基于杜威教育理论的综合教学在心电图规培教学中的实践

Discussion on the practice of integrated teaching method based on Dewey’s educational theory in the teaching of standardized training of electrocardiogram

目的探讨基于杜威教育理论的综合教学在心电图规培教学中的应用效果。方法选取临沂市中心医院心电图室2019年1月至2019年12月接收的60名规培医师,按照随机数字表法分为对照组和研究组。对照组接受常规教学,研究组接受基于杜威教育理论的综合教学,均规培3个月。以两组心电图理论知识考核成绩,对各种类型心脏病心电图表现诊断的正确率,规培前后临床思维能力,规培后课堂参与程度、团队协作能力、师生沟通能力、教学方法认可程度作为考核指标。采用SPSS 22.0进行t检验和卡方检验。结果研究组心电图理论知识考核成绩中基础知识、看图分析、拓展问答得分和总分均高于对照组(P<0.05);对缺血性心肌病、心律失常、房室肥大、先心病心电图表现诊断的正确率分别为96.67%、100.00%、96.67%、100.00%,均高于对照组的73.33%、80.00%、70.00%、66.67%(P<0.05);规培后研究组系统性思维能力、逻辑性思维能力、批判性思维能力、循证思维能力、网络思维能力、想象性思维能力、横向性思维能力、纵向性思维能力评分均较规培前升高,且研究组高于对照组(P<0.05);规培后研究组课堂参与程度、团队协作能力、师生沟通能力、教学方法认可程度评分均高于对照组(P<0.05)。结论将基于杜威教育理论的综合教学应用于心电图规培教学中,可帮助规培生掌握心电图理论知识和各种类型心脏病的心电图表现,增强其临床思维能力。

Objective To explore the application effect of comprehensive teaching based on Dewey's educational theory in the teaching of standardized training of electrocardiogram(ECG).Methods A total of 60 residents who were accepted by the ECG Room of Linyi Central Hospital from January 2019 to December 2019 were randomly divided into control group and study group.The control group received regular teaching,and the research group received comprehensive teaching based on Dewey's educational theory,both of which received the standardized training for 3 months.The results of the two groups of ECG theoretical knowledge assessment,the diagnostic accuracy of various types of heart disease ECG performance,the clinical thinking ability before and after the training,the classroom participation after the training,the teamwork ability,the teacher-student communication ability,and the degree of recognition of teaching methods were observed as indexes.SPSS 22.0 was used for t test and chi-square test.Results The basic knowledge,picture analysis,expanded questions and answers scores and total scores of the theoretical knowledge of ECG in the study group were higher than those in control group(P<0.05),and the correct rates of diagnosis of ischemic cardiomyopathy,arrhythmia,atrioventricular hypertrophy and congenital heart disease were 96.67%,100.00%,96.67%and 100.00%respectively,which were higher than 73.33%,80.00%,70.00%and 66.67%respectively in the control group(P<0.05).The systematic thinking ability,logical thinking ability,critical thinking ability,evidence-based thinking ability,network thinking ability,imaginative thinking ability,horizontal thinking ability and vertical thinking ability scores were increased in both groups after the training,of which the study group were higher than the control group(P<0.05).After the training,the study group scored higher in class participation,teamwork ability,teacher-student communication ability,and teaching method recognition than the control group(P<0.05).Conclusion The application of comprehensive teaching based on Dewey's educational theory in the teaching of ECG standardized training can help residents master the knowledge of ECG theory and ECG performance of various types of heart diseases,and enhance their clinical thinking ability.