以“标准化医嘱”为核心的教学模式在产科临床教学中的应用

doi:10.3760/cma.j.issn.1007-1245.2022.02.010

国际医药卫生导报 ›› 2022, Vol. 28 ›› Issue (2): 189-192.DOI: 10.3760/cma.j.issn.1007-1245.2022.02.010

以“标准化医嘱”为核心的教学模式在产科临床教学中的应用

刘荣欣，鲍志敏，曲首辉，袁雪莲，李莎

郑州市第一人民医院产科，郑州 450000

收稿日期:2021-08-31 出版日期:2022-01-15 发布日期:2022-03-08
通讯作者: 刘荣欣，Email：rongxin613@163.com
基金资助:
河南省医学教育研究项目（Wjlx2020130）

Application of clinical pathway teaching method with "standardized medical order" as the core in obstetric clinical teaching

Liu Rongxin, Bao Zhimin, Qu Shouhui, Yuan Xuelian, Li Sha

Department of Obstetrics, Zhengzhou First People's Hospital, Zhengzhou 450000, China

Received:2021-08-31 Online:2022-01-15 Published:2022-03-08
Contact: Liu Rongxin, Email: rongxin613@163.com
Supported by:
Medical Education Research Project of Henan Province (Wjlx2020130)

摘要/Abstract

摘要： 目的探讨以“标准化医嘱”为核心的临床路径教学法在产科临床教学中的应用效果。方法选择在郑州市第一人民医院2020年11月至2021年4月产科临床实习生100名，简单随机分为传统教学组和标准化医嘱教学组，每组 50 名。传统教学组男 30 名、女 20 名；标准化医嘱教学组男 32名、女18名。传统教学组采用传统教学法，标准化医嘱教学组采用以“标准化医嘱”为核心的临床路径教学法。根据医院要求统一安排实习时间，进行8周的培训，按照学校规定的教学大纲对学生进行考核。比较两组实习生出科考核的成绩差异以及对产科教学的满意度。计量资料采用独立样本t检验，计数资料采用χ2检验。结果传统教学组实习生的理论知识（87.26±4.33）分、病例分析（88.90± 3.26）分、临床技能操作（89.20±3.47）分；标准化医嘱教学组实习生的理论知识（90.10±2.61）分、病例分析（91.34±3.60）分、临床技能操作（91.50±3.18）分；数据显示标准化医嘱教学组实习生出科考核成绩更高，差异均有统计学意义（均 P<0.05）。传统教学组实习生对产科教学的满意度分别为教学方式［70%（35/50）］、教学内容［76%（38/50）］、教学互动［76%（38/50）］、自我提升［74%（37/50）］；标准化医嘱教学组实习生对产科教学的满意度分别为教学方式［88%（44/50）］、教学内容［92%（46/50）］、教学互动［96%（48/50）］、自我提升［90%（45/50）］；数据显示标准化医嘱组实习生对产科教学的满意度更高，差异均有统计学意义（均P<0.05）。结论以“标准化医嘱”为核心的临床路径教学法应用于产科临床教学，不仅可提高实习生各方面成绩，也可提高实习生满意度，值得在临床教学中推广。

关键词: 标准化医嘱, 临床路径, 产科, 临床教学

Abstract: Objective To explore the application effect of clinical pathway teaching method with "standardized medical order" as the core in obstetric clinical teaching. Methods A total of 100 clinical obstetric interns in Zhengzhou First People's Hospital from November 2020 to April 2021 were selected, and were simply randomly divided into a traditional teaching group and an standardized medical order teaching group, with 50 interns in each group. There were 30 males and 20 females in the traditional teaching group, and there were 32 males and 18 females in the standardized medical order teaching group. The traditional teaching method was used in the traditional teaching group, and the clinical pathway teaching method with "standardized medical order" as the core was used in the standardized medical order teaching group. According to the unified arrangement of the hospital, the interns were trained for 8 weeks, and the interns were assessed according to the requirements of the syllabus. The scores of theoretical knowledge, case analysis ability, and skill operation of the two groups were compared, as well as their satisfaction on obstetric teaching. Independent sample t test was used for measurement data, and χ2 test was used for count data. Results The scores of theoretical knowledge, case analysis ability, and skill operation of the standardized medical order teaching group [(90.10±2.61) points, (91.34±3.60) points, and (91.50±3.18) points] were higher than those of the traditional teaching group [(87.26±4.33) points, (88.90±3.26) points, and (89.20±3.47) points], with statistically significant differences (all P<0.05). The satisfaction of the standardized medical order teaching group on obstetric teaching methods, teaching contents, teaching interaction, and self-improvement [88% (44/50), 92% (46/50), 96% (48/50), and 90% (45/50)] were higher than those of the traditional teaching group [70% (35/50), 76% (38/50), 76% (38/50), and 74% (37/50)], with statistically significant differences (all P<0.05). Conclusion The application of clinical pathway teaching method with "standardized medical order" as the core in obstetric clinical teaching can not only improve the interns' performance in all aspects, improve their satisfaction degree, which is worthy of promotion in clinical teaching.

Key words: Standardized medical order, Clinical pathway, Obstetrics, Clinical teaching

刘荣欣, 鲍志敏, 曲首辉, 袁雪莲, 李莎. 以“标准化医嘱”为核心的教学模式在产科临床教学中的应用[J]. 国际医药卫生导报, 2022, 28(2): 189-192.

Liu Rongxin, Bao Zhimin, Qu Shouhui, Yuan Xuelian, Li Sha. Application of clinical pathway teaching method with "standardized medical order" as the core in obstetric clinical teaching[J]. International Medicine and Health Guidance News, 2022, 28(2): 189-192.

参考文献

[1] 卫生计生委发布23个专业202个病种临床路径[J].中国医院院长,2017,299(12):18.

[2] 陈宜德,江凌翔,卓徐鹏,等 .目标教学路径在医生带教中的应用效果研究[J]. 中国继续医学教育,2021,13(9):46-50.DOI:10.3969/j.issn.1674-9308.2021.09.013.

[3] 黄华,马元,王宁,等 .信息化临床思维模拟培训与考核系统在临床医学专业学生临床思维能力评价中的应用[J].中华医学教育杂志,2019,39(8):630-634. DOI:10.3760/cma.j. issn.1673-677X.2019.08.016.

[4] 焦雪娟,宋倩倩.临床路径结合目标管理教学法在妇产科学临床教学中的应用价值分析[J/CD]. 世界最新医学信息文摘(连续型电子期刊),2020,20(19):298,300. DOI:10.3969/ j.issn.1671-3141.2020.19.164.

[5] 朱明喆.目标管理结合临床路径对妇产科学教学的效果[J]. 中国继续医学教育,2018,10(35):49-51. DOI:10.3969/j. issn.1674-9308.2018.35.020.

[6] 丘媚妮,张丽.CP联合TBL教学在妇产科实习教学中的应用 [J]. 中国继续医学教育,2020,12(1):16-18. DOI:10.3969/j. issn.1674-9308.2020.01.007.

[7] 卢洪霞,黄静铭 .集束化管理策略联合临床路径教学在 ICU 护理学生教学中的应用效果[J]. 广西医学,2017,39(3): 422-424. DOI:10.11675/j.issn.0253-4304.2017.03.40.

[8] 苏克剑,张乐,万旭,等 .按病种分类进行用药医嘱点评模式初探[J]. 中国药房, 2019, 30(3): 310-313. DOI: 10.6039/j. issn.1001-0408.2019.03.06.

[9] 刘锐,何嘉,刘秀芳,等 . 以"标准化医嘱"为重点的同质化临床教学平台在临床实习中的应用[J]. 医学教育管理,2018, 4(5): 401-403, 408. DOI: 10.3969/j. issn. 2096- 045X.2018.05.012.

[10] 龚丽莉.模拟临床思维教学法结合案例教学法在儿科临床教学中的应用[J].新疆医学,2021,51(6):733-736.

[11] 乌兰图雅.临床路径结合目标管理教学法在妇产科临床教学中的应用意义[J/CD]. 临床医药文献电子杂志,2020, 7(14):190. DOI:10.16281/j.cnki.jocml.2020.14.168.

[12] 孙崟,宋英娜,朱兰,等.妇产科模拟教学:从模拟产房的建设到模拟教学的全面发展[J]. 基础医学与临床,2019,39(8): 1213-1216. DOI:10.16352/j.issn.1001-6325.2019.08.041.

[13] 曾卓辉,廖英扬,杜宇康 . 临床路径教学法在骨科临床带教中的应用[J]. 中国高等医学教育,2018(7):100-101. DOI: 10.3969/j.issn.1002-1701.2018.07.049.

[14] 李芳芳,张玉昌,姚宗花 . 临床路径结合目标管理教学法在妇产科学教学中的应用[J]. 中国中医药现代远程教育, 2021,19(13):31-33. DOI:10.3969/j.issn.1672-2779. 2021. 13.013.

[15] 雍军,李林格,王松,等 .基于临床路径的案例教学法在耳鼻咽喉头颈外科科学实践教学中的应用[J]. 新疆医学,2019, 49(2):208-212.

以“标准化医嘱”为核心的教学模式在产科临床教学中的应用

Application of clinical pathway teaching method with "standardized medical order" as the core in obstetric clinical teaching

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 1

编辑推荐

Metrics