摘要
目的:了解实习生临床技能水平,为医学人才培养方案的制定提供理论依据。方法通过问卷调查,对203名本科五年制实习生临床技能操作的掌握情况进行调查,并根据实习结束后的临床技能操作考核成绩作为评判标准。结果①6所教学医院实习生技能掌握情况良好率为16.75%,临床教学实践和实习效果不容乐观。②在203名实习生中,模拟人练习组考核优秀率为56.1%,未接受模拟人练习组优秀率为41.3%,差别有统计学意义(χ2=4.281,P <0.05)。理论培训组考核优秀率为61.8%,未接受理论培训组优秀率为41.9%,差别有统计学意义(χ2=6.387,P <0.05)。③在进行操作时会事先与患者进行充分沟通的实习生中57.5%可以得到患者的充分配合。在未沟通组中仅有40.6%的实习生可以得到患者的配合,差别有统计学意义(χ2=5.199,P <0.05)。结论实习生在临床技能操作中操作机会少、教学培训少等问题不同程度存在,严重影响临床教学质量。建议采用技能培训、加大建设力度、制定科学的实习方案等方法提高临床教学质量。
Objective To investigate the clinical skills of interns , and provide a theoretical basis for medi -cal personnel training.Methods Through questionnaires, we investigated 203 interns of five -year undergraduate program for their clinical skills, and used clinical practice examination results at the end of internship as the evalua -tion criteria.Results ①the good rate of practical skills of interns in 6 clinical teaching hospitals was only 16.75%. It showed that the clinical teaching practice condition and the effect of internship practice was not optimistic .②In the 203 interns, the excellent rate of the group that accepted exercise on human model was 56.1%, the excellent rate of the group did not accept the exercise was 41.3%.The difference was statistically significant (χ2 =4.281, P 〈0.05).The excellent rate of the group that accepted the theory training was 61.8%, the excellent rate of the group did not accept the training was 41.9%.The difference was statistically significant (χ2 =6.387, P 〈0.05).③57.5% of the interns who communicated with the patients in advance could obtain good cooperation from patients . But only 40.6% of interns who did not communicate in advance could obtain the cooperation .The difference was sta-tistically significant (χ2 =5.199, P 〈0.05).Conclusion At present, there exists many problems like little operat -ing chance, little practice training in clinical skills operation during the internship .These problems seriously affected the quality of clinical teaching.Approaches like more practice training, more efforts to formulate a scientific internship scheme and construction of scientific internship program are recommended to improve the clinical teaching quality .
出处
《解放军医院管理杂志》
2016年第9期859-861,共3页
Hospital Administration Journal of Chinese People's Liberation Army
关键词
实习生
临床技能操作
调查分析
interns
clinical skills
investigation and analysis