摘要
目的比较新型EBM教学方案与传统EBM教学方案的教学效果，为探索新疆evi-dence-based medicine（EBM）普及的方法，构建新疆EBM普及教育管理制度提供依据。方法从新疆14个地区中随机抽取4个地区，分别随机划分实验组169位和对照组167位学员，进行EBM培训，实验组采用新型EBM教学方案；对照组采用传统EBM教学方案。培训结束后，对全部学员进行问卷调查，统计分析数据，比较两组差异。结果两组学员能力相比，在提高认知（X^2=6．870，P=0．009）、文献检索（X^2=22．670，P=0．000）、医患沟通（X^2=6．288，P=0．012）和科研（X^2=4．667，P=0．031）能力方面的差异具有统计学意义，在提高诊疗能力（X^2=0．663，P=0．426）方面的差异无统计学意义；两组考试成绩相比，概论、病因、诊断、系统评价章节和总成绩差异有统计学意义，新型EBM教学方案优于传统EBM教学方案，在治疗和预后章节成绩差异不具有统计学意义。结论新型EBM教学方案能够很好地训练学员在认知、文献检索、医患沟通及科研方面的能力，提高学员对EBM理论掌握程度，对新疆EBM推广普及起到一定的推动作用。
Objective We compared the new teaching curriculum of evidence-based medicine （EBM） with the traditional one to explore a more effective one of EBM and provide reference for the popularization of EBM in Xinjiang. Methods From the fourteen regions in Xinjiang,we selected randomly four regions, and the trainees of the four regions were allocated randomly to the experimental group （169） and the control group （167）. The new teaching curriculum was used in the experimental group and the raditional one in the control group. After training, we investigated all the trainees with questionnaires and compared the differences of the two groups. Results Compared with the control group, trainees of the experimental group were significantly enhanced in the abilities of cognition （X^2=6.870,P=0.009）, literature retrieval （X^2=22.670, P：0.000）, communication （X^2=6.288, P =0. 012）and scientific research （X^2=4. 667, P=0. 031）. However, the difference in the ability of diagnosis and treatment （ X^2= 0. 663,P= 0. 426） was not significant. On the other hand, the total ex- aminational scores and the scores for the chapters of general introduction, etiological factor, diagnosis and system review of the experimental group were significantly higher than those of the control group, but there was not significant difference between the two groups in terms of the scores for the chapters of treatment and prognosis. Conclusion The new teaching curriculum of EBM is beneficial in developing the abilities of cognition, literature retrieval, communication, scientific research and apprehension of EBM theorv and is more aonlicable for the popularization of EBM in Xinjiang.
出处
《中华医学科研管理杂志》
2011年第2期95-99,共5页
Chinese Journal of Medical Science Research Management
基金
新疆维吾尔自治区教育科学“十一五”规划课题（070363）
新疆医科大学第一附属医院管理专项基金（2009GL03）
关键词
循证医学
教学方案
认知能力
专业能力
信息素养
问卷调查
Evidence-based medicine
Teaching protocols
Cognition competence
Pro-fessional competence ~ Information literacy
Questionnaires
