目的探讨以问题为基础的教学法(problem-based learning,PBL)联合影像归档和通信系统(picture archiving and communication systems,PACS)在提高颈椎病的针灸临床实践能力中的应用效果。方法选取2022年7月至2023年6月在北京中医医院顺...目的探讨以问题为基础的教学法(problem-based learning,PBL)联合影像归档和通信系统(picture archiving and communication systems,PACS)在提高颈椎病的针灸临床实践能力中的应用效果。方法选取2022年7月至2023年6月在北京中医医院顺义医院进行临床实习的2017级中医学专业实习学生共48名为研究对象,随机分为对照组和观察组,其中对照组24名学生采用传统带教模式,观察组24名学生采用PBL教学法联合PACS系统,实习1个月结束后进行腧穴定位操作、刺法灸法操作及颈椎病临床实习的考核,并调查带教老师的满意度。结果观察组学生腧穴定位操作[(24.04±2.31)分vs.(22.20±2.06)分]、刺法灸法操作[(24.12±1.96)分vs.(22.37±2.56)分]及颈椎病临床实习考核[(32.62±2.77)分vs.(30.08±2.30)分]的平均分高于对照组,差异有统计学意义(P<0.05);观察组带教老师满意度评分[(94.42±2.48)分vs.(81.04±3.08)分]亦高于对照组,差异有统计学意义(P<0.001)。结论针灸科采用PBL教学法联合PACS系统能够提高实习生对颈椎病的诊治水平,提高针灸实践操作的安全性及有效性,使影像资源在实习带教中发挥最大作用,从而提高针灸科临床实习的教学质量。展开更多
Clinical Practice Guideline on Acupuncture and Moxibustion:Allergic Rhinitis was revised and released by the Standards Working Committee of World Federation of Acupuncture-Moxibustion Societies(WFAS)on October 9,2023....Clinical Practice Guideline on Acupuncture and Moxibustion:Allergic Rhinitis was revised and released by the Standards Working Committee of World Federation of Acupuncture-Moxibustion Societies(WFAS)on October 9,2023.This is the first clinical practice guideline(CPG)on acupuncture and moxibustion for allergic rhinitis approved by an international academic organization,which provides evidence-based recommendations and the practical therapeutic protocols for acupuncture practitioners globally.This CPG was developed by following Grades of Recommendation,Assessment,Development,and Evaluation(GRADE)methodology,and the principles of the World Health Organization Handbook for Guideline Development.The members in the guideline development group(GDG)were from different countries,with different professions,and they played a critical role in the development of clinical questions,recommendations,and therapeutic protocols.Recommendations are the core of a CPG and the direct answers to clinical questions,due to which this article focuses on the recommendations of this CPG.The recommendations were developed by using the modified Delphi method and the GRADE grid rules,based on the updated systematic reviews of clinical evidence.A total of 15 recommendations for 15 clinical questions were developed in this CPG,including one strong recommendation for intervention based on high-quality evidence,three conditional recommendations for either the intervention or the comparison based on very low quality of evidence,and 11 conditional recommendations for the intervention based on very low quality of evidence.展开更多
On the basis of relevant literature and evidence, Clinical Practice Guidelines of Acupuncture-moxibust^on .for Cervical 5pondyloffc Radiculopathy has been formulated according to the quality of evidences and by adopti...On the basis of relevant literature and evidence, Clinical Practice Guidelines of Acupuncture-moxibust^on .for Cervical 5pondyloffc Radiculopathy has been formulated according to the quality of evidences and by adopting the method of Grades of Recommendations Assessment, Development and Evaluation （GRADE）, in which the objective of guidelines formulation, the scope of application of the guidelines, the principle of acupuncture-moxibustion treatment of cervical spondylotic radiculopathy, the time for intervention and different acupuncture-moxibustion regimens, etc. were specified.展开更多
文摘目的探讨以问题为基础的教学法(problem-based learning,PBL)联合影像归档和通信系统(picture archiving and communication systems,PACS)在提高颈椎病的针灸临床实践能力中的应用效果。方法选取2022年7月至2023年6月在北京中医医院顺义医院进行临床实习的2017级中医学专业实习学生共48名为研究对象,随机分为对照组和观察组,其中对照组24名学生采用传统带教模式,观察组24名学生采用PBL教学法联合PACS系统,实习1个月结束后进行腧穴定位操作、刺法灸法操作及颈椎病临床实习的考核,并调查带教老师的满意度。结果观察组学生腧穴定位操作[(24.04±2.31)分vs.(22.20±2.06)分]、刺法灸法操作[(24.12±1.96)分vs.(22.37±2.56)分]及颈椎病临床实习考核[(32.62±2.77)分vs.(30.08±2.30)分]的平均分高于对照组,差异有统计学意义(P<0.05);观察组带教老师满意度评分[(94.42±2.48)分vs.(81.04±3.08)分]亦高于对照组,差异有统计学意义(P<0.001)。结论针灸科采用PBL教学法联合PACS系统能够提高实习生对颈椎病的诊治水平,提高针灸实践操作的安全性及有效性,使影像资源在实习带教中发挥最大作用,从而提高针灸科临床实习的教学质量。
基金Supported by the National Key Research and Development Program of China:2019YFC17122002019YFC1712203。
文摘Clinical Practice Guideline on Acupuncture and Moxibustion:Allergic Rhinitis was revised and released by the Standards Working Committee of World Federation of Acupuncture-Moxibustion Societies(WFAS)on October 9,2023.This is the first clinical practice guideline(CPG)on acupuncture and moxibustion for allergic rhinitis approved by an international academic organization,which provides evidence-based recommendations and the practical therapeutic protocols for acupuncture practitioners globally.This CPG was developed by following Grades of Recommendation,Assessment,Development,and Evaluation(GRADE)methodology,and the principles of the World Health Organization Handbook for Guideline Development.The members in the guideline development group(GDG)were from different countries,with different professions,and they played a critical role in the development of clinical questions,recommendations,and therapeutic protocols.Recommendations are the core of a CPG and the direct answers to clinical questions,due to which this article focuses on the recommendations of this CPG.The recommendations were developed by using the modified Delphi method and the GRADE grid rules,based on the updated systematic reviews of clinical evidence.A total of 15 recommendations for 15 clinical questions were developed in this CPG,including one strong recommendation for intervention based on high-quality evidence,three conditional recommendations for either the intervention or the comparison based on very low quality of evidence,and 11 conditional recommendations for the intervention based on very low quality of evidence.
文摘On the basis of relevant literature and evidence, Clinical Practice Guidelines of Acupuncture-moxibust^on .for Cervical 5pondyloffc Radiculopathy has been formulated according to the quality of evidences and by adopting the method of Grades of Recommendations Assessment, Development and Evaluation （GRADE）, in which the objective of guidelines formulation, the scope of application of the guidelines, the principle of acupuncture-moxibustion treatment of cervical spondylotic radiculopathy, the time for intervention and different acupuncture-moxibustion regimens, etc. were specified.
