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循证医学结合PBL教学法在肺癌临床教学中的应用

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目的 研究循证医学结合以问题为基础的教学法(problem-based learning,PBL)在肺癌临床教学中的应用效果.方法 选择重庆大学附属人民医院2022年1月—2023年1月的医学实习生60名,按照随机数字表法分组,对照组(n=30)实施常规带教,观察组(n=30)实施循证医学结合PBL教学法,比较 2 组实习生的考核成绩、整体教学效果、教学满意度、带教前后的护理质量评分及带教前后的团队凝聚力评分.结果 观察组实习生理论成绩[(93.78±3.10)分]、病历书写成绩[(92.84±5.21)分]、病史采集数据[(92.33±4.69)分]、体格检查评分[(95.36±3.23)分]、诊疗方案的制定评分[(93.94±4.27)分]高于对照组[(84.56±4.11)分、(80.73±4.25)分、(83.45±3.83)分、(86.88±5.02)分、(84.71±4.50)分],差异有统计学意义(P<0.001);观察组实习生的整体教学效果高于对照组,差异有统计学意义(P<0.001);观察组实习生的教学满意度高于对照组,差异有统计学意义(P<0.05);带教前,2组实习生护理质量评分比较差异无统计学意义(P>0.05),带教后,观察组实习生的护理质量评分高于对照组,差异有统计学意义(P<0.001);带教前,2 组实习生团队凝聚力评分比较差异无统计学意义(P>0.05),带教后,观察组实习生的团队凝聚力评分高于对照组,差异有统计学意义(P<0.001).结论 肺癌临床教学中,应用循证医学结合PBL教学法进行教学,可提升教学质量,帮助实习生形成团队凝聚力.
Application of Evidence-Based Medicine Combined With PBL Teaching Method in Clinical Teaching of Lung Cancer
Objective To study the application effect of evidence-based medicine combined with problem-based learning(PBL)in clinical teaching of lung cancer.Methods A total of 60 medical interns from the Affiliated People's Hospital of Chongqing University from January 2022 to January 2023 were selected and grouped according to random number table method.The control group(n=30)was taught with routine teaching,while the observation group(n=30)was taught with evidence-based medicine combined with PBL teaching method.The evaluation results,overall teaching effect,teaching satisfaction,nursing quality score and team cohesion score before and after teaching were compared between the two groups of interns.Results In the observation group,the theoretical scores[(93.78±3.10)points],medical record writing scores[(92.84±5.21)points],history collection data scores[(92.33±4.69)points],physical examination scores[(95.36±3.23)points],diagnosis and treatment plan making scores[(93.94±4.27)points]were higher than those in the control group[(84.56±4.11)points,(80.73±4.25)points,(83.45±3.83)points,(86.88±5.02)points,(84.71±4.50)points],and the differences were statistically significant(P<0.001).The overall teaching effect of interns in the observation group was higher than that in the control group,the difference was statistically significant(P<0.001).The teaching satisfaction of interns in observation group was higher than that in control group,the difference was statistically significant(P<0.05).Before teaching,there was no significant difference in nursing quality score between the two groups(P>0.05).After teaching,the nursing quality score of the interns in the observation group was higher than that in the control group,the difference was statistically significant(P<0.001).Before teaching,there was no statistically significant difference in team cohesion score between the two groups(P>0.05).After teaching,the team cohesion score of the interns in the observation group was higher than that in the control group,with statistically significant difference(P<0.001).Conclusion In clinical teaching of lung cancer,the application of evidence-based medicine combined with PBL teaching method can improve the quality of teaching and help interns form team cohesion.

evidence based medicineproblem-based learninglung cancerclinical teachingteam cohesionapplication value

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重庆大学附属人民医院呼吸内科,重庆 401147

循证医学 以问题为基础的教学法 肺癌 临床教学 团队凝聚力 应用价值

2024

中国继续医学教育

中国继续医学教育

影响因子:2.564
ISSN:1674-9308
年,卷(期):2024.16(24)