思维导图结合临床案例学习的教学模式在呼吸内科五年制本科实习生带教中的应用  

Application of the teaching mode of mind mapping combined with clinical case study in 5-year undergraduate interns teaching in the department of respiratory medicine

作　　者：崔晓霞 赵乐 张宁 孙磊[2] CUI Xiaoxia;ZHAO Le;ZHANG Ning;SUN Lei(Department of Respiratory Medicine,Beijing University of Chinese Medicine,Third Affiliated Hospital,Beijing100029,China;Office of Educational Administration,the First Affiliated Hospital of Hebei North University,Hebei Province,Zhangjiakou075000,China)

机构地区：[1]北京中医药大学第三附属医院呼吸内科,北京100029 [2]河北北方学院附属第一医院教务处,河北张家口075000

出　　处：《中国医药导报》2022年第1期80-84,共5页China Medical Herald

基　　金：河北省卫计委医学科学重点课题计划项目(20180854)。

摘　　要：目的探究思维导图结合临床案例学习的教学模式在呼吸内科五年制本科实习生带教中的应用效果。方法选取2020年9月至10月北京中医药大学60名临床医学五年制本科实习生为研究对象,根据随机数字表法将其分为对照组和观察组,每组30名。均在呼吸内科实习4周。观察组使用思维导图结合临床案例学习的教学模式,对照组使用传统的临床实习教学模式,比较两组实习生入科考试和出科考试的成绩,分析两组实习生的基础知识学习效果、临床操作能力,采用问卷调查评估学生对该教学方式的评价。结果出科后,观察组基础知识考试平均分、临床技能考试平均分高于对照组(P<0.05);观察组问诊、查体、病情掌握、病历书写、胸腔穿刺、吸痰术、动静脉采血、心肺复苏等操作考试中不合格比例低于对照组(P<0.05);观察组无菌观念、健康宣教、各项操作能力(穿刺、置管等)、自主学习、沟通交流达标人数均高于对照组(P<0.05),两组创新思维达标人数比较,差异无统计学意义(P>0.05);问卷调查结果显示,思维导图结合临床案例学习有利于提高临床教学质量和效果,学生对该教学方法持肯定态度。结论在带教呼吸内科五年制本科实习生中,思维导图结合临床案例学习的带教模式有利于激发学生的学习兴趣、提高学习效率,有助于学生临床知识及技能的掌握,临床应大力推广。Objective To explore the application effect of the teaching mode of the mind mapping combined with clinical case study in 5-year undergraduate interns teaching in the department of respiratory medicine.Methods Sixty undergraduate clinical medicine interns of Beijing University of Chinese Medicine from September to October 2020 were selected as the research subjects,and they were divided into control group and observation group by random number table method,30 cases in each group.All interns practiced in the department of respiratory medicine for four weeks.Observation group was taught by the teaching mode of mind mapping combined with clinical case study,control group was taught by traditional cilinical practice teaching mode.The grades of the entrance department examination and leave department examination of interns in both groups were compared,and the basic knowledge learning effect,and clinical operational ability of interns in the both groups were analyzed,questionnaire survey was used to evaluate students’evaluation of the teaching method.Results After leave department,the average scores of basic knowledge examination and clinical skill examination in the observation group were higher than those in the control group(P<0.05);the substandard proportion in inquiry,physical examination,mastery of illness,medical record writing,thoracic puncture,sputum aspiration,arteriovenous blood collection,and cardiopulmonary resuscitation in the observation group were lower than those in the control group(P<0.05);the qualified number of aseptic concept,health education,operation ability(puncture,catheterization,etc.),independent learning and communication in the observation group were higher than those in the control group(P<0.05),there was no significant difference in the qualified number of innovative thinking between the two groups (P > 0.05). The questionnaire results showed that mind mapping combined with clinical case study was helpful to improve the quality and effect of clinical teaching. Students had a positive a

关 键 词：思维导图 案例学习 呼吸内科 临床实习生 临床带教 应用研究 

分 类 号：G642.0[文化科学—高等教育学]