线上视频直播联合线下技能训练在医学生气道管理见习教学中的应用  

Application of online live video streaming combined with offline skill training in airway management during clerkship for medical students

作　　者：方利群[1] 许钊[1] 岳建明[1] 李崎[1] 杨希 周莉[1] 姜春玲[1] Fang Liqun;Xu Zhao;Yue Jianming;Li Qi;Yang Xi;Zhou Li;Jiang Chunling(Department of Anesthesiology,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院麻醉手术中心,成都610041

出　　处：《中华医学教育杂志》2023年第10期760-764,共5页Chinese Journal of Medical Education

基　　金：2022年度四川大学新时代医学教育创新发展研究项目(SCUYM02);四川大学华西临床医学院本科教学改革研究与实践项目(HXBK-B2023053)。

摘　　要：目的研究线上视频直播联合线下技能训练在医学生气道管理见习教学中的应用及其效果。方法2022年4至6月,选取四川大学2018级八年制临床医学专业83名参加气道管理见习的学生为研究对象,通过抽签随机分为试验组43人、对照组40人。试验组采用手术室线上视频直播联合线下技能训练的教学方法,对照组采用教师课堂讲授联合技能训练的教学方法。采用理论测试、技能评价和问卷调查比较两组的教学效果,组间比较采用Mann-Whitney U检验和卡方检验。结果试验组学生理论测试、单人面罩球囊通气技能和鼻咽通气道置入技能成绩高于对照组学生,分别为10.0(1.0)分比10.0(2.0)分,8.5(1.0)分比8.0(1.5)分,9.0(0.5)分比8.0(0.5)分,试验组学生学习兴趣及学习氛围的评分也高于对照组学生,分别为10.0(0.0)分比10.0(1.0)分,10.0(0.0)分比10.0(1.0)分,差异均具有统计学意义(均P<0.05)。结论在气道管理见习教学中,线上视频直播联合线下技能训练对于营造良好学习氛围、提高学习兴趣、改进教学效果具有积极作用。Objective To evaluate the application effect of online live video streaming combined with offline skill training in airway management during clerkship for medical students.Methods From April to June 2022,eighty-three eight-year program undergraduates majoring in clinical medicine enrolled in 2018 from Sichuan University who participated in the airway management learning during clerkship were randomly divided into experimental group and control group by drawing lots.The hybrid teaching method of operating room online live video steaming combined with offline skill training was applied to the experimental group and the conventional pedagogy combined with offline skill training was applied to the control group.The teaching effectiveness,including scores of written examinations,skill assessment scores,and questionnaire results were analyzed,and differences of two groups were compared by the Mann-Whitney U test andχ2 test.Results The written examination scores and the skill assessment scores of single person bag mask ventilation and nasopharyngeal airway insertion of the experimental group were higher than those of the control group,10.0(1.0)vs.10.0(2.0),8.5(1.0)vs.8.0(1.5),9.0(0.5)vs.8.0(0.5),respectively.The scores on learning interest and favorable learning atmosphere of the experimental group were higher than those of the control group 10.0(0.0)vs.10.0(1.0),10.0(0.0)vs.10.0(1.0),respectively.There were all statistical differences(all P<0.05).Conclusions The hybrid teaching method of online live video streaming combined with offline skill training played a positive effect on creating favorable learning atmosphere,improving the learning interest and the teaching effectiveness in airway management clerkship.

关 键 词：医学生 见习教学 气道管理 视频直播 技能训练 混合式教学 

分 类 号：R-4[医药卫生]