目的 探讨基于学习者为中心(learner-centered)的培训课程在麻醉科临床模拟操作教学中的应用效果。方法 将2016至2017年某大学麻醉学专业20名大三学员纳入研究,共设置气管插管、中心静脉穿刺、动脉置管3项模拟操作培训。学员培训前后的自信心、操作知识及操作技能分别通过Likert量表、多选题测试和教员评分等指标评估教学效果。运用SPSS 16.0行统计学分析,采用Wilcoxon秩和检验比较培训前后自信心评分,采用配对样本t检验比较培训前后知识测试和操作评分。结果 学员对3项操作的自信心、知识掌握和操作评分在培训后均得到显著提高(P<0.05),中心静脉穿刺操作评分提升幅度最高[(7.55±2.40) vs. (15.55±1.84),P<0.01];教学满意度调查显示,95%的学员认为该培训课程有利于操作技能的学习,对此次培训的课程体验感到满意。结论 基于学习者为中心的临床模拟操作培训能帮助学员熟练地掌握操作技能要点,并促进操作技能教学的个体化和规范化实施,从而提高教学效果
Abstract
Objective To explore the application effect of learner-centered
simulation-based training in the clinical operation teaching of anesthesiology. Methods A total of 20 junior students in anesthesiology from a university from 2016 to 2017 were included. In this study
the training of three simulation operations
namely endotracheal intubation
central venous puncture
and arterial catheterization was set up. The self-confidence
operational knowledge
and operational skills before and after the training were assessed through Likert-type questionnaires
multiple-choice tests
and procedural checklists
respectively. Data analyses were performed with the SPSS 16.0. The Wilcoxon signed rank test was applied to compare the self-confidence scores before and after training and the paired t-test was adopted to compare the knowledge and operation scores before and after training. Results The students' self-confidence
knowledge and operation scores of the three operations were significantly improved after training (P<0.05)
with the highest increase in the central venous puncture operation score [(7.55±2.40) vs. (15.55±1.84)
P<0.01]. The teaching satisfaction survey showed that 95% of the students felt that the training course was conducive to the operation skills learning and were satisfied with the course of this training. Conclusion The learner-centered
simulation-based training can help the clinical students master the operating skill points quickly and skillfully
and promote the individualized and standardized implementation of the clinical operation skills
thereby improving the clinical teaching effect.
关键词
学习者为中心 模拟教学 麻醉学
Keywords
Learner-centered Simulation-based training Anesthesiology