基于系统器官的临床案例思维导图库的开发与应用  

Development and Application of Clinical Case Mind Map Library Based on System Organs

作　　者：张鑫月 郑光敏 杨蕊[1] 张忠艳 沈慜瑄 陈静 ZHANG Xinyue;ZHENG Guangmin;YANG Rui;ZHANG Zhongyan;SHEN Minxuan;CHEN Jing(First Clinical College of Kunming Medical University,Kunming Yunnan 650032;School of Basic Medicine,Kunming Medical University,Kunming Yunnan 650500,China)

机构地区：[1]昆明医科大学第一临床学院,云南昆明650032 [2]昆明医科大学基础医学院,云南昆明650500

出　　处：《昆明医科大学学报》2024年第8期166-173,共8页Journal of Kunming Medical University

基　　金：教育部产学合作协同育人基金资助项目(202102466017);国家级大学生创新创业训练计划基金资助项目(202210678001);云南省大学生创新性实验计划基金资助项目(2022JXD267);昆明医科大学校级教研教改项目(2022-JY-Y-014)。

摘　　要：目的 基于建构主义理论,将基于案例的学习模式(case-based learning,CBL)与思维导图相结合,开发构建包含完整病史线索、详实诊疗过程的《基于系统器官的临床案例思维导图库》。方法 通过问卷调查法了解当前CBL教学现状和对构建临床案例思维导图库的需求;采用行动研究法借助X-mind工具软件构建以典型病案为核心的思维导图库;通过等组对比研究检测学生的学习效果。结果 问卷调查表明广大师生对构建临床案例思维导图库有迫切需求;行动研究显示案例型思维导图库的开发与应用可有效激发学生的学习兴趣,提高自主学习能力;等组对比研究表明实验组学生的平均分与对照组相比明显提高(P <0.05),实验组不及格人数比例下降(P <0.05),合格(P <0.05)及优秀的人数比例均有所增加,取得了良好的教学效果。结论 基于系统器官的临床案例思维导图库的开发与应用,可有效解决CBL课程案例资源匮乏的问题;图文减负与逻辑赋能相结合,有助于提高CBL课程学习深度及效率,值得推广应用。Objective Based on constructivist theory,this study aims to combine case-based learning(CBL)with mind mapping to develop a"Clinical Case Mind Map Library based on System Organs"containing complete medical history clues and detailed diagnostic and treatment processes.Methods The present situation of CBL teaching in Kunming Medical University and the demand for constructing clinical case mind map database were investigated by questionnaire.A mind map library with typical medical records as the core was constructed by using the action research method and X-mind tool software.The students'learning effect was tested by the comparative study of equal groups.Results The survey shows that both teachers and students have an urgent need to build a clinical case mind map library;action research demonstrates that the development and application of a case-based mind map library can effectively stimulate students'interest in learning and improve their ability for independent study;comparison studies show that the average scores of the experimental group students are significantly higher than those of the control group(P<0.05),the proportion of failing students in the experimental group has decreased(P<0.05),and the proportion of passing(P<0.05)and excellent students has increased,achieving good teaching results.Conclusion The development and application of a clinical case mind map library based on systemic organs can effectively solve the problem of insufficient case resources in CBL courses;the combination of reducing text and empowering logic can help improve the depth and efficiency of CBL course learning,and is worth promoting.

关 键 词：临床案例 思维导图 案例教学 案例库开发 

分 类 号：G642.0[文化科学—高等教育学]