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海军军医大学护理系,上海 200433
黄燕,Email:yan8811@hotmail.com
纸质出版日期:2025-01-20,
收稿日期:2023-06-11,
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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.
目的
2
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
2
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
2
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(
P
<math id="M1"><mo><</mo></math>
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
2
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。
Objective
2
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
2
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
2
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 (
P
<
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
2
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.
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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 .
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