Application of All-elements Surgical Simulated Surgery Training in Surgical Skills Training for Interns
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摘要:
目的 设计真实、全面的全要素外科模拟手术教学模式用于实习医生的临床技能培训,并观察该模式与传统规范化培训的效果差异。 方法 将实习医生随机分为试验组(全要素外科模拟手术教学组)与对照组(传统规范化培训教学组)。试验组依据课题组编写的《全要素外科模拟手术教学》教程进行培训,对照组则依据传统教材中的方法进行培训。培训完成后对学生的外科基本技能操作进行考核,以调查问卷形式收集学生对自我学习效果及教学方式接受度等反馈结果。 结果 共纳入80名实习医生,其中试验组与对照组各40名。试验组在外科临床技能操作考核中,消毒铺巾、切开缝合、结扎止血、换药拆线、清创、脓肿切开、胸腔闭式引流拔除成绩均高于对照组(P均<0.01),且试验组对自我操作能力、自我临床思维能力、自我学习效率、教学方式接受度评分均高于对照组(P均<0.05)。 结论 全要素外科模拟手术教学能够显著提高实习医生的临床操作水平,且实习医生对该教学模式的接受度更好,满意度更高。 Abstract:Objective To develop a real and comprehensive all-elements surgical simulation teaching for clinical skills training, and observe the differences between this method and the traditional standardized training. Methods All interns were randomly divided into experimental group (all-elements surgical simulated surgery training group) and control group (traditional standardized training teaching group). The control group was trained according to the operating procedures in traditional textbooks, while the experimental group was trained according to the All-elements Surgical Simulated Surgery Tutorial compiled by the subject group. After the training was completed, the students took basic surgical skills assessment, and questionnaires was issued to investigate how they felt about the course. Results A total of 80 interns were included, with 40 each in the test and control groups. In the examination of surgical clinical skills, the scores of students in the experimental group were higher than those in the control group, including disinfection and drape, incision and suture, ligation and hemostasis, dressing and suture removal, debridement, abscess incision, thoracic drainage extraction. The differences between the two groups were statistically significant (all P < 0.01). In the questionnaire for feedback of teaching effect, the scores of students in the experimental group were higher than those in the control group, including self-operation ability, clinical self-thinking ability, self-learning efficiency, teaching methods acceptance, and the differences between the groups were statistically significant (all P < 0.05). Conclusions Compared with the traditional standardized training, the all-elements operation training can significantly improve the operation skill of interns. At the same time, interns have better acceptance and satisfaction with the new training method. -
Key words:
- all elements /
- surgery /
- teaching /
- interns /
- simulated surgery
伦理声明:本文不包含任何涉及人类或动物的研究;所有学生均自愿参与课程,并获得口头知情同意,在本文中发表他们的匿名信息。作者贡献:邱小原负责撰写论文、数据分析、研究实施;白雪杉负责研究设计及实施、撰写论文;刘雨馨负责问卷设计、研究实施;林国乐负责研究设计、统筹、实施。利益冲突:所有作者均声明不存在利益冲突 -
表 1 试验组全要素外科模拟手术教学培训模块
表 2 两组外科临床技能操作考核成绩比较(x±s,分)
组别 消毒铺巾 切开缝合 结扎止血 换药拆线 清创 脓肿切开 胸腔闭式引流拔除 试验组(n=40) 90.88±4.42 86.33±5.45 89.00±4.70 91.15±5.29 89.00±4.31 87.70±5.17 90.58±5.56 对照组(n=40) 75.93±4.87 72.80±8.16 72.38±7.26 73.05±5.78 70.40±5.35 70.38±7.99 75.25±7.65 t值 14.376 8.720 12.157 14.614 17.190 11.511 9.994 P值 <0.01 <0.01 <0.01 <0.01 <0.01 <0.01 <0.01 表 3 两组问卷调查结果比较(x±s,分)
组别/评价 自我操作能力 自我临床思维能力 自我学习效率 教学方式接受度 总分 试验组(n=40) 21.95±2.68 21.13±2.76 21.83±2.99 22.13±2.50 87.03±4.23 对照组(n=40) 19.15±4.53 18.33±3.24 19.83±4.14 19.18±2.75 76.48±4.41 t值 3.37 4.17 2.48 5.01 10.91 P值 <0.01 <0.01 0.02 <0.01 <0.01 -
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