临床路径在肝脏外科实习带教中的应用与效果评价

Application and efficacy evaluation of clinical pathway in clinical practice teaching in the department of liver surgery

目的探讨临床路径在肝脏外科实习带教中的应用效果。方法将2018年2月至2019年5月在四川大学华西医院肝脏外科实习的64名临床医学专业实习生随机分为2组;实验组(n=32)采用临床路径教学,对照组(n=32)采用传统带教方法。实习结束后,两组学生均接受统一的出科考试和带教满意度调查。采用SPSS 17.0统计相关数据,使用t检验比较连续变量、四格表法比较分类变量。结果实验组学生的理论知识(P=0.033)、操作技能(P=0.021)、病例分析(P=0.006)及病历书写(P=0.017)考核成绩优于对照组。且实验组学生对带教的满意度高于对照组(P<0.05)。结论临床路径在肝脏外科实习带教中的应用效果较好,可明显提高实习带教质量。

Objective To investigate the application and effect of clinical pathway in practice teaching of hepatic surgery.Methods The 64 clinical interns who had an internship in our department between February 2018 and May 2019 were divided randomly into two groups:the experimental group(n=32)and the control group(n=32).The clinical pathway teaching method was used in the experimental group and the traditional teaching method was used in the control group.At the end of their internship,the examination and the satisfaction survey were requested to finish in the both groups.The statistical software SPSS 17.0 was used.Continuous variables were analyzed through the Z-test.Categorical data were compared through Pearson chi-square.Results The examination results included theoretical knowledge(P=O.O33),operating skill(P=0.021),case analysis(P=0.006)and medical record writing(P=0.017),which were significantly better in the experimental group than in the control group,and the satisfaction of interns was also significantly better in the experimental than in the control group(P<0.05).Conclusion The clinical pathway teaching method is effective in practice teaching of hepatic surgery,and can improve the results of practice teaching quality obviously.