TRIZ理论在骨科手术室实习带教中的应用研究

Application of TRIZ theory in clinical teaching in orthopedic operating room

目的探究TRIZ理论在骨科手术室实习带教中的作用。方法将2019年10月至2020年7月期间在本院骨科手术室实习的43名实习生纳入对照组,另将2020年8月至2021年5月期间在本院骨科手术室实习的46名实习生纳入观察组。对照组采用传统带教,观察组采用TRIZ理论带教。比较两组实习生的专业考核情况、自我评价、满意度评分及骨科手术室无菌操作合格情况。运用SPSS 22.0进行t检验和卡方检验。结果观察组实习生理论知识、实践技能、加权总成绩等分数高于对照组(t=14.90,11.82,13.23;均P<0.001);观察组分析与解决问题能力、临床思维、医患沟通、心理素质、临床案例分析、自学能力、教学满意度等评分高于对照组(t=7.88,11.78,15.26,7.94,12.93,9.83,13.22;均P<0.001);观察组外科洗手、无菌手术衣穿着、无接触式手套穿戴、细菌学检测等合格率高于对照组(χ^(2)=4.22,6.02,4.92,7.59;P=0.040,0.014,0.027,0.006)。结论将TRIZ理论应用于骨科手术室实习带教中,可提高理论知识和实践技能考核成绩,增强骨科手术室无菌操作能力和实习生对带教的满意度,具有应用价值。

Objective To investigate the role of TRIZ theory in clinical teaching in orthopedic operating room.Methods A total of 43 interns in the orthopedic operating room of our hospital from October 2019 to July 2020 were selected as control group,and 46 interns in the orthopedic operating room of our hospital from August 2020 to May 2021 were selected as observation group.The interns in the control group received traditional teaching,and those in the observation group received teaching based on TRIZ theory.The two groups were compared in terms of professional assessment results,self-evaluation,satisfaction score,and qualification of aseptic operation in orthopedic operating room.SPSS 22.0 was used to perform the t-test and the chi-square test.Results Compared with the control group,the observation group had significantly higher theoretical knowledge score,practical skill score,and weighted total score(t=14.90,11.82,and 13.23,all P<0.001).Compared with the control group,the observation group also had significantly higher scores of analysis and problem-solving ability,clinical thinking,doctor-patient communication,psychological quality,clinical case analysis,self-study ability,and teaching satisfaction(t=7.88,11.78,15.26,7.94,12.93,9.83,and 13.22,all P<0.001).Compared with the control group,the observation group had significantly higher qualified rates of surgical hand-washing,wearing sterile surgical gowns,non-contact glove wearing;and bacteriological testing(χ^(2)=4.22,6.02,4.92,and 7.59,P=0.040,0.014,0.027,and 0.006).Conclusion TRIZ theory has a certain value in clinical teaching in orthopedic operating room and can significantly improve the scores of theoretical knowledge and practical skills,strengthen aseptic operation abilities in orthopedic operating room,and enhance the satisfaction with teaching among interns.