微信辅助仿真模拟人教学在神经内科腰穿技能实习中的应用

摘要

目的：探讨在神经内科腰穿技能实习中，利用微信辅助仿真模拟人教学，提升临床教学效果的作用。方法选取2015年9月—2016年5月在哈尔滨医科大学附属第二医院实习的五年制临床专业学生60名作为研究对象，随机分为微信辅助组和传统教学组，每组30人，两组分别采用微信辅助教学法和传统教学法通过仿真模拟人进行腰穿培训，课后采用统一腰穿技能考核评分表进行考核，另通过调查问卷反馈教学效果。结果课程结束后腰穿考核结果表明：采用微信辅助教学法的学生平均成绩显著高于传统教学组；进一步分析考评指标中的操作成功率、操作规范率、临床应变能力及人文关怀在两组之间的差异，结果表明，微信辅助组在操作成功率、操作规范率两方面均高于传统教学组。对60名学生进行教学效果问卷调查，结果显示，微信辅助组的自主学习能动性较传统教学组显著提高。结论在神经内科腰穿技能实习中，利用微信辅助仿真模拟人教学，可以提升临床教学效果。%Objective To explore the role of WeChat-aided simulation teaching in improving clinical teaching of lumbar puncture practice in neurology department.Methods We selected 60 students of five-year clinical medicine who did clinical practice in the Second Affiliated Hospital of Harbin Medical University from September 2015 to May 2016 and randomly divided them into experimental group and control group (30 students in each group ).The WeChat- aided simulation teaching method was adopted in the experimental group and the traditional teaching method was used in the control group to practice lumbar puncture.Then we evaluated their performance by means of uniform lumbar puncture score and collected their feedback on teaching effect by questionnaire.Results The results of lumbar puncture examination showed that the average score in the experimental group was significantly higher than that in the control group.Further analysis of operation success rate,operation standardization rate, clinical response ability and humanistic care in the two groups showed the experimental group significantly outscored the control group in operation success rate and standard rate. Results of questionnaires on teaching effect of 60 students showed that the autonomous learning initiative in the experimental group was significantly higher than that in control group.Conclusion WeChat-aided simulation teaching can elevate the effect of lumbar puncture clinical teaching in neurology department.