SETD教学方式在创伤止血训练中的应用

doi:10.3760/cma.j.cn115259-20211201-01474

中华医学教育杂志 ›› 2022, Vol. 42 ›› Issue (6): 519-522.DOI: 10.3760/cma.j.cn115259-20211201-01474

SETD教学方式在创伤止血训练中的应用

郑莉涓¹, 陈子旭², 韩星³, 唐晓鸿⁴, 何金深¹

¹中南大学湘雅三医院骨科,长沙 410013;
²中南大学2018级五年制基础医学专业,长沙 410013;
³中南大学2018级五年制法医学专业,长沙 410013;
⁴中南大学湘雅三医院临床技能中心,长沙 410013

收稿日期:2021-12-01 出版日期:2022-06-01 发布日期:2022-05-27
通讯作者: 何金深, Email: jinshen.he@hotmail.com
基金资助:
中南大学教育教学改革研究项目(2021jy188);2021年湖南省普通高等学校教学改革研究项目(HNJG-2021-0322)

Application of SETD teaching mode in the course of homeostasia and trauma management

Zheng Lijuan¹, Chen Zixu², Han Xing³, Tang Xiaohong⁴, He Jinshen¹

¹Department of Orthopaedics,The Third Xiangya Hospital of Central South University, Changsha 410013, China;
²Five-year Program of Basic Medicine, Enrolled in 2018, Central South University, Changsha 410013, China;
³Five-year Program of Forensic Medicine, Enrolled in 2018, Central South University, Changsha 410013, China;
⁴Clinical Skill Training Center, The Third Xiangya Hospital of Central South University, Changsha 410013, China

Received:2021-12-01 Online:2022-06-01 Published:2022-05-27
Contact: He Jinshen, Email: jinshen.he@hotmail.com
Supported by:
Education Reform Foundation of Central South University (2021jy188); Research Project of Teaching Reform in Colleges and Universities of Hunan Province in 2021 (HNJG-2021-0322)

摘要/Abstract

摘要： 情景导入—循证—团队—拓展(situation-evidence-team-development,SETD)教学方式是中南大学湘雅三医院外科学教研室自创的一种教学方式,旨在短学时的技能训练中提高学生的学习兴趣与技能掌握程度。本研究以中南大学湘雅医学院非临床医学专业五年制本科生的外科学创伤止血(stop the bleed,STB)训练为例,阐述了SETD教学方式在STB训练中的设计和实施。通过学生训练后理论考核成绩和课前课后止血操作技能自信度评价教学效果。结果显示,学生STB理论考核优秀率(≥80分)为92.6%(50/54),及格率(≥60分)为100.0%(54/54);采用Wilcoxon符号秩检验比较学生课前课后操作技能自信度,发现学生课后的压迫止血自信度从(3.22±1.21)分提高到(3.96±0.69)分、包扎止血自信度从(2.78±1.22)分提高到(4.07±0.86)分、止血带止血自信度从(2.67±1.33)分提高到(4.09±0.76)分,其差异均具有统计学意义(均P＜0.001)。可见,SETD教学方式能够在保证理论学习效果的基础上,提高学生止血操作技能自信度,进而提升短学时技能训练的整体效果。

关键词: 外科学, SETD教学方式, 创伤止血训练, 教学改革, 医学生

Abstract: Situation-evidence-team-development (SETD) is a new teaching mode created by surgical teaching and research department in The Third Xiangya Hospital of Central South University. The goal of this teaching method was to stimulate students' learning interest and to improve the quality of skill training in a short term course. This study took the stop the bleed (STB) training in surgery for five-year program non-clinical medicine undergraduates as an example. The article described the design and implementation of STB training based on SETD teaching method. The learning outcomes were evaluated by examination score and questionnaires survey before and after the training. The results showed that the excellent rate (≥80 points) of the theoretical examination reached 92.6%(50/54) and the passing rate (≥60 points) was 100.0%(54/54); Wilcoxon signed-rank test was used to compare the differences between students' confidence level on homostasis skill before and after the training. The results showed that students' confidence level raised from (3.96±0.69) to (3.22±1.21) in pressure homostasia, from (4.07±0.86) to (2.78±1.22) in bandage homeostasia and from (4.09±0.76) to (2.67±1.33) in tourniquet homostasia respectively. The difference were all statistically significant (all P<0.001). In conclusion, the SETD teaching method can ensure the effectiveness of theoretical learning while improving students' confidence level in hemostasis skills, thus enhancing the overall effect of short-term skills training.

Key words: General surgery, SETD teaching method, homostasia skill, Students, medical

中图分类号:

郑莉涓, 陈子旭, 韩星, 唐晓鸿, 何金深. SETD教学方式在创伤止血训练中的应用[J]. 中华医学教育杂志, 2022, 42(6): 519-522.

Zheng Lijuan, Chen Zixu, Han Xing, Tang Xiaohong, He Jinshen. Application of SETD teaching mode in the course of homeostasia and trauma management[J]. Chinese Journal of Medical Education, 2022, 42(6): 519-522.

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SETD教学方式在创伤止血训练中的应用

Application of SETD teaching mode in the course of homeostasia and trauma management

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