The methods and effects evaluation of individualized health education for community practice on general medical students
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摘要: 目的 利用全科医学生在社区实习阶段教会他们个体化健康教育的方法和手段,通过观察他们参加社区个体化健康教育实践前后的知识和技能变化,评价医学生掌握个体化健康教育知识和技能的效果,探索社区实习培训模式,提升教师的教学能力和综合素质。 方法 2013年8月—2015年6月,对参加社区实习的20轮120名重庆医科大学第五临床学院五年制全科医学专业学生分别开展为期1个月的入科调查、理论讲授、教学演练、教学实践、出科考核五阶段式的个体化健康教育实践培训,采用小讲座、案例分析、小组讨论、实践操作等多种形式进行。通过问卷调查、出科和入科理论与操作考试等手段,比较实践前后学生的理论知识和技能水平变化,并进行效果评价。 结果 实践培训前后,学生对个体化健康教育重要性的认识、理论知识、操作技能方面的测试结果比较,差异均有统计学意义(P<0.05)。实践前理论考试成绩及格率为70.83%,实践后为93.33%;实践前操作考试平均分为(63.22±2.89)分,实践后为(88.74±3.79)分;实践前只有54.2%的学生认为在社区开展个体化的健康教育是重要的,实践后有90.7%的学生认为是重要的。 结论 五阶段式的社区实习培训模式,将理论与实践密切结合起来,贯穿于整个实习过程,有利于全科医学生掌握个体化健康教育知识和技能,为规范开展社区实习带教、提升教师的教学能力和综合素质提供了一定的实践经验。Abstract: Objective To teach general medical students to learn methods and means of individualized health education during the stage of their community practice, observe changes of knowledge and skills before and after practicing,evaluate the effect,and,explore the training mode of community practice,improve the teaching ability and comprehensive quality of the teachers. Methods A total of 120 general medical students,who came from the Fifth Clinical College of Chongqing Medical University,participated five-stage training mode during August,2013 to June,2015.The questionnaire survey and examinations were conducted before and after training. Results After the five-stage training,the test score in importance of individual health education,theoretical knowledge,and operational skills of the students changed significantly(P<0.05).Before the practice,the theory test score was 70.83%,after was 93.33%.The average score of the pre-operation examination was 63.22±2.89,after was 88.74±3.79.Only 54.2% of the students considered that the health education was important in the community,but after was 90.7%. Conclusion The five-stage training helps general medical students to master the individualized health education knowledge and skills,enhances teaching ability and comprehensive quality of community general practice teachers,and provides a effective training model.
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Key words:
- General medical students /
- Community /
- Individualized health education /
- Practice
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