表格式床位管理联合PBL教学法在胃肠外科住培中的应用  

Application of Tabular Bed Management Combined With PBL Teaching in Standardized Training of Gastrointestinal Surgery Residents

作　　者：段开鹏 周进[1] DUAN Kaipeng;ZHOU Jin(Department of Gastrointestinal Surgery,the First Affiliated Hospital of Soochow University,Suzhou Jiangsu 215006,China)

机构地区：[1]苏州大学附属第一医院胃肠外科,江苏苏州215006

出　　处：《中国继续医学教育》2024年第8期50-54,共5页China Continuing Medical Education

基　　金：江苏省科技项目(BE2020657);江苏省基础研究计划自然科学基金项目(BK20221242)。

摘　　要：目的探讨表格式床位管理联合以问题为基础的教学法(problem-based learning,PBL)在胃肠外科住院医师规范化培训中的价值。方法选择2022年1—12月在苏州大学附属第一医院胃肠外科进行规范化培训的住院医师48名为研究对象,通过随机数表法分为2组,对照组采用常规PBL教学法行床位管理和教学,联合组采用表格式床位管理联合PBL教学法。比较2组住培医师的出科考试成绩。同时比较2组住培学员对胃肠外科住培教学的满意度评价以及护理人员对住培学员的评价。结果联合组的出科理论考核成绩和操作考核成绩均高于对照组,差异有统计学意义(P<0.05)。联合组学员在教学满意度、知识点理解度及学习积极度方面的得分均高于对照组,差异有统计学意义(P<0.05)。联合组在护理人员评价的知识专业性、治疗及时性方面得分优于对照组,差异有统计学意义(P<0.05)。结论表格式床位管理联合PBL教学法应用于胃肠外科住院医师规范化培训中,能提高学员的理论和操作水平,同时获得了住培学员和护理人员的认可。Objective To explore the value of tabular bed management combined with problem-based learning(PBL)teaching in standardized training of gastrointestinal surgery residents.Methods A total of 48 residents who received standardized training in gastrointestinal surgery department of the First Affiliated Hospital of Soochow University from January 2022 to December 2022 were selected.They were randomly divided into two groups.The control group managed beds with conventional PBL teaching method,while the combined group managed beds with tabular form and PBL teaching method.The results of the examination were compared between the two groups.Meanwhile,the satisfaction of residents to standardized training of gastrointestinal surgery and the nurses evaluation on residents between two groups were compared.Results The theoretical and operational assessment scores of the combined group were higher than those of the control group,and the difference was statistically significant(P<0.05).The scores of the residents in combined group in terms of teaching satisfaction,understanding of knowledge points,and learning enthusiasm were higher than those of the control group,and the differences were statistically significant(P<0.05).The scores of nurses evaluation on the residents in the combined group in terms of knowledge professionalism evaluation,treatment timeliness evaluation,were better than those of the control group,and the difference was statistically significant(P<0.05).Conclusions Tabular bed management combined with PBL teaching in the standardized training of gastrointestinal surgery residents can improve the theoretical and operational level of students,and can be recognized by the students and nurses.

关 键 词：胃肠外科 住院医师规范化培训 表格式 床位管理 PBL 理论成绩 操作成绩 教学满意度 

分 类 号：G642[文化科学—高等教育学]