床旁气管插管术教学法在住院医师规范化培训中的应用  

Application of bedside tracheal intubation teaching method in standardized training of residents

作　　者：袁珊珊 李琴 杨玲 曾茜 李福祥 冯健 陈娟 李茸源 YUAN Shanshan;LI Qin;YANG Ling;ZENG Qian;LI Fuxiang;FENG Jian;CHEN Juan;LI Rongyuan(Department of Intensive Care Medicine,the General Hospital of Western Theater Command PLA,Sichuan,Chengdu 610083,China;WardⅡ,DepartmentⅡof Cadres,the General Hospital of Western Theater Command PLA,Sichuan,Chengdu 610083,China;Department of Anesthesiology and Pain,the General Hospital of Western Theater Command PLA,Sichuan,Chengdu 610083,China)

机构地区：[1]解放军西部战区总医院重症医学科,四川成都610083 [2]解放军西部战区总医院干部二科二病区,四川成都610083 [3]解放军西部战区总医院麻醉疼痛科,四川成都610083

出　　处：《中国医药科学》2024年第22期47-50,141,共5页China Medicine And Pharmacy

基　　金：四川省卫生健康委员会干部保健科研课题(川干研2022-1303);西部战区总医院院管课题(2021-XZYG-C50)。

摘　　要：目的探究床旁教学法在住院医师气管插管术培训课程中的教学效果。方法选取2020年9月至2022年6月于解放军西部战区总医院重症医学科轮转的本科规培学员为研究对象,52名2020级规范化培训学员为试验组,采用床旁教学法对气管插管术的理论知识与技能操作进行教学。课程结束后了解学生参与程度,采用统一的评分细则评估学生对理论知识的掌握程度以及技能操作的熟悉程度,并将相应的成绩与采取传统教学法的55名2019级规培学员进行比较。同时,应用教学效果问卷评价床旁教学效果。结果2020级规范化培训学员的课堂主动发言率为96.15%,主动提问率为67.31%。2020级规培学员的理论成绩以及技能操作成绩显著优于2019级学员(P<0.05)。并且,86.54%的学生认为教学模式新颖、实用;94.23%的学员认为教学模式加深了其对专科知识的理解记忆;96.15%的学员认为该教学模式应该继续开展。结论床旁教学法可提升规范化培训学员对气管插管术的理解与掌握,有效提高教学质量与效果,值得在重症医学科规范化培训教学工作中推广应用。Objective To investigate the teaching effect of bedside teaching method in the training course of tracheal intubation for residents.Methods Undergraduate students admitted to the Department of Anesthesia and Pain in the General Hospital of Western Theater Command PLA from September 2020 to June 2022 were selected as the experimental group(n=52),and the theoretical knowledge and skill operation of tracheal intubation were taught by bedside teaching method.After the course,students’participation was investigated,and the students’mastery of theoretical knowledge and familiarity with skill operation were evaluated by unified grading rules,and the corresponding results were compared with those of the control group(n=55)of Grade 2019 who adopted conventional teaching methods.Simultaneously,the teaching effect questionnaire was used to evaluate the bedside teaching effect.Results The active speaking rate and the active questioning rate of the students of Grade 2020 were 96.15%and 67.31%,respectively.Grade 2020 students’academic performance and skill operation performance were obviously superior to those of grade 2019 students(P<0.05).Moreover,86.54%of students thought that the teaching method was novel and practical,94.23%of students thought that the teaching method deepened their understanding and memory of specialized knowledge,and 96.15%of students thought that this teaching mode should be continued.Conclusion Bedside teaching method can improve the trainees’understanding and mastery of tracheal intubation,and can effectively improve the teaching quality and effect,which is worthy of promotion and application in standardized training and teaching of Department of Intersive Care Medicine.

关 键 词：气管插管术 规范化培训 床旁教学法 临床实践 

分 类 号：G424.1[文化科学—课程与教学论]