情景模拟式教学程序联合以问题为基础的学习模式在心肺复苏教学中的应用效果  

Application effect of situation simulation teaching procedure combined with problem-based learning mode in teaching cardiopulmonary resuscitation training

作　　者：孙燕妮[1] 宋娟[1] 韩敏[1] 郭瑞敏[1] 王宇[1] Sun Yanni;Song Juan;Han Min;Guo Ruimin;Wang Yu

机构地区：[1]上海中医药大学附属普陀医院急诊内科,200062

出　　处：《中国中西医结合急救杂志》2019年第6期727-729,共3页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：上海中医药大学特色临床能力培训基地建设项目(ZSH19101)。

摘　　要：目的 观察情景模拟式教学程序联合以问题为基础的学习(PBL)模式在心肺复苏(CPR)教学中的应用效果.方法 选择上海中医药大学附属普陀医院2017年6月至2018年9月国家规范化培训住院医师60名,按随机数宇表法将医师分为10组(每组6人).5组接受传统理论授课(传统教学方法组),5组接受情景模拟联合PBL教学(情景模拟联合PBL组).记录两组人员理论考试成绩、CPR技能通过率及学生对情景教学法的认同情况.结果 情景模拟联合PBL组理论考试成绩明显高于传统教学方法组(分:92.7±1.6比83.3±3.4),胸外按压、电除颤成功率明显高于传统教学方法组[胸外按压成功率:96.7% (29/30)比76.7%(23/30),电除颤成功率:96.7%(29/30)比73.3%(22/30),均P<0.05].培训医师对教学法认同情况调查显示, 96.7%(29名)的培训医师喜欢情景模拟联合PBL这一教学法,93.3%(28名)的培训医师认为强化了记忆, 96.7%(29名)的培训医师认为情景模拟联合PBL有助于提高临床实践能力,90.0%(27名)的培训医师认为情景模拟联合PBL教学法还能培养团队协作精神.结论 情景模拟联合PBL模式能显著提高住院医师CPR的教学效果.Objective To explore the application effect of situation simulation teaching procedure(SSTP)combined with problem-based learning(PBL)in teaching cardiopulmonary resuscitation(CPR).Methods Sixty national standardized training residents of Putuo Hospital Affiliated to Shanghai University of Traditional Chinese Medicine from June 2017 to September 2018 were divided into 10 groups(6 in each group)according to the random number table method.Five groups were given traditional teaching method,while the other groups were given SSTP combined with PBL teaching method.The assessment results of the two groups were recorded,including the check results,passing rate of CPR and the students'approval of the teaching method.Results The theory test scores of the SSTP combined with PBL teaching method groups were higher than those of the traditional teaching method groups(92.7±1.6 vs.83.3±3.4),and the success rates of chest compression and defibrillation of the SSTP combined with PBL teaching method groups were significantly higher than those of the traditional teaching method groups[success rate of chest compression:96.7%(29/30)vs.76.7%(23/30);success rate of defibrillation:96.7%(29/30)vs.73.3%(22/30),all P<0.05].According to the survey of residents'approval of the teaching method,96.7%(29 training residents)of the residents in the SSTP combined with PBL groups liked this teaching method,93.3%of them(28 residents)thought it strengthened their memory,96.7%of them(29 residents)thought it was helpful to improve their clinical practice ability,and 90.0%of them(20 residents)thought this teaching method also cultivated teamwork spirit.Conclusion SSTP combined with PBL teaching method can significantly improve the teaching effect of CPR.

关 键 词：情景模拟式教学 以问题为基础的学习模式 教学方法 心肺复苏 

分 类 号：G63[文化科学—教育学]