摘要
目的探讨基于岗位胜任力的以学生为教学主体的SOAP病例记录模式在康复治疗学临床带教中的应用效果。方法2018年9月-2020年1月教学期间,将55名康复治疗学专业学生随机分为SOAP记录组和传统记录组,SOAP记录组由学生自己针对患者存在的功能障碍进行分析并选取合适评估项目和制定治疗计划,传统记录组在老师的指导下进行评估和治疗计划制定,实习结束后对学生的病例分析报告进行考核,比较两种病例记录模式对学生成绩的影响,并对两组学生进行满意度问卷调查。结果SOAP记录组在客观资料搜集(P=0.017)、评估(P=0.009)、计划(P=0.006)、反思(P=0.029)及总成绩部分(P=0.007),成绩均明显高于传统记录组;问卷调查结果显示,学生高度认可采用SOAP病例记录模式的教学方式,与传统记录模式相比,认为它能明显激发学习积极性(P=0.012)、提高临床操作技术(P=0.035)、规范病例报告的书写(P=0.012)、提高临床诊疗思维(P=0.030)等。结论基于岗位胜任力的SOAP病例记录模式在康复治疗临床教学中的应用效果优于传统病例记录模式。
Objective To explore the effects of SOAP record method based on competency in the teaching of rehabilitation therapy.Methods The fifty-five students majoring in rehabilitation therapy were divided into SOAP recording group and traditional recording group during the teaching from September 2018 to January 2020.SOAP recording group assessed patients and made plans by themselves.Traditional recording group analyzed patients with the help of teachers.In the progress of practice study,students analyzed the occupational therapy of hemiplegia patients as the examination.The questionnaire survey was conducted for the two groups of students.Results The score of occupational therapy analysis in SOAP recording group was higher than that in the traditional recording group in terms of objective(P=0.017),assessment(P=0.009),plan(P=0.006),reflection(P=0.029)and total grades(P=0.007).The questionnaire showed that students’evaluation of the SOAP record method was superior to the traditional record method.It could stimulate the enthusiasm of learning(P=0.012),improve clinical techniques(P=0.035),standard case writing(P=0.012)and improve clinical thinking(P=0.030).Conclusion SOAP recording method based on competency is better than traditional recording method in practice teaching of rehabilitation therapy.
作者
王曼
周凤华
肖莹莹
谢佳妮
王志强
WANG Man;ZHOU Fenghua;XIAO Yingying;XIE Jiani;WANG Zhiqiang(Department of Physical Medicine and Rehabilitation,Shengjing Hospital of China Medical University,Shenyang Liaoning 110134,China)
出处
《中国继续医学教育》
2022年第2期78-82,共5页
China Continuing Medical Education
基金
中国医科大学“十二五”第五批医学教育科学研究课题(YDJK2015034)。
关键词
岗位胜任力
SOAP记录法
康复治疗学
临床教学
病例分析
临床诊疗思维
教育
competency
SOAP record method
rehabilitation therapy
clinical teaching
case analysis
clinical diagnosis and treatment thinking
education
