【摘要】目的 探索临床PBL教学中融入人文关怀理念的可操作性及其实用价值。 方法 选取112名在肛肠外科实习的本科医学生,随机分为PBL融入人文关怀理念的实验组(n=60)和单纯PBL对照组(n=52),实习结束后进行理论考试、操作考试和病人满意度调查以评判两组效果;所得数据采用GraphPad Prism 6 统计软件进行统计分析,两组间计量资料采用t 检验比较。 结果 实验组在病史采集、技能操作方面明显好于对照组,P 值分别为0.0023和0.0374;但两组在理论考试和病历书写方面无明显统计学差异。实验组在服务态度、可信任度、沟通能力三方面的病人满意程度明显高于对照组,P 值分别为0.0016、0.0069和0.0004;而在技术操作、医疗程序方面两组无明显统计学差异。结论 肛肠外科PBL教学中融入人文关怀理念的模式可以提高学生的临床操作能力,并有利于提高病人的满意度
[Abstract] Objective To explore the feasibility and practical value of integration humanistic care concept into clinical PBL teaching. Methods 112 medical students practiced in the Department of colorectal surgery
were randomly divided into the experimental group(n=60) who received the PBL integrated with the humanistic care
and the control group(n=52) who just received the PBL teaching. After the end of the internship
the theoretical examination
operation examination and patient satisfaction survey were taken to judge the effect of the two groups. The obtained data were statistically analyzed by GraphPad Prism 6 software
and t-test was used for the two groups. Results The score of the medical history and operation skills in the experimental group was significantly better than the control group,and P values were 0.0023 and 0.0374. However
there was no difference in the theoretical examination and medical record writing between the two groups. The patients’ satisfaction degree of the service attitude
trust and communication skills in the experimental group was significantly higher than the control group,and P values were 0.0016
0.0069 and 0.0004 respectively. But there was no significant difference in the operating skill and the arrangement of medical procedures. Conclusion The mode of integration the humanistic care into PBL teaching about the colorectal diseases can improve the clinical operating ability of the students
and improve the patients’ satisfaction.
基于问题的学习(PBL)人文关怀肛肠外科教学法
Problem-basedlearning Humanisticcare Colorectalsurgery Teaching
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