情景模拟教学在产科临床教学中的应用效果  

Application effect of scenario simulation teaching in obstetrics clinical teaching

作　　者：吴迎[1] 吴春蕾[1] 傅广华[1] 姚小丽 茹海燕 WU Ying;WU Chunlei;FU Guanghua;YAO Xiaoli;RU Haiyan(Medical College of Shaoguan University,Shaoguan 512026;the First People's Hospital of Shaoguan City,Shaoguan 512099,China)

机构地区：[1]韶关学院医学院,广东韶关512026 [2]韶关市第一人民医院,广东韶关512099

出　　处：《临床医学研究与实践》2023年第31期195-198,共4页Clinical Research and Practice

基　　金：2019年度广东省临床教学基地教学改革研究项目(No.2019JD119)。

摘　　要：目的探讨情景模拟教学在产科临床教学中的应用效果。方法选择2018级50名临床本科生作为研究对象,将其分为对照组(n=20)和试验组(n=30)。对照组开展常规教学,试验组在对照组基础上增加情景模拟教学。比较两组第一、二、三阶段的学习效果。结果试验组的医患沟通能力、临床思维能力、团队协作能力评分均高于对照组,差异具有统计学意义(P<0.05)。试验组的理论考核、病史采集、体格检查、产前检查、接生技巧、会阴裂伤缝合评分高于对照组,差异具有统计学意义(P<0.05);两组的病例书写、新生儿处理评分无显著差异(P>0.05)。试验组的病例分析、胎监技术与判读、阴道检查、急危重情况处理评分高于对照组,差异具有统计学意义(P<0.05);两组的腹部检查、外阴消毒评分无显著差异(P>0.05)。结论情景模拟教学方法能够较好地解决临床教学资源缺乏的系列困难,培养学生的学习兴趣,提高医患沟通、临床思维、临床操作技能、团队协作等综合能力,为妇产科学的教学工作提供了新思路。Objective To explore the application effect of scenario simulation teaching in obstetrics clinical teaching.Methods A total of 50 clinical undergraduates of grade 2018 were selected as the research objects,and the clinical undergraduates were divided into control group(n=20)and experimental group(n=30).The control group carried out routine teaching,and the experimental group added scenario simulation teaching on the basis of the control group.The learning effects of the first,second and third stages of the two groups were compared.Results The scores of doctor-patient communication ability,clinical thinking ability and team cooperation ability in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).The scores of theoretical examination,medical history collection,physical examination,prenatal examination,midwifery skills and perineal laceration and suture in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05);there were no significant differences in case writing and neonatal treatment scores between the two groups(P>0.05).The scores of case analysis,fetal monitoring technology and interpretation,vaginal examination and treatment of acute and critical conditions in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05);there were no significant difference in abdominal examination and vulva disinfection scores between the two groups(P>0.05).Conclusion The scenario simulation teaching method can better solve the series of difficulties in the lack of clinical teaching resources,cultivate students'interest in learning,improve the comprehensive ability of doctor-patient communication,clinical thinking,clinical operation skills,teamwork and so on,and provide a new idea for the teaching of gynecology and obstetrics.

关 键 词：情景模拟教学 产科 临床教学 

分 类 号：G642[文化科学—高等教育学]