标准化病人在肝胆外科急重症临床教学中的应用价值

Application Value of Standardized Patients in Clinical Teaching of Acute and Severe Diseases in Hepatobiliary Surgery

目的探讨标准化病人在肝胆外科急重症临床教学中的应用价值。方法选取2022年4—5月在重庆医科大学附属第二医院肝胆外科轮转的规范化培训学员为研究对象,共40名。将其随机分为研究组与对照组,各20名。研究组教学引入标准化病人,对照组采用传统的教学方法。出科时比较2组学员的病史采集及体格检查水平,以及标准化病人对学员的医患沟通能力及人文关怀进行评分。结果研究组病史采集成绩高于对照组[(88.70±0.61)分vs.(82.00±0.41)分],体格检查成绩高于对照组[(89.40±0.61)分vs.(82.55±0.39)分],差异有统计学意义(P<0.05)。研究组在医患沟通及人文关怀方面的得分高于对照组,[(13.15±0.32)分vs.(9.15±0.29)分],差异有统计学意义(P<0.05)。问卷调查结果显示,研究组100%(20/20)的学员认为标准化病人的应用可以提高学习兴趣,95%(19/20)的学员认为可以提高临床思维能力,90%(18/20)的学员认为可以提高医患沟通技巧。结论在肝胆外科急重症临床教学中应用标准化病人,可以提高学员的病史采集、体格检查、医患沟通等能力,尤其增强了人文关怀的意识,提高了学员的综合素质。

Objective To explore the application value of standardized patients in clinical teaching of acute and severe diseases in hepatobiliary surgery.Methods A total of 40 standardized training trainees rotated in hepatobiliary surgery in the Second Affiliated Hospital of Chongqing Medical University from April to May 2022 were selected as the study objects.They were randomly divided into study group and control group,with 20 trainees in each group.The study group was taught with standardized patients,while the control group was taught with traditional teaching methods.The medical history collection and physical examination levels of the two groups of students were compared at the time of graduation,and the doctor-patient communication ability and humanistic care of the students were rated by standardized patients.Results The medical history score of the study group was higher than that of the control group[(88.70±0.61)points vs.(82.00±0.41)points],and the physical examination score was higher than that of the control group[(89.40±0.61)points vs.(82.55±0.39)points],and the difference was statistically significant(P<0.05).The scores of the study group in doctor-patient communication and humanistic care were higher than those of the control group[(13.15±0.32)points vs.(9.15±0.29)points],and the difference was statistically significant(P<0.05).The results of the questionnaire survey showed that 100%(20/20)of the participants believed that standardized patient application could improve learning interest,95%(19/20)of the participants believed that it could improve clinical thinking ability,and 90%(18/20)of the participants believed that it could improve doctor-patient communication skills.Conclusion The application of standardized patients in the acute and critical clinical teaching of hepatobiliary surgery can improve the students'abilities of history collection,physical examination,doctor-patient communication,especially enhance the awareness of humanistic care,and improve the students'comprehensive quality.