DOPS在针灸操作技能教学中的应用与评价  

Application of direct observation of procedural skills （DOPS） in teaching acupuncture manipulation skills

作　　者：蒯乐[1] 章婷婷[1] 许建敏[1] 王凡[1] 王彩虹[1] 

机构地区：[1]上海中医药大学针灸推拿学院,201203

出　　处：《中华医学教育探索杂志》2013年第11期1081-1084,共4页Chinese Journal of Medical Education Research

基　　金：上海市教委预算内科研项目（2011JW95）;2011年上海高校本科重点教学改革项目（沪教委高[2011152号）;国家中医药管理局重点学科建设项目（国中医药发[2009]30号）

摘　　要：目的探讨操作技能直接观察评估（direct observation of procedural skills，DOPS）在针灸操作技能教学中的应用效果。方法将针灸推拿学专业本科二年级学生按照班级分为两组，实验组36人，对照组31人。实验组在期中和期末共进行2次毫针刺法DOPS，对照组仅在期末进行1次DOPS。比较两组的期末DOPS成绩、教师和学生对评估结果的满意度，采用成组设计资料的￡检验，以P〈0．05为差异有统计学意义。同时，对实验组学生行问卷调查，评价DOPS教学效果。结果实验组期末毫针刺法DOPS总分（4．26±0．24）、进针法成绩（4．18±0．42）和补泻法成绩（4．03±0．28），高于对照组（4．14±0．25）、（4．00±0．29）和（3．87±0．37）（P〈0．05）；教师和实验组学生对毫针刺法DOPS评估结果的满意度分别为（8．38±0．51）和（8．47±1．03），高于教师和对照组学生（8．05±0．78）和（7．94±1.15）（P〈0．05）。问卷调查显示，实验组80．0％以上的学生对“DOPS促进学生加强技能实训和增强动手能力等”方面评价为优。结论DOPS可作为有效的针灸操作技能教学和考核方法，能够提高学生的针灸操作技能水平。Objective To explore the effect of direct observation of procedural skills （DOPS） in teaching acupuncture manipulation skills. Methods Sophomores of acupuncture and Tuina spe- ciality were divided into two groups based on their classes, 36 students in experimental group and 31 in control group. In experimental group, DOPS on filiform needling was done twice in the middle and at the end of the semester respectively. In control group, DOPS was done once at the end of semester. The final exam＇s DOPS score and satisfaction degree of teachers and students concerning the results of the assessment in two groups were compared by independent samples t-test. P〈0.05 indicates signifi- cant differences. The teaching effect of DOPS was also evaluated by questionnaire survey of students in experimental group. Results The total score of DOPS （4.26 ±0.24）, scores of needle insertion （4.18± 0.42）, and scores of reinforcing and reducing method （4.03 ± 0.28） in experimental group were higher than those in control group （（4.14 ± 0.25）, （4.00 ± 0.29） and （3.87 ± 0.37）, P〈0.05）. The teachers＇ satisfaction （8.38±0.51） and students＇ satisfaction （8.47±1.03） concerning the results of the assessment in experimental group were higher than those in control group （（8.05 ± 0.78） and （7.94 ± 1.15）, P〈0.05）. More than 80% of students in experimental group supported the saying of ＇DOPS promoting students＇ skills training and enhancing the ability of handwork＇ Conclusions DOPS can be used as an effective teaching and examination method and can improve students＇ skills of acupuncture manipulation.

关 键 词：操作技能直接观察评估 针灸操作技能 考核方法 

分 类 号：R245[医药卫生—针灸推拿学]