医学教育管理 ›› 2018, Vol. 4 ›› Issue (3): 231-235.doi: 10.3969/j.issn.2096-045X.2018.03.014

• 临床教学 • 上一篇    下一篇

基于ICF构建以患者为中心的理论模式的教学研究

杨智权1 ,王会奇1 ,刘爱贤2   

  1. 1. 首都医科大学附属北京康复医院神经康复中心,北京100144;2. 首都医科大学附属北京康复医院康复治疗中心,北京100144
  • 收稿日期:2018-01-25 出版日期:2018-06-20
  • 通讯作者: 刘爱贤

Influence of patient centered ICF concept model on post competency for rehabilitation therapy students

Yang Zhiquan1, Wang Huiqi1,Liu aixian2   

  1. 1. Neurological Rehabilitation Center, Beijing Rehabilitation Hospital, Capital Medical University, Beijing 100144, China; 2. Rehabilitation Treatment Center, Beijing Rehabilitation Hospital, Capital Medical University,Beijing 100144, China
  • Received:2018-01-25 Online:2018-06-20
  • Contact: Liu aixian

摘要: 目的 探讨基于国际功能、残疾和健康分类(ICF)构建以患者为中心的理论模式,应用于康复治疗学专业学生的实践教学中,以提升其岗位胜任力。方法 选取2015 年7 月~ 2016 年12 月在首都医科大学附属北京康复医院实习的康复治疗学学生97 名,按照实习小组随机分为实验组(48 名),对照组(49 名),针对神经系统疾病康复教学实习课程,实验组采用ICF 理论模式下以患者为中心的治疗理念进行教学,对照组采用传统教学结合30% 的案例教学法,实习结束后,用理论知识考核成绩、临床实习生实践操作能力评价表来评估两组学生的岗位胜任力情况。结果 两组学生在理论知识考核方面差异无显著性,实验组学生在实践操作能力中的功能评估、确定治疗方案、治疗实施、再评估和方案调整、结果评价、出院后指导和预防措施方面要好于对照组,差异有统计学意义,实验组表现更好。结论 ICF 概念框架下以患者为中心的治疗理念引入康复治疗学教学过程中有助于改变学生对患者疾病和功能状态的认识及对健康的理解,制定和实施以患者为中心的个性化的治疗计划,有利于患者的预后并节约医疗支出,从而提高学生的岗位胜任力。

Abstract: Objective To investigate the influence of the patient centered ICF concept model on the post competency or rehabilitation therapy students. Methods A total of 97 rehabilitation therapy undergraduates practicing in Beijing ehabilitation Hospital from July 2015 to December 2016 were selected and divided into experimental group (48) and ontrol group (49) randomly. On teaching practice for rehabilitation of nervous system diseases, the experimental group dopted the patient centered concept of ICF teaching method, while the control group was treated with traditional teaching combined with 30% problem-based learning. After the internship, the post competency of the two groups of students were assessed by using the theoretical knowledge examination results, the clinical practice ability evaluation, the patient satisfaction questionnaire and students' independent learning ability evaluation. Results There was no significant difference between the two groups in the assessment of theoretical knowledge examination results. The students in the experimental group were better than the control group in the clinical practice ability evaluation including the functional evaluation, the choice of treatment options. the implementation of the treatment, reevaluation and adjustment, the results of the evaluation,the post discharge guidance and preventive measures. The difference was statistically significant. The experimental group performed better. Conclusion Patient centered ICF concept model is helpful to change the tudents’understanding of the diseases, functional status of the patients and the understanding of health. In the process of introducing the concept of“ patient centered”, it can develop and implement a personalized rehabilitation therapy plan conducive to the prognosis of patients and save medical expenses, so as to improve the students’post competency.