引用本文:吴春雨,武春霞,康莉,韩艳红.模拟教学结合病例式教学模式对胸外科护士基本技能操作训练中的应用效果[J].中华医学教育探索杂志,2022,21(3):737-740
模拟教学结合病例式教学模式对胸外科护士基本技能操作训练中的应用效果
Cognition analysis of doctor-patient relationship from the perspective of medical students
DOI:
中文关键词:  模拟教学  病例式教学  胸外科  护士  基本技能操作
英文关键词:Medical students  Doctor-patient relationship  Cause of tension
基金项目:
作者单位E-mail
吴春雨* 首都医科大学附属北京胸科医院手术科室 北京市 邮编 13810219536@163.com 
武春霞   
康莉   
韩艳红   
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中文摘要:
      目的 探讨模拟教学结合病例式教学模式对胸外科护士基本技能操作训练中的应用效果。方法 选择我院2019年8月-2021年5月在胸外科实习的护士60人,随机分为对照组和研究组,每组30人。对照组采用传统带教模式进行教学。研究组采用模拟教学结合病例式教学模式进行教学。培训结束后对两组实习护士进行理论和基本技能操作考核,通过问卷调查方式评估两组实习护士的教学效果和满意率。结果 研究组实习护士培训后理论和基本技能操作考核成绩均显著高于对照组,差异有统计学意义(P=0.000)。在提高护理基本技能操作、提高自主学习能力、提高临床思维能力、提高突发应急应变能力、提高理论与实践操作相结合的能力、提高培训学习兴趣、培养团队合作能力、培养医患沟通能力等8个维度方面,研究组各项教学效果评分均显著高于对照组,差异有统计学意义(P=0.000)。研究组实习护士对模拟教学结合病例式教学模式的满意率为100.00%,对照组实习护士对传统带教模式的满意率为63.33%,两组对比差异有统计学意义(P=0.000)。结论 模拟教学结合病例式教学模式应用于胸外科护士基本技能操作训练中,可提高实习护士的护理技能掌握程度,提升临床教学质量。
英文摘要:
      Objective Based on the current medical environment, to learn about cognition status of doctor-patient relationship among medical students and analyze causes of the tension between doctors and patients. Methods Using the self-designed questionnaire "Clinical Medical Students' Cognition Survey on Occupational Status and Doctor-Patient Relationship", a cross-sectional survey was conducted on 527 medical students from 5-year and 7-year clinical program in Batch 2014 in a medical university in Heilongjiang Province. The survey mainly analyzed the causes of the tension between doctors and patients from the level of medical staff, patients and their families, hospitals and society. SPSS 22.0 was used for descriptive statistics and chi-square test. Results The results showed that 93.7% of the medical students believed that the current doctor-patient relationship was not harmonious. There were cognitive differences among medical students in different gender (P=0.029), first contact clinical grade (P=0.003) and professional identity (P<0.001). Conclusion Medical students have a poor evaluation towards the current doctor-patient relationship. In order to construct harmonious doctor-patient relationship in the future, we can try to take measures such as carrying out relevant courses of doctor-patient communication, improving the medical students' communication skills and enhancing their professional identity.
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