基于质量反馈的反思性教学在血液透析临床带教中的实践研究  

Practice of reflective teaching method based on quality feedback in clinical teaching of hemodialysis

作　　者：蒋婕[1] 杨玉洁[1] 袁怀红[1] Jiang Jie;Yang Yujie;Yuan Huaihong(Hemodialysis Center,Department cf Nephrology,West China Hospital,Sichuan University,Chengdu 610091,China)

机构地区：[1]四川大学华西医院肾脏内科血液透析中心,成都610091

出　　处：《中华医学教育探索杂志》2021年第12期1423-1427,共5页Chinese Journal of Medical Education Research

基　　金：四川省医学会科研课题(编号:2017SHD001)。

摘　　要：目的分析在血液透析临床带教中采用基于质量反馈的反思性教学的效果。方法于2019年1月至2020年5月选取四川大学华西医院76名血液透析实习生,按照随机数表法分为两组。对常规组实习生采用常规临床带教,观察组采用基于质量反馈的反思性教学。带教时间均为3个月。比较两组教学前后考核成绩、临床思维能力,并比较实习生对带教的满意度。采用SPSS 22.0进行t检验和卡方检验。结果观察组理论和实践考核成绩均高于常规组(P<0.05);教学后两组寻找真相、分析能力、开放思维、系统化能力、评判思维的信心、认知成熟度和求知欲维度评分均升高,观察组上述维度评分均高于常规组(P<0.05);两组实习生对临床带教模式的满意度分布差异有统计学意义,观察组总满意率高于常规组(P<0.05)。结论在血液透析临床带教中实施基于质量反馈的反思性教学可提高教学效果,提升实习生的思维能力,还可提高其对带教的满意度。Objective:To analyze the effect of using reflective teaching method based on quality feedback in clinical teaching of hemodialysis.Methods:From January 2019 to May 2020,76 hemodialysis interns from West China Hospital of Sichuan University were selected and randomly divided into 2 groups.The routine group interns were taught by routine clinical teaching,and the observation group was taught by the reflective teaching based on quality feedback.The teaching time last 3 months.The thinking ability of the two groups before and after teaching and the satisfaction of the interns with the clinical teaching mode were compared.SPSS 22.0 was used for t test andχ2 test.Results:The theoretical and practical assessment scores of the observation group were higher than those of the routine group(P<0.05).After teaching,the scores of the two groups were all increased in the dimensions of truth-seeking,analytical ability,open thinking,systematic ability,confidence in critical thinking,cognitive maturity and curiosity.And the scores of the above dimensions of the observation group were higher than those of the routine group(P<0.05).There were significant differences in the satisfaction distribution of the two groups of interns with the clinical teaching mode,and the total satisfaction rate of the observation group was higher than that of the routine group(P<0.05).Conclusion:The implementation of reflective teaching based on quality feedback in clinical teaching of hemodialysis can improve the teaching effect,enhance the thinking ability of interns,and improve their satisfaction with the clinical teaching model.

关 键 词：质量反馈 反思性教学法 血液透析 临床带教 思维能力 

分 类 号：R-05[医药卫生]