首页|中医经典掌握程度对临床诊疗自信的影响——防御性临床带教行为调节效应研究

中医经典掌握程度对临床诊疗自信的影响——防御性临床带教行为调节效应研究

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  • 国家科技期刊平台
  • NETL
  • NSTL
  • 万方数据
临床教师中医经典掌握程度、临床诊疗自信是影响教学质量的重要因素.为探讨临床教师中医经典掌握程度对临床诊疗自信的影响,了解防御性临床带教行为在二者关系中的调节效应.采用横断面问卷调查法收集数据,建立模型,采用多元线性回归方法检验变量之间的关系.研究结果表明,中医经典掌握程度与临床诊疗自信呈正相关,与防御性临床带教行为呈负相关;临床诊疗自信与防御性临床带教行为呈负相关;防御性临床带教行为在中医经典掌握程度与临床诊疗自信之间存在负向调节作用,且该行为的调节程度随发生频次存在差异.讨论分析了临床教师知觉临床带教行为的现状,以及防御性带教行为的发生原因,并提出在中医药教育改革工作中,应倡导积极开放的临床带教模式,同时做好学生经受临床实践锤炼的思想准备.
The influence of clinical teachers' mastery of TCM classics on clinical diagnosis and treatment confidence:Study of the regulatory effects of defensive clinical teaching behavior
The mastery of clinical teachers in Traditional Chinese Medicine(TCM)and their confidence in clinical diagnosis are critical factors affecting teaching quality.This study aims to explore the impact of clinical teachers' mastery of TCM on their confidence in clinical diagnosis and to understand the regulatory effect of defensive clinical teaching behavior(DCTB)in this relationship.Data were collected using a cross-sectional questionnaire survey method,and a model was established using multiple linear regression methods to test the relationships between variables.The results indicated that mastery of TCM is positively associated with clinical diagnosis confidence and negatively associated with DCTB.Clinical diagnosis confidence is negatively associated with DCTB.DCTB negatively regulates the relationship between mastery of TCM and clinical diagnosis confidence,with the degree of regulation varying based on the frequency of occurrence.The study discusses and analyzes the current situation of clinical teachers' perception of clinical teaching behavior and the reasons for the occurrence of DCTB.It proposes that TCM education reform should advocate for positive and open clinical teaching models while preparing students for the challenges of clinical practice.

classic of traditional Chinese medicineteaching qualityclinical diagnosis and treatment confidencedefensive clinical teaching behavior

张志国、王意喆、刘一诺、高颖、袁小涵、李沅昊、韩远豪、杨晓琨

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天津中医药大学第一附属医院 天津 300381

国家中医针灸临床医学研究中心 天津 300381

天津市津南区双港镇卫生院 天津 300350

中医经典 教学质量 临床诊疗自信 防御性临床带教行为

天津市教育科学规划课题天津中医药大学教育教学改革研究课题2023年天津市高等学校研究生教育改革研究计划项目

CIE2101672023YJY035TJYG153

2024

10.3969/j.issn.1003-305X.2024.05.093

中医教育
北京中医药大学

中医教育

影响因子：0.544
ISSN：1003-305X
年,卷(期)：2024.43(5)
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