师随机分为2组.干预组35人实施全身体格检查操作培训、书写住院大病历、定期督导评价、测量技能等干预措施；空白对照组36人,定期检查其全身体格检查操作技能.运用SPSS 13.0软件,采用混合效应模型进行重复测量方差分析,评价2组学员体格检查操作技能在干预前后改变的倾向、程度.结果 住院医师的全身体格检查技能总评分及头颈部、前/侧胸部、背部等各模块评分在于预前后差异有统计学意义(P＜0.05).结论 为住院医师提供的全身体格检查操作技能干预效果显著,能有效改变住院医师对患者全身体格检查行为,可为制定住院医师基本技能操作规范化培训方案提供依据.
目的 探討改善住院醫師基本技能及其行為持續改變的適宜方法,為住院醫師基本技能規範化培訓及其行為改變提供建議.方法 將某三級乙等醫院2008-2010年參加工作的71名住院醫師隨機分為2組.榦預組35人實施全身體格檢查操作培訓、書寫住院大病歷、定期督導評價、測量技能等榦預措施；空白對照組36人,定期檢查其全身體格檢查操作技能.運用SPSS 13.0軟件,採用混閤效應模型進行重複測量方差分析,評價2組學員體格檢查操作技能在榦預前後改變的傾嚮、程度.結果 住院醫師的全身體格檢查技能總評分及頭頸部、前/側胸部、揹部等各模塊評分在于預前後差異有統計學意義(P＜0.05).結論 為住院醫師提供的全身體格檢查操作技能榦預效果顯著,能有效改變住院醫師對患者全身體格檢查行為,可為製定住院醫師基本技能操作規範化培訓方案提供依據.
목적 탐토개선주원의사기본기능급기행위지속개변적괄의방법,위주원의사기본기능규범화배훈급기행위개변제공건의.방법 장모삼급을등의원2008-2010년삼가공작적71명주원의사수궤분위2조.간예조35인실시전신체격검사조작배훈、서사주원대병력、정기독도평개、측량기능등간예조시；공백대조조36인,정기검사기전신체격검사조작기능.운용SPSS 13.0연건,채용혼합효응모형진행중복측량방차분석,평개2조학원체격검사조작기능재간예전후개변적경향、정도.결과 주원의사적전신체격검사기능총평분급두경부、전/측흉부、배부등각모괴평분재우예전후차이유통계학의의(P＜0.05).결론 위주원의사제공적전신체격검사조작기능간예효과현저,능유효개변주원의사대환자전신체격검사행위,가위제정주원의사기본기능조작규범화배훈방안제공의거.
Objective To give suggestions for residents' standardization training of basic skills and residents' behavior changes by discussing the appropriate approaches that could continuously improve residents' basic skill.Methods Totally 71 recruited residents in one of the 3b level hospitals from 2008 to 2010 were divided into control group and intervention group.Thirty-five residents in intervention group attended the physical examination training,medical record writing and were regularly monitored and supervised while 36 residents in control group were received regularly skill/behavior measurement.Data were analyzed by SPSS 13.0.Skill and behavior changing degrees and trends of physical examination between two groups were evaluated before and after intervention by mixed effect model to do ANOVA for repeated measurement.Results General scores and partial scores (head,neck,chest and back of the body) of physical examination were significantly different before and after intervention(P ＜0.05).Conclusions Interventions of physical examination for residents are effective and resident's behavior and skill were improved effectively.Intervention approaches could be considered as one of the standard training of elementary operation skill for recruit residents.
