Application of card games in electrocardiogram recognition training for medical students

Yan Qianwen; Zhang Man; Deng Yue; Du Xiaoci; Huang Yan; Gui Li

doi:10.3760/cma.j.cn116021-20230611-01772

您当前的位置：

首页 >

文章列表页 >

Application of card games in electrocardiogram recognition training for medical students

Teaching Reform | 更新时间：2025-02-18

- Application of card games in electrocardiogram recognition training for medical students
- Chinese Journal of Medical Education Research Vol. 24, Issue 1, Pages: 104-109(2025)
- 作者机构：
  
  海军军医大学护理系，上海　200433
- 作者简介：
  
  Huang Yan, Email: yan8811@hotmail.com
- 基金信息：
  
  Military Nursing Innovation and Cultivation Special Plan(2021HL024)
- DOI：10.3760/cma.j.cn116021-20230611-01772
  CLC： R540.4⁺1
- Published：20 January 2025，
  
  Received：11 June 2023，
- 稿件说明：
移动端阅览
严乾文, 张幔, 邓月, 等. 卡牌游戏在医学生心电图识别培训中的应用[J]. 中华医学教育探索杂志, 2025, 24(1): 104-109.

Yan Qianwen, Zhang Man, Deng Yue, et al. Application of card games in electrocardiogram recognition training for medical students[J]. Chinese journal of medical education research, 2025, 24(1): 104-109.
严乾文, 张幔, 邓月, 等. 卡牌游戏在医学生心电图识别培训中的应用[J]. 中华医学教育探索杂志, 2025, 24(1): 104-109. DOI： 10.3760/cma.j.cn116021-20230611-01772.

Yan Qianwen, Zhang Man, Deng Yue, et al. Application of card games in electrocardiogram recognition training for medical students[J]. Chinese journal of medical education research, 2025, 24(1): 104-109. DOI： 10.3760/cma.j.cn116021-20230611-01772.

摘要

目的

通过图像记忆配合教学游戏的方式，将心电图图像与卡牌游戏相结合，使复杂的心电图知识简化，抽象知识具象化，在游戏中激发学生学习动机，从而提高学生认知能力，辅助学生掌握心电图相关知识。

方法

通过文献检索和头脑风暴，设计心电图学习卡牌及使用流程，使用方便抽样选取某医学院校学生55名，在使用卡牌前后进行知识问卷测试，检测卡牌对心电图学习的辅助效果，利用描述性质性研究进行卡牌满意度调查。

结果

干预前，各专业之间学生得分无明显差别；1个月内和半年内学习过心电图的学生的识图正确率差异较小，分别为57.50%和54.51%；未接触过心电图的学生，在培训后识图的正确率仅为18.06%。干预后，收集有效问卷42份，学生总体识图正确率提升17.86%，其中室颤的心电图识图正确率提升较为明显，从30.91%提升至64.29%；室上性心动过速的心电图识图正确率提升较少，仅提升5.50%。干预后学生心电图识图正确率优于干预前，两组差异具有统计学意义（

https://html.publish.founderss.cn/rc-pub/api/common/picture?pictureId=73611385&type=

2.28600001

https://html.publish.founderss.cn/rc-pub/api/common/picture?pictureId=73611387&type=

1.52400005

0.01）。质性访谈的结果显示，心电图游戏卡牌具有较好的趣味性，实用性和可推广性，但卡牌设计在重点图形的区别度，牌面信息的丰富性，规则设计的多元化等方面，有待进一步的改进。

结论

心电图识图对初学者来说是相对较难掌握的一门课程，心电图学习卡牌的使用简化了心电图识图过程，激发学生学习的主动性，从而提高整体的心电图识图正确率。

Abstract

Objective

By combining image memory with educational games

electrocardiogram (ECG) images were integrated with card games to simplify complex ECG knowledge and visualize abstract concepts. This approach stimulated students' motivation to learn within the game

thereby enhancing their cognitive abilities and aiding them in mastering ECG-related knowledge.

Methods

Through literature search and brainstorming

ECG learning flash cards and game process were designed. Using the convenience sampling method

55 medical students from a university were selected to conduct the self-designed questionnaire before and after using ECG flash cards to evaluate the efficacy of flash cards in enhancing ECG learning outcomes. A descriptive qualitative study was conducted on the satisfaction with the flash cards.

Results

Before the intervention

there was no significant difference in the score of students from different majors. For students who had studied ECG within 1 month and 6 months

the difference in correct recognition rate between them was relatively small

which were 57.50% and 54.51%

respectively. For students who had not studied ECG

the correct recognition rate after training was only 18.06%. After the intervention

42 valid questionnaires were collected. The overall correct rate of ECG recognition increased by 17.86%. The correct recognition rate of ventricular fibrillation increased significantly from 30.91% to 64.29%; the correct recognition rate of supraventricular tachycardia was improved only by 5.50%. The correct ECG recognition rate was significantly higher after the intervention than before the intervention (

0.01). The results of qualitative interviews indicated that the ECG game cards were interesting

practical

and generalizable. However

there was room for improvement in the distinctiveness of key graphics

the richness of information on cards

and the diversity of rule design.

Conclusions

ECG recognition is hard to master for beginners. The use of ECG flash cards simplifies the process of ECG recognition and stimulates students' initiative in learning

thus improving the overall correct ECG recognition rate.

关键词

Keywords

references

Mishra S , Khatwani G , Patil R , et al . ECG paper record digitization and diagnosis using deep learning [J ] . J Med Biol Eng , 2021 , 41 ( 4 ): 422 - 432 . DOI: 10.1007/s40846-021-00632-0 http://dx.doi.org/10.1007/s40846-021-00632-0 .

曾迪，陈焱，李军，等 . 大数据下心电图教学模式的创新范例 [J ] . 基础医学与临床， 2021 ， 41 （ 9 ）： 1376 - 1378 . DOI: 10.3969/j.issn.1001-6325.2021.09.026 http://dx.doi.org/10.3969/j.issn.1001-6325.2021.09.026 .

李福平，高凌云 . 多种教学方法在心电图教学中的应用 [J ] . 重庆医学， 2020 ， 49 （ 13 ）： 2229 - 2231 . DOI: 10.3969/j.issn.1671-8348.2020.13.038 http://dx.doi.org/10.3969/j.issn.1671-8348.2020.13.038 .

岳荣铮，曾锐，谭淳予，等 . 心电图图形顺序教学方法的研究与实践 [J ] . 华西医学， 2016 ， 31 （ 5 ）： 968 - 971 . DOI: 10.7507/1002-0179.201600262 http://dx.doi.org/10.7507/1002-0179.201600262 .

贾锋鹏，罗素新，高凌云，等 . WPBL教学在心电图课程中的应用和评价 [J ] . 中华医学教育探索杂志， 2019 ， 18 （ 4 ）： 399 - 402 . DOI: 10.3760/cma.j.issn.2095-1485.2019.04.016 http://dx.doi.org/10.3760/cma.j.issn.2095-1485.2019.04.016 .

Antiperovitch P , Zareba W , Steinberg JS , et al . Proposed In-training electrocardiogram interpretation competencies for undergraduate and postgraduate trainees [J ] . J Hosp Med , 2018 , 13 ( 3 ): 185 - 193 . DOI: 10.12788/jhm.2876 http://dx.doi.org/10.12788/jhm.2876 .

Shenasa M . Learning and teaching electrocardiography in the 21st century: a neglected art [J ] . J Electrocardiol , 2018 : S0022-S0736(18)30015 - 3 . DOI: 10.1016/j.jelectrocard.2018.02.007 http://dx.doi.org/10.1016/j.jelectrocard.2018.02.007 .

Pujol J , Blanco-Hinojo L , Martínez-Vilavella G , et al . Brain activity during traditional textbook and audiovisual-3D learning [J ] . Brain Behav , 2019 , 9 ( 10 ): e01427 . DOI: 10.1002/brb3.1427 http://dx.doi.org/10.1002/brb3.1427 .

理查德·格里格（Richard J . Gerrig），菲利普·津巴多（Philip G . Zimbardo） . 心理学与生活[M ] . 影印本. 北京：人民邮电出版社， 2016 .

戴坚，王成梁，李颖欣，等 . 教育游戏动力机制研究综述与设计要点思考 [J ] . 科教导刊， 2021 （ 20 ）： 45 - 47 . DOI: 10.16400/j.cnki.kjdk.2021.20.015 http://dx.doi.org/10.16400/j.cnki.kjdk.2021.20.015 .

Iodice R , Meilán JJG , Ramos JC , et al . Sentence context and word-picture cued-recall paired-associate learning procedure boosts recall in normal and mild Alzheimer’s disease patients [J ] . Behav Neurol , 2018 , 2018 : 7401465 . DOI: 10.1155/2018/7401465 http://dx.doi.org/10.1155/2018/7401465 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Application value of simulation simulators in transesophageal echocardiography teaching

Application of goal-oriented teaching method based on mind mapping in the teaching of stomatology practical courses

Application of 3D printed model combined with case-based learning in prenatal ultrasound teaching of complex heart malformations in standardized residency training

Influence of "participatory mixed" modified teaching model on the comprehensive ability of new nurses in emergency department

A virtual simulation system-based teaching method for the experimental course of oral local nerve block anesthesia

Related Author

Kang Wenying

Guan Na

Fang Zhongrong

Duan Fujian

Yuan Su

Qiu Yanfen

Wang Mengxi

Liu Zhijie

Related Institution

Department of Ultrasound, People's Hospital of Xinjiang Uygur Autonomous Region

Department of Anesthesiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences

School of Stomatology, The First Affiliated Hospital of Harbin Medical University

Department of Stomatology, The Fourth Affiliated Hospital of Harbin Medical University

Ultrasonography Center of Obstetrics and Gynecology, Renmin Hospital of Wuhan University

⁰