《中国康复理论与实践》

《中国康复理论与实践》 ›› 2024, Vol. 30 ›› Issue (9): 1011-1017.doi: 10.3969/j.issn.1006-9771.2024.09.003

• 专题 基于康复胜任力架构的康复教育与循证医学教育研究 • 上一篇    下一篇

基于案例学习法结合PICOS架构在康复专业本科生作业治疗课程中的效果

肖悦1,2, 王喜荟2, 龚翔2, 孙婉婷2, 肖剑秋1,2, 伊文超1,2, 许光旭1,2()   

  1. 1.南京医科大学第一附属医院，江苏南京市 210029
    2.南京医科大学康复医学院，江苏南京市 210029
  • 收稿日期:2024-03-19 修回日期:2024-06-03 出版日期:2024-09-25 发布日期:2024-10-15
  • 通讯作者: 许光旭(1966-)，男，博士，教授、主任医师，博士研究生导师，主要研究方向：中枢神经损伤运动控制分析与康复干预。E-mail： xuguangxu@njmu.edu.cn
  • 作者简介:肖悦(1994-)，女，汉族，江苏南京市人，主管治疗师，主要研究方向：作业治疗的临床与教学。
  • 基金资助:
    南京医科大学教育研究课题(2023ZC067);江苏省卫生健康发展研究中心开放课题(JSHD2021003)

Effect of case-based learning combined with PICOS framework on occupational therapy teaching for undergraduate rehabilitation students

XIAO Yue1,2, WANG Xihui2, GONG Xiang2, SUN Wanting2, XIAO Jianqiu1,2, YI Wenchao1,2, XU Guangxu1,2()   

  1. 1. The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, China
    2. School of Rehabilitation Medicine, Nanjing Medical University, Nanjing, Jiangsu 210029, China
  • Received:2024-03-19 Revised:2024-06-03 Published:2024-09-25 Online:2024-10-15
  • Contact: XU Guangxu, E-mail: xuguangxu@njmu.edu.cn
  • Supported by:
    Nanjing Medical University Education Research Project(2023ZC067);Jiangsu Health Development Research Center Open Project(JSHD2021003)

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摘要：

目的 探讨基于案例学习法(CBL)结合PICOS在作业治疗本科教学中的效果。
方法 2023年2月至2024年6月，对南京医科大学康复医学院43名作业治疗本科大三学生开展CBL结合循证实践PICOS的作业治疗核心课程教学，在学期初和学期末采用循证实践能力评估量表进行评估。
结果 学期末，学生的文献质量评价、找出最佳科学证据、评价论文质量、对研究进行实用性分析、应用PICOS提出临床问题、评价研究结果的主要关联测量法、了解不同证据级别以及常用循证实践数据库方面的自我评价改善(χ2 > 4.778, P < 0.05)，对不知道采用决策程序或健康干预的不同推荐强度(χ2 = 7.938, P < 0.01)的自我评价低于学期初。循证实践态度、技能水平和知识水平均改善。
结论 CBL与PICOS联合应用能够提升作业治疗本科教学效果，提高学生循证实践能力。

关键词: 康复胜任力, 作业治疗, 本科教学, 基于案例学习法, 循证实践

Abstract:

Objective To explore the effect of case-based learning (CBL) combined with PICOS (population, interventions, comparisons, outcomes, study design) framework in undergraduate occupational therapy (OT) education.
Methods A total of 43 junior students majoring in OT from School of Rehabilitation Medicine, Nanjing Medical University, were taught the core courses of OT using CBL combined with PICOS framework, from February, 2023 to June, 2024. The Evidence-based Practice Competency Assessment Scale was used to investigate the students at the beginning and the end of the semester, respectively.
Results At the end of the semester, students' self-assessments improved in areas such as the quality evaluation of literature, identifying the best scientific evidence, evaluating the quality of papers, conducting practical analysis of research, applying PICOS to formulate clinical questions, assessing the primary association measurement methods of research results, understanding different levels of evidence, and familiarity with commonly used evidence-based practice databases (χ2 > 4.778, P < 0.05). Self-assessment regarding uncertainty about the decision-making process or the different recommendation strengths for health interventions (χ2 = 7.938, P < 0.01) was lower. Attitudes toward evidence-based practice, skill levels, and knowledge all improved.
Conclusion The combined application of CBL and PICOS framework could improve the effect of undergraduate OT education and enhance the evidence-based practice ability of OT students.

Key words: rehabilitation competency framework, occupational therapy, undergraduate education, case-based learning, evidence-based practice

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