摘要
目的评估阶段性模块化理论及实践授课在腹腔镜培训中的应用效果。方法选取医学生及住培医师各一大组,两大组内各自分为试验组和对照组。试验组进行阶段性模块化理论及实践授课并参与常规腹腔镜基础技能培训,对照组仅进行常规腹腔镜基础技能培训。在培训前、后按照考核标准,分别将每组腹腔镜下基础操作6项完成时间及腹腔镜下缝合时间、缝合质量、误损伤次数进行记录。采用SPSS 26.0对考核数据进行统计分析。将医学生大组及住培医师大组两组间比较采用独立样本t检验或Mann-Whitney U检验,组内训练前后比较采用配对样本t检验或Wilcoxon符号秩和检验。结果经过阶段性模块化理论及实践授课后,相对于对照组,医学生试验组腹腔镜下完成基础操作时间更短,缝合速度更快(t=6.18,P<0.001)、质量更高(t=4.17,P<0.001)、误损伤更少(Z=-2.03,P=0.043);住培医师试验组腹腔镜下完成基础操作时间更短,缝合速度更快(t=3.31,P=0.002)、质量更高(t=3.68,P=0.001)、误损伤更少(Z=-2.44,P=0.015)。结论阶段性模块化理论及实践授课能够进一步提高腹腔镜基础技能培训的质量。
Objective To evaluate the effectiveness of staged modular theory and practice lectures in laparoscopic training.Methods In this study,a large group of medical students and a large group of residents were selected,and each of the two groups was divided into an experimental group and a control group respectively.The experimental group received staged modular theory and practice lectures based on the conventional trainings,and the control group only underwent conventional laparoscopic skills training and instruction.Before and after the training,the completion time of 6 basic laparoscopic operations,laparoscopic suture time,suture quality and the number of accidental injuries were recorded and scored in each group according to the assessment criteria.SPSS 26.0 was used for statistical analysis of the assessment data.Independent samples t-test or Mann-Whitney U test was used for inter-group comparison between the two large groups,and paired samples t-test or Wilcoxon sign rank sum test was used for intra-group comparison before and after the training.Results Compared with the control group,the experimental group of medical students that had undergone staged modular theory and practice lectures had a shorter time to complete basic laparoscopic operations,faster speed of suturing(t=6.18,P<0.001)and higher quality of suturing(t=4.17,P<0.001)and fewer accidental injuries(Z=-2.03,P=0.043);the experimental group of residents that had undergone staged modular theoretical and practical lectures had a shorter time to complete basic laparoscopic operations,faster speed of suturing(t=3.31,P=0.002)and higher quality of suturing(t=3.68,P=0.001)and fewer accidental injuries(Z=-2.44,P=0.015).Conclusion The staged modular theory and practice lectures are able to further improve the quality of basic laparoscopic skills training.
作者
田宇剑
潘小明
夏文远
邬幼萍
吴胜
李伟
周城臣
Tian Yujian;Pan Xiaoming;Xia Wenyuan;Wu Youping;Wu Sheng;Li Wei;Zhou Chengchen(Department of General Surgery,Surgical Base for Standardized Residency Training,The 904 Hospital of PLA Joint Logistic Support Force(Wuxi Taihu Hospital),Wuxi 214044,China;Department of Medical Education,The 904 Hospital of PLA Joint Logistic Support Force(Wuxi Taihu Hospital),Wuxi 214044,China;ICU,The 904 Hospital of PLA Joint Logistic Support Force(Wuxi Taihu Hospital),Wuxi 214044,China)
出处
《中华医学教育探索杂志》
2022年第8期1028-1033,共6页
Chinese Journal of Medical Education Research
基金
南京医科大学2019年度教育研究课题(2019ZC057)
2021无锡市科协软课题(KX-21-B66)
