循证医学在康复治疗技术专业临床实习中的应用  

Application of Evidence-based Medicine in Rehabilitation Therapy in Clinical Teaching

作　　者：张艳明[1] 胡洁[1] 霍速[1] 宋为群[1] 

机构地区：[1]首都医科大学宣武医院康复医学科,北京市100053

出　　处：《中国康复理论与实践》2014年第7期697-700,共4页Chinese Journal of Rehabilitation Theory and Practice

基　　金：国家自然科学基金项目(No.81171024;No.81371194);北京市卫生系统高层次卫生技术人才培养计划项目(No.2009-3-62);北京市新世纪百千万人才工程资助项目

摘　　要：目的 探讨循证医学在康复治疗技术专业临床实习中的应用效果。方法 选择2011年7月～2012年4月实习生（对照组，n=23）采用传统带教方法 ，2012年7月～2013年4月实习生（试验组，n=22）在传统带教方法 基础上结合循证医学思维模式，采用理论及操作考试成绩、调查问卷进行评价。结果 试验组的操作技术考试成绩及总成绩高于对照组（P〈0.05）。试验组的提高自学能力、发挥主观能动性、培养临床思维、提高信息获得能力、提高选择文献资料的能力、提高分析归纳能力、提高自身整体水平、对此教学方法 的满意度8个方面优于对照组（P〈0.05）。结论 康复治疗技术专业学生在临床实习中应用循证医学思维模式，有利于提高学生的实践操作技能，更好地培养学生的临床思维，提高学生自身整体水平。Objective To explore the application of evidence-based medicine in rehabilitation therapy in clinical teaching. Methods 45 interns were divided into 2 groups. The interns during July, 2011 to April, 2012 as the control group （n=23） received the traditional teaching method and the interns during July, 2012 to April, 2013 as the test group （n=22） accepted the evidence-based medicine teaching method in addition. They were assessed with the test scores of theory and operation, and questionnaires. Results The operation scores and the total scores were higher in the test group than in the control group （P〈0.05）. The satisfaction was better in the test group than in the control group in the items of improving the ability of self-study, taking the initiative, developing clinical thinking, improving the ability of obtaining information, improving the ability of selecting literature, improving the ability of analyzing and summarizing, improving their overall level and degree of satisfaction with this teaching method （P〈0.05）. Conclusion The evidence-based medicine teaching method can facilitate to improve the practical skills, cultivate the clinical thinking and improve the overall level for students in rehabilitation therapy in clinical practice.

关 键 词：循证医学 康复治疗技术 临床思维 临床实习 

分 类 号：R49-4[医药卫生—康复医学]