中华医学教育杂志

中华医学教育杂志 ›› 2024, Vol. 44 ›› Issue (8): 624-628.DOI: 10.3760/cma.j.cn115259-20240321-00285

• 住院医师规范化培训 • 上一篇    下一篇

混合式教学方法在住院医师临床营养学教学中的应用

欧鹏1, 龚偲2, 刘石平2, 唐寒芬2, 黄凡素2, 刘双3, 袁婷2   

  1. 1中南大学湘雅二医院麻醉科,长沙 410011;
    2中南大学湘雅二医院国家代谢性疾病临床医学研究中心营养科,长沙 410011;
    3中南大学湘雅二医院医务部,长沙 410011
  • 收稿日期:2024-03-21 出版日期:2024-08-01 发布日期:2024-07-31
  • 通讯作者: 袁婷, Email: yuanting5707@csu.edu.cn
  • 基金资助:
    中南大学教育教学改革研究项目(2022jy198);中南大学研究生教育教学改革项目(2023JGB117);湖南省卫生健康委员会2024年度卫生科研项目(W20243114);中南大学研究生教育教学改革研究项目(2024YJSKS033)

Application of blended learning method in the teaching of clinical nutrition for resident physicians

Ou Peng1, Gong Cai2, Liu Shiping2, Tang Hanfen2, Huang Fansu2, Liu Shuang 3, Yuan Ting2   

  1. 1Department of Anesthesiology, The Second XiangYa Hospital, Centeral South University, Changsha 410011,China;
    2Department of Nutriology, National Clinical Research Center for Metabolic Diseases, The Second XiangYa Hospital, Centeral South University, Changsha 410011, China;
    3Department of Medical, The Second XiangYa Hospital, Centeral South University, Changsha 410011, China
  • Received:2024-03-21 Online:2024-08-01 Published:2024-07-31
  • Contact: Yuan Ting, Email: yuanting5707@csu.edu.cn
  • Supported by:
    Education and Teaching Reform Research Project of Central South University (2022jy198); Graduate Education and Teaching Reform Project of Central South University (2023JGB117); Health Research Project of Hunan Provincial Health Commission in 2024 (W20243114); Graduate Education and Teaching Reform Research Project of Central South University (2024YJSKS033)

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摘要： 营养治疗是临床综合诊疗的重要组成部分,加强临床营养学教学有助于住院医师提高营养诊疗水平。本文以中南大学湘雅二医院2023年接受规范化培训的437名住院医师为例,阐述了混合式教学方法在住院医师临床营养学教学中的设计和实施过程。通过基础理论知识测试和培训前后各3个月内住院患者24小时内营养风险筛查率、营养评估率等指标比较培训前后住院医师的营养诊疗情况,通过问卷调查了解住院医师的教学满意度。结果显示,培训后住院医师的临床营养学基础理论知识合格率从培训前的18.8%(82 /437)上升至100.0%(437/437)。住院患者的营养风险筛查率(完成营养风险筛查人数/住院患者总人数)从30.5%(9 181/30 103)上升至91.3%(28 329/31 029),24小时内营养风险筛查率(24小时内完成营养风险筛查人数/住院患者总人数)从20.1%(6 051/30 103)上升至36.8%(11 419/31 029),营养风险筛查合格率(营养风险筛查合格份数/抽查总份数)从51.2%(4 475/8 740)上升至84.9%(7 420/8 740),营养评估率(完成营养评估人数/住院患者总人数)从3.2%(968/30 103)上升至9.9%(3 072/31 029),其差异均具有统计学意义(均P<0.001)。问卷调查结果显示,住院医师对混合式教学方法满意程度评分为(4.85±0.36)分,对混合式教学提升临床营养诊疗水平的满意度评分为(4.82±0.39)分。混合式教学方法应用于住院医师临床营养学教学有助于其掌握临床营养学知识,有助于其提升临床营养诊疗实践能力,得到了住院医师的认可。

关键词: 教学, 临床营养学, 住院医师, 混合式教学, 营养风险筛查, 营养评估

Abstract: Nutritional therapy is an important component of comprehensive clinical diagnosis and treatment. Strengthening clinical nutrition education can help resident physicians improve their level of nutrition diagnosis and treatment. This study introduced a hybrid teaching method that combines online and offline teaching into the teaching of clinical nutrition for 437 resident physicians, and observed its application effect. For all resident physicians in our hospital in 2023, the basic knowledge classroom of clinical nutrition was set up through online teaching, and combined with offline case-based clinical nutrition diagnosis and treatment teaching classroom as an example, the teaching design and implementation process of blended learning in resident physician clinical nutrition teaching were elaborated. The basic knowledge mastery of resident physicians was compared before and after training through knowledge test. The effectiveness of teaching was evaluated by comparing indicators such as nutritional risk screening rate and 24-hour nutritional risk screening rate to understand the nutritional diagnosis and treatment of resident physicians before and after training. The results showed among the 437 resident physicians who participated in the training, the qualification rate of clinical nutrition basic knowledge significantly improved after training from 18.8% (82/437) to 100.0% (437/437). The nutritional risk screening rate of hospitalized patients increased from 30.5% (9 181/30 103) to 91.3% (28 329/31 029), and the nutritional risk screening rate within 24 hours increased from 20.1% (6 051/30 103) to 36.8% (11 419/31 029). The qualified rate of nutritional risk screening increased from 51.2% (4 475/8 740) to 84.9% (7 420/8 740). The evaluation rate increased from 3.2% (968/30 103) to 9.9% (3 072/31 029), and all differences were statistically significant (all P<0.001).The questionnaire survey results showed that the satisfaction rating of resident physicians with blended learning was (4.85±0.36) points, and the satisfaction rating of blended learning in improving clinical nutrition diagnosis and treatment level was (4.82±0.39) points. It can be seen that the application of blended learning in the clinical nutrition teaching of resident physicians helps them to master clinical nutrition knowledge and improve their practical abilities of clinical nutrition diagnosis and treatment.

Key words: Teaching, Clinical nutrition, Resident physician, Blended teaching, Nutrition risk screening, Nutrition assessment

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