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医学肿瘤学实习中癌症疼痛教学的研讨会结合基于案例的学习与基于讲座的学习的比较研究

A Comparative Study of Seminars Combined with Case-Based Learning versus Lecture-Based Learning for Cancer Pain Teaching in Medical Oncology Internship.

作者信息

Yang Yan, Yao Jing-Hao, Xu Ling-Jie, Zhou Zheng-Guang, Wang Ming-Xi, Wang Zi-Shu, Zhao Fu-You

机构信息

Department of Medical Oncology, The First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui, People's Republic of China.

Department of Oncology, School of Clinical Medicine, Bengbu Medical College, Bengbu, Anhui, People's Republic of China.

出版信息

J Pain Res. 2021 Aug 28;14:2665-2675. doi: 10.2147/JPR.S320498. eCollection 2021.

Abstract

PURPOSE

To determine whether the teaching method of seminars combined with case-based learning (CBL) is superior to the traditional lecture-based learning (LBL) for teaching cancer pain in medical oncology internship.

METHODS

Sixty medical and nursing interns in the medical oncology department of our hospital were selected between January 2019 and December 2020. Thirty students received traditional LBL instruction as the control group, and 30 students received combined seminars and CBL instruction as the observation group. The teaching evaluation and assessment was performed by theoretical and practical examinations and questionnaires.

RESULTS

In the after-class examination, case analysis, clinical practice and overall scores of the observation group were higher than those of the control group (all < 0.001). Theoretical knowledge scores did not differ significantly between the two groups ( = 0.470). In the questionnaire regarding attitudes towards opioid use, the observation group had better perceptions of using opioids than the control group (all < 0.01). In the meantime, students in the observation group outperformed the control group in four aspects: self-learning ( < 0.001), analytical and problem-solving ( < 0.001), clinical thinking ( = 0.001), and clinical practice ( = 0.002) abilities all improved, while stimulating learning interest ( = 0.184) and enhancing theoretical knowledge mastery ( = 0.221) were not significantly different from those of the control group. Overall, students in the observation group were more satisfied with the teaching, teaching methods and teacher performances than the control group (all < 0.001).

CONCLUSION

Compared to the LBL, the combination of seminars and CBL is a more effective teaching method for cancer pain management, which is worth further study.

摘要

目的

确定在肿瘤内科实习中,研讨会结合基于案例的学习(CBL)的教学方法是否优于传统的基于讲座的学习(LBL)。

方法

选取2019年1月至2020年12月期间我院肿瘤内科的60名医护实习生。30名学生接受传统的LBL教学作为对照组,30名学生接受研讨会和CBL相结合的教学作为观察组。通过理论和实践考试以及问卷调查进行教学评价和评估。

结果

在课后考试中,观察组的病例分析、临床实践和总成绩均高于对照组(均P<0.001)。两组的理论知识得分无显著差异(P = 0.470)。在关于阿片类药物使用态度的问卷中,观察组对阿片类药物使用的认知优于对照组(均P<0.01)。同时,观察组学生在自主学习(P<0.001)、分析与解决问题(P<0.001)、临床思维(P = 0.001)和临床实践(P = 0.002)四个方面的能力均有所提高,而激发学习兴趣(P = 0.184)和增强理论知识掌握程度(P = 0.221)与对照组相比无显著差异。总体而言,观察组学生对教学、教学方法和教师表现的满意度高于对照组(均P<0.001)。

结论

与LBL相比,研讨会和CBL相结合是一种更有效的癌症疼痛管理教学方法,值得进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/932b/8409604/da30ac726178/JPR-14-2665-g0001.jpg

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