训练伤关节镜临床教学效果影响因素的分析  

Study on the teaching satisfaction and its influencing factors of arthroscopy teaching for the treatment of training injury

作　　者：赵斌 李志国 宋立坤 安佰京 王龙 甘露 李中耀 吴毅东 于康康 李春宝 ZHAO Bin;LI Zhi-guo;SONG Li-kun;AN Bai-jing;WANG Long;GAN Lu;LI Zhong-yao;WU Yi-dong;YU Kang-kang;LI Chunbao(Division of Sports Medicine,Department of Orthopedic Medicine,The Fourth Medical Center,PLA General Hospital,Beijing 100048,China;Department of Orthopedics,Beijing Mentougou District Hospital,Beijing 100039,China;Department of Orthopaedics,The FirstMedical Center,PLA General Hospital,Beijing 100853,China)

机构地区：[1]中国人民解放军总医院第四医学中心骨科医学部运动医学科,北京100048 [2]北京门头沟区医院骨二科,北京100039 [3]中国人民解放军总医院第一中心骨五科,北京100853

出　　处：《中国矫形外科杂志》2024年第12期1095-1100,共6页Orthopedic Journal of China

基　　金：国家自然科学基金项目(编号:NSFC81472092)。

摘　　要：[目的]分析和探讨关节镜手术教学情况,为改进教学效果提供依据。[方法]选择2021年8月—2023年8月,在中心骨科学习过关节镜的进修生共79位。采用问卷调查、理论考试、实操考试收集数据、分层单因素和多因素逻辑回归分析教学效果的影响因素。[结果]调查的学员中男性77位,女性2位。对关节镜临床教学效果满意达到52位,占65.8%;不满意27位,占34.2%。单项因素比较表明,满意组在临床管床人数、手术跟台次数、实操次数以及实操考核成绩和学员自我满意评分中均显著高于不满意组,差异有统计学意义(P<0.05)。多因素逻辑回归分析表明:实操成绩(OR=92.734, 95%CI2.489~3 455.071, P=0.014)、自我满意度(OR=27.195, 95%CI 1.193~618.352, P=0.038)、实操次数(OR=15.789, 95%CI 1.672~149.055, P=0.016)是教学效果满意的正向影响因素。[结论]适当增加实操次数来提高实操成绩和激发学员学习兴趣并获得满足感可能有助于提升关节镜临床教学的总体效果。[Objective]To analyze and discuss the teaching situation of arthroscopic surgery,and to provide basis for improving theteaching outcomes.[Methods]From August 2021 to August 2023,a total of 79 progressive students who had studied arthroscopy in ourCenter's Orthopedics Department were enrolled into this study.Using questionnaire survey,theory test and practical test to collect data,stratified univariate comparison and multi-factor logistic regression analysis were conducted to search the influencing factors of teaching ef-fect.[Results]There were 77 males and 2 females in this survey.Of them,52(65.8%)were satisfied with the clinical teaching of arthrosco-py,while 27(34.2%)were dissatisfied.In term of univariate comparison,the satisfied group was significantly higher than the dissatisfiedgroup regarding to the number of clinically managed beds,the number of operations,the number of practical exercises,the performance ofpractical exercise assessment and the self-satisfaction score,which all proved statistically significant(P<0.05).As results of multi-factor lo-gistic regression analysis,the actual performance(OR=92.734,95%CI 2.489~3455.071,P=0.014),self-satisfaction(OR=27.195,95%CI1.193~618.352,P=0.038)and the number of practical exercises(OR=15.789,95%CI 1.672~149.055,P=0.016)were positive influencingfactors of teaching satisfaction.[Conclusion]Appropriately increasing the number of practical exercises to improve the performance of prac-tical exercises and stimulate students'interest in learning and gain satisfaction may be helpful to improve the overall effect of clinical teach-ing of arthroscopy.

关 键 词：关节镜技术 继续教育 教学满意度 影响因素 

分 类 号：R68[医药卫生—骨科学]