基于标准化评分表的混合式外科技能教学的探索及实践  

Exploration and Practice of Mixed Teaching Mode for Basic Surgical Operation Skills Based on Standardized Rating Scale

作　　者：李思宁 湛琅 刘宏伟 刘冰梅 林雯娟 LI Sining;ZHAN Lang;LIU Hongwei;LIU Bingmei;LIN Wenjuan(Department of Urology,Affiliated Hospital of Guangdong Medical University,Zhanjiang 524001,Guangdong,China;First Clinical College,Guangdong Medical University,Zhanjiang 524023,Guangdong,China;Department of Surgery,Affiliated Hospital of Guangdong Medical University,Zhanjiang 524001,Guangdong,China)

机构地区：[1]广东医科大学附属医院泌尿外科,广东湛江524001 [2]广东医科大学第一临床医学院,广东湛江524023 [3]广东医科大学附属医院外科学系,广东湛江524001

出　　处：《中国卫生产业》2024年第9期1-4,共4页China Health Industry

基　　金：广东省教育科学规划课题(高等教育专项)(2022GXJK208);粤港澳大湾区高校在校开放课程联盟,教育教学研究和改革项目(WGKM2023064);广东医科大学青年科研培育基金(GDMUQ2021059);广东医科大学高等教育教学改革项目(1JG21114)。

摘　　要：目的探究基于标准化评分表的外科基本操作技能混合式教学的效果。方法选取2022年9月—2024年1月广东医科大学2020级临床医学专业的618名本科生作为传统教学组,广东医科大学2021级临床医学专业的663名本科生作为混合式教学组。传统教学组采用传统技能授课;混合式教学组采用基于标准化评分表的混合式外科技能教学模式。比较两组临床实践技能必考项目及抽考项目成绩、学生对课程的满意度评分。结果混合式教学组抽考的消毒铺巾、穿手术衣戴手套、外科洗手、切开缝合、换药拆线成绩及必考项目总分显著高于传统教学组,差异有统计学意义(P均<0.05)。但两组学生的必考项目打结法、器械辨认分数比较,差异无统计学意义(P均>0.05)。混合式教学组学生对提高学习兴趣、外科技能、操作自信及课程满意度评分均高于传统教学组,差异有统计学意义(P均<0.05)。结论基于标准化评分表的混合式外科技能教学模式能够提高学生的外科基本操作技能成绩、提升学习效果、提高操作自信及满意度。Objective To explore the effect of mixed teaching of basic surgical operation skills based on standardized rating scale.Methods From September 2022 to January 2024,618 undergraduates of Grade 2020 clinical medicine major in Guangdong Medical University were selected as the traditional teaching group,and 663 undergraduates of Grade 2021 clinical medicine major in Guangdong Medical University were selected as the mixed teaching group.Traditional teaching group uses traditional skills to teach.The mixed teaching group adopted the mixed teaching mode of surgical skills based on standardized rating scale.The results of compulsory test and sample test of clinical practice skills and students'satisfaction scores on the course were compared between the two groups.Results The results of the mixed teaching group were higher than those of the traditional teaching group in disinfected towel,surgical clothes and gloves,surgical hand washing,incision and suture,dressing and disassembling,and the total scores of required tests,and the differences were statistically significant(all P<0.05).However,there was no significant difference between the two groups in the scores of knotting method and device identification(both P>0.05).The scores of students in the mixed teaching group on improving learning interest,surgical skills,operation confidence and course satisfaction were higher than those in the traditional teaching group,and the differences were statistically significant(all P<0.05).Conclusion The mixed surgical skill teaching mode based on standardized rating scale can improve students'performance of basic surgical skills,improve learning effect,improve operation confidence and satisfaction.

关 键 词：混合式教学 外科 基本操作技能 教学质量 教学模式 

分 类 号：R19[医药卫生—卫生事业管理]