新髋部模型在骨科临床教学中的应用

Application of Novel Hip Model in Orthopedic Clinical Teaching

目的探讨新髋部模型在骨科临床教学中的作用。方法选取2023年3—9月解放军总医院进行规范化培训的46名住院医师为研究对象,通过随机数字表法分为两组,每组23名。研究组采用新髋部模型,对照组采用传统老模型。经过培训后进行理论和操作技能考核,并在出科后进行培训满意度调查,明确两种模型在教学过程中的差别。结果研究组操作成绩得分高于对照组,差异有统计学意义(P均<0.05),具体表现在组织保护、操作时间和动作、操作流程和操作熟悉程度等方面。研究组的技能培训和技能考核满意度(9.1±0.8)分、(9.0±0.9)分均高于对照组(8.2±1.0)分、(8.3±1.3)分,差异有统计学意义(t=3.370、2.513,P均<0.05)。理论成绩、操作成绩中的助手管理、沟通能力、理论培训满意度上虽高于对照组,但差异无统计学意义(P均>0.05)。结论新髋部模型可以提高外科住院医师的操作能力,使用者体验好,成本低,满意度高,可以作为骨科技能训练工具使用。

Objective To explore the role of new hip model in clinical teaching of orthopedics.Methods A total of 46 residents who underwent standardized training in the PLA General Hospital from March to September 2023 were selected as the research objects.They were divided into two groups by random number table method,with 23 residents in each group.The study group used a new hip model,and the control group used a traditional old model.After training,the theoretical and operational skills were assessed,and the training satisfaction survey was conducted after the department,so as to clarify the differences between the two models in the teaching process.Results The operation scores of the study group were higher than that of the control group,and the difference were statistically significant(all P<0.05),which were manifested in the aspects of organizational protection,operation time and action,operation process and operation familiarity.The satisfaction scores of skill training and skill assessment in the study group were 9.1±0.8 and 9.0±0.9,higher than 8.2±1.0 and 8.3±1.3 in the control group,and the difference were statistically significant(t=3.370,2.513,both P<0.05).The satisfaction of assistant management,communication ability and theoretical training in theoretical and operational scores were higher than those in the control group,but the difference was not statistically significant(all P>0.05).Conclusion The new model can improve the operation skills of surgical residents with good user experience,low cost and high satisfaction,and can be used as a training tool for orthopedic skills training.