摘要
2021年2月1日至4月30日将海军军医大学第一附属医院全科住院规范化培训医师共48名按随机数字表分为情景组和观察组各24名。选取社区老年人常见共患病,即糖尿病、糖尿病视网膜病变、骨质疏松为教学病例。两组学员分别接受传统教学(观察组)和多病共治情景模拟教学(情景组),比较两组学员的教学效果、满意度和自我效能评分。结果显示,摸底考核两组学员各项成绩相当,培训后情景组学员理论知识、转诊指征掌握情况、眼底镜检查技能成绩均显著优于观察组(t=2.27、6.34、4.09,P<0.05),分别为(80.96±11.27)比(73.96±10.09)分、(10.33±2.41)比(6.38±1.88)分、(70.27±10.44)比(63.50±7.98)分,且学员满意度及自我效能评价均高于观察组(均P<0.05)。提示多病共治情景模拟教学较传统教学有利于提升全科住院规范化培训医师对慢病共存患者的综合照护能力。
From February 1 to April 30,2021,48 general practice resident physicians in the First Affiliated Hospital of Naval Medical University were randomly divided into study group and control group with 24 in each group.The common comorbidities of the community-dwelling elderly,namely diabetes,diabetic retinopathy and osteoporosis were selected as teaching cases.The residents in control group received conventional teaching,while the scenario simulation teaching model of multicomorbity co-treatment was applied for the study group.The teaching effect,satisfaction and self-efficacy scores were compared between two groups.After training,the knowledge levels,the mastery of referral indicators and the performance of fundus ophthalmoscopy in the study group were significantly better than those in the control group(t=2.27,6.34,4.09;P<0.05).They were(80.96±11.27)vs.(73.96±10.09),(10.33±2.41)vs.(6.38±1.88),(70.27±10.44)vs.(63.50±7.98),and students′satisfaction and self-efficacy evaluation were higher than those of the observation group(all P<0.05).It is suggested that the simulation teaching of multi-disease co-treatment scenario is more beneficial than the traditional teaching to improve the comprehensive care ability of standardized training physicians in general practice for patients with chronic disease.
作者
佟智颖
程小龙
张毅
商艳
韩一平
Tong Zhiying;Cheng Xiaolong;Zhang Yi;Shang Yan;Han Yiping(Department of General Medicine,the First Affiliated Hospital of Naval Military Medical University,Shanghai 200433,China)
出处
《中华全科医师杂志》
2023年第5期520-523,共4页
Chinese Journal of General Practitioners
基金
海军军医大学第一附属医院教学成果立项培育项目(CHPY2021A05,CHPY2021B30)。
关键词
医院
教学
慢病共存
多病共治
情景模拟教学
Hospital,teaching
Multiple chronic conditions
Multimorbidity co-treatment
Scenario simulation teaching
