CAJ | 학술논문

目的探讨以问题为导向教学（problem-based learing，PBL）在卒中患者手术带教中的应用实践效果。方法选取2012年1月至2013年1月临床专业本科毕业并考入首都医科大学附属北京天坛医院神经外科专业的研究生136人。随机分为传统教学组（68人）和PBL组（68人）。分别实施传统教学和PBL教学，比较两组研究生实施不同带教方法后的理论考试成绩、操作考试成绩、综合考试成绩和学生对带教方法的满意度。 　　结果 PBL组理论成绩得分、操作成绩得分和综合成绩得分均高于传统教学组，组间比较差异均具有显著性（P＜0.05）；PBL组总满意度高于传统教学组，组间比较差异具有显著性（P＜0.01）。 　　结论在研究生卒中手术带教的实践过程中，与传统教学方法相比，采用PBL的教学效果更好，是针对卒中手术带教的理想方式之一。
목적탐토이문제위도향교학（problem-based learing，PBL）재졸중환자수술대교중적응용실천효과。방법선취2012년1월지2013년1월림상전업본과필업병고입수도의과대학부속북경천단의원신경외과전업적연구생136인。수궤분위전통교학조（68인）화PBL조（68인）。분별실시전통교학화PBL교학，비교량조연구생실시불동대교방법후적이론고시성적、조작고시성적、종합고시성적화학생대대교방법적만의도。 　　결과 PBL조이론성적득분、조작성적득분화종합성적득분균고우전통교학조，조간비교차이균구유현저성（P＜0.05）；PBL조총만의도고우전통교학조，조간비교차이구유현저성（P＜0.01）。 　　결론재연구생졸중수술대교적실천과정중，여전통교학방법상비，채용PBL적교학효과경호，시침대졸중수술대교적이상방식지일。
Objective To investigate the effectiveness of applying problem-based learning (PBL) teaching method to the practice of teaching in the operating room on stroke patients. Methods One hundred and thirty-six graduate students in the Neurosurgery Department of our school who received a Bachelor’s degree in clinical medicine between Jan 2012 and Jan 2013 were included in this study and randomly divided into a traditional teaching group (68 students) and a PBL teaching group (68 students). Traditionally teaching method and PBL teaching method were applied in the two groups, respectively. Observations and comparisons of students’ graduate knowledge exam scores, skill exam scores, comprehensive exam scores and satisfaction about teaching methods were carried out in the two groups after the application of two different teaching methods. Results Graduate students in the PBL teaching group had significantly high average scores in graduate knowledge exam, skill exam, and comprehensive exam than those in the traditional teaching group, and the differences between groups are statistically significant (P<0.05); 2. the overall student satisfaction was signiifcantly higher in the PBL teaching group than in the traditional teaching group, and the difference between groups is statistically signiifcant (P=0.0086). Conclusion PBL teaching method renders better educational effect than traditional teaching method in the practice of clinical teaching in the operating room on stroke for graduate students, and is one of the ideal methods of teaching in the operating room on stroke.