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[摘要] 目的 探讨基于学习者为中心(Learner-centered
LC)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名大三学员纳入本研究。本研究共设置气管插管、中心静脉穿刺、动脉置管等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了显著的提高(P<0.05),中心静脉穿刺操作评分提升幅度最高(培训前7.55±2.40 Vs培训后15.55±1.84
P <0.001);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,对本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 (LC) simulation-based training in the clinical operation teaching of anesthesiology. Methods 20 junior students majored in anesthesiology from a university from 2016 to 2017 were included in this study. In this study
three simulation stations
endotracheal intubation
central venous puncture
and arterial catheterization
were set up. Two anesthesiologists performed training for one trainee at each site. The self-confidence
operational knowledge
and operational skills before and after the training were observed through questionnaires
multiple-choice tests
and procedural checklists
respectively. Results The students' self-confidence
knowledge and operation scores of the three operations were significantly improved after training (P<0.05)
and the central venous puncture operation score was the highest (7.55 ? 2.40 Vs 15.55 ? 1.84
P <0.001); The teaching satisfaction survey showed that 95% of the students felt that the training course was conducive to the operation skills learning and was satisfied with the course experience 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 teaching
thereby improving the clinical teaching effect.
学习者为中心模拟教学麻醉学
Learner-centeredSimulation-based trainingAnesthesiology
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