基于慢性阻塞性肺疾病专病管理模式开展全科医师规范化培训的效果研究  

Teaching effect of general practice residency training based on the management model of chronic obstructive pulmonary disease

作　　者：孙勤 王志明[2] 黄岳青 管学妹 黄敏[3] Sun Qin;Wang Zhiming;Huang Yueqing;Guan Xuemei;Huang Min(Comprehensive Ward,Suzhou High-tech Zone Traditional Chinese Medicine Hospital,Suzhou 215000,China;Department of Cardiology,Suzhou Ninth People′s Hospital,Soochow University,Suzhou 215000,China;Department of General Medicine,Suzhou Municipal Hospital,Suzhou 215000,China;Department of Education,Suzhou Ninth People′s Hospital,Soochow University,Suzhou 215000,China)

机构地区：[1]苏州市高新区中医医院综合病区,苏州215000 [2]苏州大学附属苏州九院心血管内科,苏州215000 [3]苏州市立医院全科医学科,苏州215000 [4]苏州大学附属苏州九院教育处,苏州215000

出　　处：《中华全科医师杂志》2023年第2期197-200,共4页Chinese Journal of General Practitioners

基　　金：江苏基层卫生发展与全科医学教育研究中心重点项目(2021A01);苏州市科技发展计划(SYSD2019209);苏州市科教兴卫青年科技项目(KJXW2019033)。

摘　　要：为探讨基于慢性阻塞性肺疾病(慢阻肺)专病管理模式开展探索全科医师规范化培训(规培)教学方法的效果,选取2022年4—12月在苏州市立医院全科规范化培训基地全科医学科参加规培的全科医师42名,采用随机数字表法分为试验组和对照组,每组21人。本研究为随机对照研究。对照组采用传统培训方式,试验组较对照组增加慢阻肺专病管理模式培训,培训时间均为3个月,采用改良迷你临床演练评估(mini-clinical evaluation exercise,mini-CEX)评价比较两组学员出科考核成绩及教学满意度。与对照组相比,培训后试验组学员出科考评的条目诊疗康复计划制定(t=3.82,P<0.001)、人文关怀(t=4.83,P<0.001)、健康宣教(t=9.56,P<0.001)、沟通技巧(t=3.34,P=0.002)、整体表现(t=3.13,P=0.003)等得分均升高;教学满意度也高于对照组学员(Z=-2.02,P=0.044)。提示慢阻肺专病管理模式纳入全科医师规培,可明显提升参培医师的诊疗康复计划制定、人文关怀、健康宣教、沟通技巧、整体表现以及教学满意度。Forty two general practice residents who participated in the standardized training in Suzhou Municipal Hospital from April to December 2022 were randomly divided into two groups with 21 in each group.The control group received the traditional teaching method,and the study group received additional training with a special management model for chronic obstructive pulmonary disease.After 3 months of training,the teaching effects were evaluated with the improved Mini Clinical Evaluation Exercise(Mini CEX)in two groups and the teaching satisfaction was also assessed.Compared with the control group,the study group showed significant better performance in outpatient service,including the treatment and rehabilitation planning(t=3.82,P<0.001),humanistic care(t=4.83,P<0.001),health education(t=9.56,P<0.001),communication skills(t=3.34,P=0.002),and overall performance(t=3.13,P=0.003).The satisfaction of teaching in study group was also higher than that in the control group(Z=-2.02,P=0.044).The study shows that incorporating the"specialized management of chronic obstructive pulmonary disease"model into the general practice standardized residency training can significantly improve the teaching effects.

关 键 词：肺疾病 慢性阻塞性 在职培训 全科医生 

分 类 号：C975[经济管理—劳动经济] R-4[医药卫生]