构建COPD临床思维模式在内科教学中的应用研究与实效评估  

Research and Effectiveness Evaluation of Building a Clinical Thinking Model for COPD in Teaching Internal Medicine

作　　者：刘博 边黎明 LIU Bo;BIAN Li-ming(Heilongjiang Nursing College,Harbin,Heilongjiang,150086,China)

机构地区：[1]黑龙江护理高等专科学校,黑龙江哈尔滨150086 [2]黑龙江省卫生健康发展研究中心,黑龙江哈尔滨150036

出　　处：《黑龙江医学》2023年第9期1106-1108,共3页Heilongjiang Medical Journal

基　　金：黑龙江省教育科学规划重点课题(ZJB1421225)。

摘　　要：目的:构建慢性阻塞性肺疾病(COPD)临床思维模式,并将其用到内科教学中,对其实际应用效果进行评断。方法:随机选取黑龙江护理高等专科学校2019级临床医学专业2个班级(1班和2班)的98名学生为研究对象,将1班(50名学生)设为对照组,采用传统COPD授课教学方法;将2班(48名学生)设为研究组,在对照组授课方法的基础上,采用DxR临床思维训练系统平台开展授课。通过理论考核、实践技能成绩、自主学习能力、批判性思维和授课效果评价量表,比较研究组和对照组的教学效果差异。结果:研究组授课对象的自主学习能力、批判性思维能力、实践技能成绩和理论考核得分比对照组高,教学效果较好,差异有统计学意义(t=2.684、3.281、5.146、4.696,P<0.05)。结论:在内科COPD相关教学中,应用DxR临床思维训练系统平台,能明显提升授课对象的批判性思维能力,营造学习探究式氛围,可调动授课对象自主学习的积极性,促使提高内科慢性阻塞性肺疾病课程内容的教学效果。Objective:To construct a clinical thinking model for chronic obstructive pulmonary disease(COPD)and use it in teaching internal medicine to evaluate the effectiveness of its practical application.Methods:98 students from 2 classes(Class 1 and Class 2)of the college’s 2019 clinical medicine program were randomly selected for the study.Class 1(50 students)was set up as the control group,using the traditional COPD teaching method,while Class 2(48 students)was set up as the study group,us⁃ing the DxR clinical thinking training system platform based on the teaching method of the control group.The differences in teach⁃ing effectiveness between the study group and the control group were compared through theoretical assessments,practical skills scores,independent learning ability,critical thinking and lecture effectiveness evaluation scales.Results:The independent learn⁃ing ability,critical thinking ability,practical skills scores and theoretical assessment scores of the subjects taught in the study group were higher than those of the control group,and the teaching effect was better than that of the control group,with statistically significant differences(t=2.684,3.281,5.146,4.696,P<0.05).Conclusion:In the teaching related to internal COPD,the applica⁃tion of DxR clinical thinking training system platform can significantly improve the critical thinking ability of the lecture subjects and create an inquiry-based learning atmosphere,which can mobilize the motivation of the lecture subjects to learn independently and improve the teaching effect of internal COPD course content.

关 键 词：内科教学 临床思维 慢性阻塞性疾病 评估 

分 类 号：R563[医药卫生—呼吸系统]