摘要
目的 观察基于ADDIE模型融入思政教学的"医患沟通"课程在全科住院医师规范化培训中的应用效果.方法 选择43名全科住院医师规范化培训学员为研究对象,采用基于ADDIE模型的医患沟通专业课和课程思政双向融合教学模式,比较培训前后学员的医患沟通技能评价量表(SEGUE)和标准病人(SP)对学员的沟通能力评分,以及学员对思政教学满意度评价和对课程的多维度测评.结果 培训后SEGUE评分中的准备、信息给予、结束问诊、信息收集等维度以及SEGUE总分均高于培训前,差异均有统计学意义(Z分别=-3.27、-2.68、-2.14,t分别=-8.08、-9.24,P均＜0.05),培训前后理解患者的维度得分比较,差异无统计学意义(Z=-1.60,P＞0.05);培训后SP对学员沟通能力评分中的职业素养、非语言沟通、沟通效果、整体印象、回答问题等各维度以及总分均高于培训前,差异均有统计学意义(Z分别=-2.71、-3.27、-2.71、-3.15,t分别=-3.73、-5.16,P均＜0.05).学员对思政教学测评中的学习兴趣、家国情怀、科研诚信、人文素养等维度的满意度均为90.00%以上,对创新精神的满意度为79.07%;学员对课程的教学设计、学习效果、与传统教学比较等维度的认可度均高于90.00%,对课程内容和整体感受度的认可度均为88.37%.结论 基于ADDIE模型融入思政教学的"医患沟通"课程有助于提升全科学员的医患沟通能力,实现专业教学与思政育人"1+1＞2"的教学目标.
Abstract
Objective To observe the application effect of the"doctor-patient communication"course integrated with ideological and political education based on the ADDIE model in the standardized training of general practitioners.Meth-ods A total of 43 standardized trainees of general practitioners were selected as the research subjects.The bidirectional integration teaching mode of doctor-patient communication professional courses and ideological and political education based on the ADDIE model was adopted.The scores of SEGUE framework and the standardized patients'(SP)evaluation on trainees before and after training were compared,as well as the trainees'satisfaction with ideological and political edu-cation and a multi-dimensional evaluation of the course.Results After the training,the scores of the dimensions of preparation,information giving,end of consultation,and information collection,as well as the total SEGUE score,were sig-nificantly higher than those before training(Z=-3.27,-2.68,-2.14,t=-8.08,-9.24,P＜0.05).There was no statistically significant difference in the score of the understanding patients dimension before and after the training(Z=-1.60,P＞0.05).Post-training,the scores of professional quality,non-verbal communication,communication effect,overall impression,and answering questions in the SP's evaluation on trainees'communication ability,and the total score were significantly higher than pre-training(Z=-2.71,-3.27,-2.71,-3.15,t=-3.73,-5.16,P＜0.05).The satisfaction of trainees with the dimensions of learning interest,patriotism,scientific research integrity,and humanistic literacy in the ideological and political education evaluation was above 90.00%,and satisfaction with innovative spirit was 79.07%.Trainees'recognition of teaching design,learning effect,and comparison with traditional teaching of the course was above 90.00%,while recognition of course con-tent and overall feeling were 88.37%.Conclusion The"doctor-patient communication"course based on ADDIE model and integrated into ideological and political teaching is helpful to improve the doctor-patient communication ability of general practitioners,and achieve the teaching goal of professional teaching and ideological and political education higher than combination.
基金项目
湖州师范学院教育教学改革研究项目(JG-SZ202344)
湖州师范学院教育教学改革研究项目(JG202305)
2022年浙江省省级课程思政教学项目-36号、浙江省教育科学规划课题(2022SCG258)
万方数据