多学科融合教学以提升对临床复杂问题的解决能力为目标,注重对学员的批判性思维能力、团队意识和人际沟通能力的培养,在医学培训中得到广泛应用。本研究以重庆市96名医护人员癌痛管理培训为例,阐述了多学科融合教学方法的设计和实施过程。通过癌痛管理认知水平测试和癌痛管理实践情况调查评价教学效果。采用配对t检验比较培训前后学员癌痛管理认知水平的差异。结果显示,学员的癌痛管理认知总评分在培训前后分别为(2.67±0.79)分和(2.76±0.89)分,其差异具有统计学意义(t=-2.44,P=0.015);培训结束后6个月,参与癌痛管理相关工作、加入癌痛管理多学科团队、承担癌痛会诊或门诊、承担癌痛管理培训或带教的学员分别为80人(92.0%)、50人(57.5%)、32人(36.8%)和28人(32.2%)。可见,多学科融合教学可改善学员的癌痛管理认知情况,有助于学员开展癌痛管理临床实践,得到学员的广泛认可。
The multidisciplinary integrated teaching aims to improve the ability to solve complex clinical problems, and focuses on the cultivation of trainees' critical thinking, team awareness and interpersonal communication skills. It is widely used in medical training. Taking the cancer pain management training of 96 medical staff in Chongqing as an example, this study describes the implementation of multidisciplinary integrated teaching. The teaching effect was evaluated through the cancer pain management cognitive level test and the cancer pain management practice survey. The paired t-test was used for the cognitive score of cancer pain management of the trainees before and after the training. The results showed that the total scores of the questionnaire of the trainees before and after the training were (2.67±0.79) and (2.76±0.89) respectively, and the difference was statistically significant (t=-2.44, P=0.015). Six months after the training, 80(92.0%), 50(57.5%), 32(36.8%) and 28(32.2%) of the trainees respectively participated in the work related to cancer pain management, joined the multidisciplinary team of cancer pain management, undertook cancer pain consultation or outpatient service, undertook cancer pain management training or teaching. Multidisciplinary integrated teaching can improve trainees' cognition of cancer pain management, help trainees to carry out clinical practice of cancer pain management, and is widely recognized by trainees.
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