1.北京协和医院老年医学科,北京 100730
2.中国医学科学院北京协和医学院护理学院,北京 100144
Zou Haiou, Email: haiou5275@163.com
Received:27 November 2023,
Published:20 February 2025
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赵霞, 赖小星, 王东旭, 等. 基于网络的PBL在老年医学课程教学中的系统评价[J]. 中华医学教育探索杂志, 2025, 24(2): 178-186.
Zhao Xia, Lai Xiaoxing, Wang Dongxu, et al. Application effect of web-based problem-based learning in the teaching of geriatric medicine courses: a Meta-analysis[J]. Chinese journal of medical education research, 2025, 24(2): 178-186.
赵霞, 赖小星, 王东旭, 等. 基于网络的PBL在老年医学课程教学中的系统评价[J]. 中华医学教育探索杂志, 2025, 24(2): 178-186. DOI: 10.3760/cma.j.cn116021-20231127-01673.
Zhao Xia, Lai Xiaoxing, Wang Dongxu, et al. Application effect of web-based problem-based learning in the teaching of geriatric medicine courses: a Meta-analysis[J]. Chinese journal of medical education research, 2025, 24(2): 178-186. DOI: 10.3760/cma.j.cn116021-20231127-01673.
目的
2
比较基于网络的PBL与传统教学在老年医学课程教学中的应用效果。
方法
2
计算机检索PubMed、Embase、The Cochrane Library、Web of Science、中国知网(CNKI)、中国生物医学文献数据库(CBMdisc)、万方数据库,从建库开始至2023年10月1日国内外发表的关于基于网络的以问题为基础的学习(problem-based learning,PBL)在老年医学课程教学中应用的临床研究,经筛选文献、提取资料与评价文献质量后,采用RevMan5.4.1软件进行系统评价分析。
结果
2
本次研究共纳入14篇符合条件的文献,研究对象为1 436名医学生,教学内容为老年医学课程。Meta分析结果显示,基于网络的PBL在老年医学课程教学中的效果优于传统PBL或讲授式学习(lecture-based learning,LBL),可以提高医学生理论考试成绩(MD=3.53,95%CI=1.77~5.29,
P
<
0.001)、操作技能成绩(MD=5.92,95%CI=2.67~9.18,
P
<
0.001)、评判性思维能力(MD=9.30,95%CI=5.43~13.18,
P
<
0.001)及教学满意度(MD=1.75,95%CI=1.49~2.01,
P
<
0.001)。
结论
2
在老年医学课程中使用基于网络的PBL,可以提高医学生的理论考试成绩、操作技能成绩、评判性思维能力和教学满意度。
Objective
2
To investigate the application effect of web-based problem-based learning (WPBL) versus traditional teaching in the teaching of geriatric medicine courses.
Methods
2
PubMed
Embase
the Cochrane Library
Web of Science
CNKI
CBMdisc
and Wanfang Data were searched for clinical studies on the application of WPBL in the teaching of geriatric medicine courses in China and globally published up to October 1
2023. After literature screening
data extraction
and quality assessment
RevMan5.4.1 was used to perform a systematic review.
Results
2
A total of 14 eligible articles were included in this study
with 1 436 medical students as the subjects and geriatric medicine as the content of teaching. The Meta-analysis showed that WPBL teaching had a better effect than traditional problem-based learning or lecture-based learning in the teaching of geriatric medicine courses and could improve the theoretical examination score [mean difference (MD)=3.53
95% confidence interval (CI)=1.77-5.29
P
<
0.001
]
operational skills (MD=5.92
95%CI=2.67-9.18
P
<
0.001)
critical thinking ability (MD=9.30
95%CI=5.43-13.18
P
<
0.001)
and teaching satisfaction (MD=1.75
95%CI=1.49-2.01
P
<
0.001) among medical students.
Conclusions
2
WPBL in the teaching of geriatric medicine courses can improve the theoretical examination score
operational skills
critical thinking skills
and teaching satisfaction among medical students.
李凌云 , 黄佳培 , 姜鹏超 , 等 . 数字化评估体系在住院医师规范化培训师资管理中的应用 [J ] . 中国继续医学教育 , 2022 , 14 ( 4 ): 87 - 91 . DOI: 10.3969/j.issn.1674-9308.2022.04.024 http://dx.doi.org/10.3969/j.issn.1674-9308.2022.04.024 .
Wang WT , Lin YL . Evaluating factors influencing knowledge-sharing behavior of students in online problem-based learning [J ] . Front Psychol , 2021 , 12 : 691755 . DOI: 10.3389/fpsyg.2021.691755 http://dx.doi.org/10.3389/fpsyg.2021.691755 .
Barrows HS . A taxonomy of problem-based learning methods [J ] . Med Educ , 1986 , 20 ( 6 ): 481 - 486 . DOI: 10.1111/j.1365-2923.1986.tb01386.x http://dx.doi.org/10.1111/j.1365-2923.1986.tb01386.x .
彭天文 , 龚知城 , 刘杰 , 等 . PBL教学法在八年制医学教育中的应用探讨 [J ] . 中国高等医学教育 , 2021 ( 7 ): 109 - 110 . DOI: 10.3969/j.issn.1002-1701.2021.07.057 http://dx.doi.org/10.3969/j.issn.1002-1701.2021.07.057 .
宋艳丽 , 刘伟 , 董博 . 网络环境下基于问题学习教学模式在护理教学中的研究进展 [J ] . 护理研究 , 2015 , 29 ( 4 ): 388 - 389, 390 . DOI: 10.3969/j.issn.10096493.2015.04.002 http://dx.doi.org/10.3969/j.issn.10096493.2015.04.002 .
杨翠萍 , 高欢玲 , 李红梅 , 等 . 新型冠状病毒肺炎疫情期间“互联网+PBL”教学模式在老年糖尿病护理中的应用 [J ] . 智慧健康 , 2020 , 6 ( 14 ): 28 - 30 . DOI: 10.19335/j.cnki.2096-1219.2020.14.013 http://dx.doi.org/10.19335/j.cnki.2096-1219.2020.14.013 .
Son HK . The effects of simulation problem-based learning on the empathy, attitudes toward caring for the elderly, and team efficacy of undergraduate health profession students [J ] . Int J Environ Res Public Health , 2021 , 18 ( 18 ): 9658 . DOI: 10.3390/ijerph18189658 http://dx.doi.org/10.3390/ijerph18189658 .
Chao CT , Tsai CL , Lin MW , et al . Fully digital problem-based learning for undergraduate medical students during the COVID-19 period: practical considerations [J ] . J Formos Med Assoc , 2022 , 121 ( 10 ): 2130 - 2134 . DOI: 10.1016/j.jfma.2021.11.011 http://dx.doi.org/10.1016/j.jfma.2021.11.011 .
Nagge JJ , Killeen R , Jennings B . Using a course pilot in the development of an online problem-based learning (PBL) therapeutics course in a post-professional PharmD program [J ] . Curr Pharm Teach Learn , 2018 , 10 ( 2 ): 231 - 234 . DOI: 10.1016/j.cptl.2017.10.005 http://dx.doi.org/10.1016/j.cptl.2017.10.005 .
杨涛 , 朱涛 , 陈焕文 . WPBL教学法对我国医学本科课程教学效果的系统评价 [J ] . 继续医学教育 , 2022 , 36 ( 11 ): 25 - 28 . DOI: 10.3969/j.issn.1004-6763.2022.11.007 http://dx.doi.org/10.3969/j.issn.1004-6763.2022.11.007 .
于涛 , 吴茸茸 . 网络环境下基于问题的学习教学模式引入继续医学教育的可行性: 系统综述与Meta分析 [J ] . 中国继续医学教育 , 2015 , 7 ( 5 ): 1 - 3 . DOI: 10.3969/j.issn.1674-9308.2015.05.001 http://dx.doi.org/10.3969/j.issn.1674-9308.2015.05.001 .
Tudor Car L , Kyaw BM , Dunleavy G , et al . Digital problem-based learning in health professions: systematic review and meta-analysis by the digital health education collaboration [J ] . J Med Internet Res , 2019 , 21 ( 2 ): e12945 . DOI: 10.2196/12945 http://dx.doi.org/10.2196/12945 .
Wells G , Wells G , Shea B , et al . The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses [J ] . Appl Eng Agric , 2014 , 18 ( 6 ): 727 - 734 .
赵文婷 , 刘雪琴 . 基于网络的PBL模式在老年护理学教学中的应用 [J ] . 护理学杂志 , 2011 , 26 ( 15 ): 64 - 66 . DOI: 10.3870/hlxzz.2011.15.064 http://dx.doi.org/10.3870/hlxzz.2011.15.064 .
郑丽君 , 张茵 , 王玫 . 网络环境下基于问题的学习教学法在老年护理业务学习中的应用 [J ] . 全科护理 , 2013 , 11 ( 28 ): 2673 - 2674 . DOI: 10.3969/j.issn.1674-4748.2013.28.057 http://dx.doi.org/10.3969/j.issn.1674-4748.2013.28.057 .
齐亚灵 , 陈立强 , 杨利敏 , 等 . WPBL教学法在神经内科教学实践中的应用 [J ] . 中国高等医学教育 , 2015 ( 11 ): 95 - 96 . DOI: 10.3969/j.issn.1002-1701.2015.11.049 http://dx.doi.org/10.3969/j.issn.1002-1701.2015.11.049 .
吴军 , 刘文婷 , 胡立群 . 基于新媒体的融合PBL教学模式在老年医学规培教学的应用 [J ] . 医学研究与教育 , 2020 , 37 ( 6 ): 75 - 80 . DOI: 10.3969/j.issn.1674-490X.2020.06.012 http://dx.doi.org/10.3969/j.issn.1674-490X.2020.06.012 .
李芩 , 吴婷婷 , 王琳 . 基于微信群的PBL教学法在老年临床护理教学中的应用 [J ] . 健康必读 , 2020 ( 1 ): 260 .
李艳伟 , 崔巍 , 黄孝斌 , 等 . 微信辅助PBL联合人文素质教育在老年医学教学中的应用研究 [J ] . 卫生职业教育 , 2020 , 38 ( 12 ): 81 - 83 .
张亚林 . 虚拟仿真模型人结合PBL教学法在老年护理学课程中的应用 [J ] . 黄河科技学院学报 , 2021 , 7 ( 8 ): 97 - 100 .
刘经英 , 沈君霞 , 张绍文 , 等 . “微课程”基础下的PBL教学法在提高中医老年科临床护理带教水平中的作用 [J ] . 中医药管理杂志 , 2022 , 30 ( 20 ): 84 - 86 .
Raupach T , Münscher C , Pukrop T , et al . Significant increase in factual knowledge with web-assisted problem-based learning as part of an undergraduate cardio-respiratory curriculum [J ] . Adv Health Sci Educ Theory Pract , 2010 , 15 ( 3 ): 349 - 356 . DOI: 10.1007/s10459-009-9201-3 http://dx.doi.org/10.1007/s10459-009-9201-3 .
Tomaz JBC , Mamede S , Filho JMC , et al . Effectiveness of an online problem-based learning curriculum for training family medical doctors in Brazil [J ] . Educ Health , 2015 , 28 ( 3 ): 187 - 193 . DOI: 10.4103/1357-6283.178605 http://dx.doi.org/10.4103/1357-6283.178605 .
周宏 , 侯娟妮 , 孟艳秋 , 等 . 微信辅助的以问题为基础的教学法在老年医学科实习带教中的应用及思考 [J ] . 西南军医 , 2019 , 21 ( 2 ): 191 - 193, 190 . DOI: 10.3969/j.issn.1672-7193.2019.02.029 http://dx.doi.org/10.3969/j.issn.1672-7193.2019.02.029 .
肖淑英 , 张芹 , 奥婷 , 等 . 微信辅助PBL教学法在帕金森病临床教学中的应用研究 [J ] . 继续医学教育 , 2019 , 33 ( 2 ): 36 - 38 . DOI: 10.3969/j.issn.1004-6763.2019.02.020 http://dx.doi.org/10.3969/j.issn.1004-6763.2019.02.020 .
程新春 , 龚瑞 , 韩婷 , 等 . 微信翻转课堂联合PBL教学法在老年医学临床教学中的应用研究 [J ] . 医学美学美容 , 2021 , 30 ( 14 ): 180 - 181 .
Raupach T , Muenscher C , Anders S , et al . Web-based collaborative training of clinical reasoning: a randomized trial [J ] . Med Teach , 2009 , 31 ( 9 ): e431 - e437 . DOI: 10.1080/01421590903095502 http://dx.doi.org/10.1080/01421590903095502 .
盛高鸿 , 董睿涵 , 周莹 , 等 . 线上PBL教学对医学教学效果影响的荟萃分析 [J ] . 浙江医学教育 , 2023 , 22 ( 3 ): 147 - 154 . DOI: 10.20019/j.cnki.1672-0024.2023.03.147.08 http://dx.doi.org/10.20019/j.cnki.1672-0024.2023.03.147.08 .
Wong FMF , Kan CWY . Online problem-based learning intervention on self-directed learning and problem-solving through group work: a waitlist controlled trial [J ] . Int J Environ Res Public Health , 2022 , 19 ( 2 ): 720 . DOI: 10.3390/ijerph19020720 http://dx.doi.org/10.3390/ijerph19020720 .
刘伟权 , 熊杰 , 肖琦 , 等 . PBL结合医学模拟教学法在培养ICU专科护士临床能力中应用 [J ] . 护理学报 , 2019 , 26 ( 4 ): 10 - 13 . DOI: 10.16460/j.issn1008-9969.2019.04.010 http://dx.doi.org/10.16460/j.issn1008-9969.2019.04.010 .
姜声明 , 熊云鹤 , 廖文彪 , 等 . 应用PBL教学法提升医学生创新创业意识与能力的教育模式研究 [J ] . 卫生职业教育 , 2023 , 41 ( 4 ): 72 - 75 . DOI: 10.20037/j.issn.1671-1246.2023.04.22 http://dx.doi.org/10.20037/j.issn.1671-1246.2023.04.22 .
代水平 , 余春燕 , 宋娟 . PBL教学法在老年医学教学中的应用效果评价 [J ] . 中国继续医学教育 , 2023 , 15 ( 4 ): 42 - 46 . DOI: 10.3969/j.issn.1674-9308.2023.04.010 http://dx.doi.org/10.3969/j.issn.1674-9308.2023.04.010 .
Ding Y , Zhang P . Practice and effectiveness of web-based problem-based learning approach in a large class-size system: a comparative study [J ] . Nurse Educ Pract , 2018 , 31 : 161 - 164 . DOI: 10.1016/j.nepr.2018.06.009 http://dx.doi.org/10.1016/j.nepr.2018.06.009 .
Dong L , Yang L , Li Z , et al . Application of PBL mode in a resident-focused perioperative transesophageal echocardiography training program: a perspective of MOOC environment [J ] . Adv Med Educ Pract , 2020 , 11 : 1023 - 1028 . DOI: 10.2147/AMEP.S282320 http://dx.doi.org/10.2147/AMEP.S282320 .
Bland AJ , Topping A , Wood B . A concept analysis of simulation as a learning strategy in the education of undergraduate nursing students [J ] . Nurse Educ Today , 2011 , 31 ( 7 ): 664 - 670 . DOI: 10.1016/j.nedt.2010.10.013 http://dx.doi.org/10.1016/j.nedt.2010.10.013 .
Park JH , Niu W , Cheng L , et al . Fostering creativity and critical thinking in college: a cross-cultural investigation [J ] . Front Psychol , 2021 , 12 : 760351 . DOI: 10.3389/fpsyg.2021.760351 http://dx.doi.org/10.3389/fpsyg.2021.760351 .
文静 . 大学生学习满意度: 高等教育质量评判的原点 [J ] . 教育研究 , 2015 , 36 ( 1 ): 75 - 80 .
Ng ML , Bridges S , Law SP , et al . Designing, implementing and evaluating an online problem-based learning (PBL) environment: a pilot study [J ] . Clin Linguist Phon , 2014 , 28 ( 1/2 ): 117 - 130 . DOI: 10.3109/02699206.2013.807879 http://dx.doi.org/10.3109/02699206.2013.807879 .
Alsaif F , Neel L , Almuaiqel S , et al . Experience of sudden shift from traditional to virtual problem-based learning during COVID-19 pandemic at a medical college in Saudi Arabia [J ] . Adv Med Educ Pract , 2023 , 14 : 453 - 461 . DOI: 10.2147/AMEP.S404461 http://dx.doi.org/10.2147/AMEP.S404461 .
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