临床案例结合临床路径在血液系统肿瘤教学中的应用

Application of clinical cases combined with clinical pathways in teaching hematological tumors

目的探讨临床案例结合临床路径在血液科进行血液系统肿瘤教学中的应用效果。方法选择2018年1—6月在蚌埠医学院第一附属医院血液科的规培生、研究生50名作为研究对象,采用随机数字表法分为试验组和对照组,每组25人;试验组为临床案例结合临床路径教学组,对照组为传统教学组。2组人员按照上述方法进行为期1个月的教学,并在教学结束后通过填写调查问卷结合理论考试的方法比较教学效果。结果调查问卷结果表明:无论是在临床思维能力的提高,对血液病学的学习兴趣的增加,以及在满意老师的教学方法等方面,试验组的成绩都明显优于对照组,差异均有统计学意义(均P<0.05);理论考试成绩表明试验组的成绩明显优于对照组,差异均有统计学意义(均P<0.05)。结论通过在血液学临床实践教学中,将临床病例与临床路径的有机结合,取得了满意的效果。通过对血液病患者典型病例的选择,在临床路径的指导下,将血液学的理论知识融入到典型病例中,培养学生的临床逻辑思维能力,激发学生学习血液学的兴趣。学生对所学内容的理解和理解,培养学生的自学能力,规范教学过程,提高教学内容的系统性和严谨性。因此,在血液系统肿瘤教学中结合临床病例和临床路径方法是可行的。实践教学值得推广,是一种较好的临床教学模式。

Objective To explore the application of clinical cases combined with clinical pathways in the teaching of hematological tumors.Methods Fifty disciplines and postgraduates from the Department of Hematology were selected as subjects.They were randomly divided into the experimental group and the control group,with 25 patients in each group.The experimental group was combined with the clinical path teaching group and the control group was the traditional teaching group.The group members performed the teaching in January according to the above method.After the teaching,the questionnaire was completed and the theoretical examination was compared to compare the teaching effects.Results The results of the questionnaire showed that the scores of the experimental group were significantly better than those of the control group,both in terms of improved clinical thinking ability,interest in hematology,and teaching methods of satisfied teachers.The differences were statistically significant(all P<0.05).The results of the theoretical test showed that the scores of the experimental group were significantly better than the control group,and the differences were statistically significant(all P<0.05).Conclusion The clinical practice teaching of hematology has achieved satisfactory results by organically combining clinical cases with clinical pathways.By selecting typical cases of hematological patients,the theoretical knowledge of hematology is integrated into typical cases under the guidance of clinical pathways,thus cultivating students’clinical logic thinking ability and inspiring students’interest in learning hematology.Students’understanding and understanding of the content they have learned,and cultivate students’self-learning ability,standardize the teaching process,and enhance the systematic and rigorous content of the teaching content.Therefore,it is feasible to combine clinical cases with clinical path methods in blood system tumor teaching.It is worthy of promotion in practice teaching,which is a better clinical teaching mode.