基于网络的PBL在老年医学课程教学中的系统评价  

Application effect of web-based problem-based learning in the teaching of geriatric medicine courses:a Meta-analysis

作　　者：赵霞[1] 赖小星[1] 王东旭 潘慧娴[1] 张红梅[1] 邹海欧[2] Zhao Xia;Lai Xiaoxing;Wang Dongxu;Pan Huixian;Zhang Hongmei;Zou Haiou(Department of Geriatric Medicine,Peking Union Medical College Hospital,Beijing 100730,China;School of Nursing,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100144,China)

机构地区：[1]北京协和医院老年医学科,北京100730 [2]中国医学科学院北京协和医学院护理学院,北京100144

出　　处：《中华医学教育探索杂志》2025年第2期178-186,共9页Chinese Journal of Medical Education Research

基　　金：中央高水平医院临床科研专项(2022-PUMCH-B-130)。

摘　　要：目的:比较基于网络的PBL与传统教学在老年医学课程教学中的应用效果。方法:计算机检索PubMed、Embase、The Cochrane Library、Web of Science、中国知网(CNKI)、中国生物医学文献数据库(CBMdisc)、万方数据库,从建库开始至2023年10月1日国内外发表的关于基于网络的以问题为基础的学习(problem-based learning,PBL)在老年医学课程教学中应用的临床研究,经筛选文献、提取资料与评价文献质量后,采用RevMan5.4.1软件进行系统评价分析。结果:本次研究共纳入14篇符合条件的文献,研究对象为1 436名医学生,教学内容为老年医学课程。Meta分析结果显示,基于网络的PBL在老年医学课程教学中的效果优于传统PBL或讲授式学习(lecture-based learning,LBL),可以提高医学生理论考试成绩(MD=3.53,95%CI=1.77~5.29, P<0.001)、操作技能成绩(MD=5.92,95%CI=2.67~9.18, P<0.001)、评判性思维能力(MD=9.30,95%CI=5.43~13.18, P<0.001)及教学满意度(MD=1.75,95%CI=1.49~2.01, P<0.001)。 结论:在老年医学课程中使用基于网络的PBL,可以提高医学生的理论考试成绩、操作技能成绩、评判性思维能力和教学满意度。Objective To investigate the application effect of web-based problem-based learning(WPBL)versus traditional teaching in the teaching of geriatric medicine courses.MethodsPubMed,Embase,the Cochrane Library,Web of Science,CNKI,CBMdisc,and Wanfang Data were searched for clinical studies on the application of WPBL in the teaching of geriatric medicine courses in China and globally published up to October 1,2023.After literature screening,data extraction,and quality assessment,RevMan5.4.1 was used to perform a systematic review.ResultsA total of 14 eligible articles were included in this study,with 1436 medical students as the subjects and geriatric medicine as the content of teaching.The Meta-analysis showed that WPBL teaching had a better effect than traditional problem-based learning or lecture-based learning in the teaching of geriatric medicine courses and could improve the theoretical examination score[mean difference(MD)=3.53,95%confidence interval(CI)=1.77-5.29,P<0.001],operational skills(MD=5.92,95%CI=2.67-9.18,P<0.001),critical thinking ability(MD=9.30,95%CI=5.43-13.18,P<0.001),and teaching satisfaction(MD=1.75,95%CI=1.49-2.01,P<0.001)among medical students.ConclusionsWPBL in the teaching of geriatric medicine courses can improve the theoretical examination score,operational skills,critical thinking skills,and teaching satisfaction among medical students.

关 键 词：以问题为基础的学习 老年 理论考试成绩 操作技能 教学效果 

分 类 号：R47[医药卫生—护理学]