角色扮演教学法在“肾综合征出血热”临床见习教学中的应用  

Application of Role-playing Approach in Hemorrhagic Fever with Renal Syndrome

作　　者：张曦[1] 刘小静[1] 陈云茹[1] 杨雪亮[1] 孔颖[1] 张凯[1] 叶峰[1] 蔺淑梅[1] 

机构地区：[1]西安交通大学医学院第一附属医院感染科,陕西西安710061

出　　处：《教育教学论坛》2017年第29期191-193,共3页Education And Teaching Forum

基　　金：西安交通大学2014年本科教学改革研究青年项目

摘　　要：目的:将角色扮演教学法运用于肾综合征出血热的临床见习教学中,使临床医学专业学生在有限的课堂时间内尽快理解并掌握肾综合征出血热的流行病学特征、临床表现和治疗原则,以提高其临床技能及沟通交流能力。方法:教师选择肾综合征出血热发热期、低血压休克期、少尿期三期重叠典型病例,明确学习目标,学生随机分为实验组和对照组,实验组采用角色扮演法,对照组则采用传统的教学方法。教师编写剧本,课前实验组学生按设计好的剧本进行准备,课堂上表演疑似肾综合征出血热患者的就诊过程,表演结束后进行讨论总结和问卷调查,并对两组学生进行理论考试,对教学效果进行评价。结果:参与角色扮演教学的实验组学生在肾综合征出血热相关理论考试成绩和病案分析能力均优于对照组学生(P<0.05),89.5%的实验组学生对角色扮演教学法满意,并主动乐于参与。结论:角色扮演法可使学生较好的掌握肾综合征出血热的相关知识点,提高了学习热情及主动性,这一教学方法可在其他传染病教学中推广。Aims：To apply role-playing approach in the clinical practice lesson of hemorrhagic fever with renal syndrome,make the students understand and master the epidemiological features,clinical manifestations and treatment principle of hemorrhagic fever of renal syndrome in the limited class time as soon as possible. Methods：First,teacher write a script according to a serious case of hemorrhagic fever with renal syndrome （febrile phase,hypotensive phase and oliguric phase overlapping） and set learning goals. Second,students begin rehearsals according to the script since one week before the lesson. Third,when the lesson begins,students were divided into experimental group and control group randomly. The students of experimental group play the role of doctor, nurse,patient and his relative on the basis of the script. The control group still use traditional teaching methods. Last,discussion,questionnaire investigation,theory exam and effectiveness evaluation was made after the performance. Results：The theory exam mark and clinical case analysis ability of experimental group is better than that of control group （P 〈 0.05）. 89.5% of the students from experimental group satisfied with the role-playing approach,and willing to participate in actively. Conclusions：Role-playing approach can make students to master relevant knowledge of hemorrhagic fever with renal syndrome better,and improve the learning enthusiasm and initiative much more. Role-playing approach can be used in the clinical practice lesson of other infectious diseases.

关 键 词：角色扮演教学法 肾综合征出血热 临床医学专业 

分 类 号：G642.4[文化科学—高等教育学]