以成果导向教育理念下任务驱动教学法在冠状动脉粥样硬化性心脏病患者健康宣教中的应用  

Application of task-driven teaching method based on outcome-based education in health education for patients with coronary heart disease

作　　者：靳亚宁 刘慧娟 郭宇飞 王莉莉 Jin Yaning;Liu Huijuan;Guo Yufei;Wang Lili(Department of Cardiology,PLA Rocket Force Characteristic Medical Center,Beijing 100088,China)

机构地区：[1]火箭军特色医学中心,北京100088

出　　处：《中国医刊》2025年第4期437-441,共5页Chinese Journal of Medicine

摘　　要：目的探讨以成果导向教育(OBE)理念为基础的任务驱动教学法在冠状动脉粥样硬化性心脏病(简称冠心病)患者健康宣教中的应用效果。方法选取2023年5月至2024年5月火箭军特色医学中心收治的100例冠心病患者,采用随机数字表法分为对照组和观察组,每组各50例。对照组接受常规健康宣教,观察组采用OBE理念下的任务驱动教学法进行健康宣教。通过问卷调查及量表评分评估两组患者健康宣教知识掌握情况、自我护理能力、焦虑自评量表(SAS)、抑郁自评量表(SDS)、生活质量评分及治疗依从性评分。结果健康宣教后及患者出院1个月后,观察组患者的基础知识掌握情况和自我护理能力评分均高于对照组,差异有统计学意义(P<0.05)。健康宣教前,两组患者的SAS评分、SDS评分差异均无统计学意义(P>0.05)。健康宣教后,两组患者SAS评分、SDS评分均低于健康宣教前,且观察组均低于对照组,差异有统计学意义(P<0.05)。健康宣教后,观察组患者生活质量评分在生活能力、情感能力、生理指标、体能体力、睡眠质量5个维度均高于对照组,差异有统计学意义(P<0.05)。观察组患者对健康宣教的总依从率为96.0%,显著高于对照组的76.0%,差异有统计学意义(χ^(2)=8.306,P<0.05)。结论基于OBE理念的任务驱动教学法可显著提高冠心病患者的健康知识掌握度、自我护理能力和治疗依从性,同时改善焦虑和抑郁状况,并提升生活质量,具有良好的临床应用价值。Objective To explore the application and effectiveness of the task-driven teaching method based on the Outcome-Based Education(OBE)concept in health education for patients with coronary heart disease in cardiology.Method A total of 100 patients with coronary heart disease,admitted from May 2023 to May 2024,were randomly assigned into a control group and an experimental group using a random number table method,with 50 patients in each group.The control group received conventional health education,while the experimental group underwent coronary heart disease health education using the task-driven teaching method based on the Outcome-Based Education(OBE)concept.The effectiveness of health education was assessed through questionnaires and scale scores,evaluating patients’knowledge acquisition,self-care ability,anxiety and depression levels,quality of life,and treatment adherence.Result After health education and one month after discharge,the scores for basic knowledge mastery and self-care ability of patients in the experimental group were higher than those in the control group,with statistically significant differences(P<0.05).Before health education,there were no statistically significant differences in SAS and SDS scores between the two groups(P>0.05).After health education,both groups showed a significant decrease in SAS and SDS scores compared to before health education,and the scores in the experimental group were lower than those in the control group,with statistically significant differences(P<0.05).After health education,the quality of life scores of patients in the experimental group were higher than those in the control group acrossfive dimensions:daily living skills,emotional capacity,physiological indicators,physical strength,and sleep quality,with statistically significant differences(P<0.05).The overall compliance rate of patients in the experimental group with health education was 96.0%,significantly higher than the 74.0%in the control group,with statistically significant differences(χ^(2)=8.306,P<

关 键 词：冠状动脉粥样硬化性心脏病 以成果导向教育理念 任务驱动教学法 健康宣教 

分 类 号：R543.3[医药卫生—心血管疾病]