文章摘要
禄熠行,孙玮,刘新禹,王虹,丁文辉,琚芬,张鑫,袁华,孙晓龙.可视化流程图工具在康复医学住培教学中的应用研究[J].中国康复,2026,41(6):375-379
可视化流程图工具在康复医学住培教学中的应用研究
Application of visual flowchart tool in rehabilitation medicine standardized residency training
  
DOI:10.3870/zgkf.2026.06.010
中文关键词: 脊髓损伤  住院医师规范化培训  康复评定
英文关键词: spinal cord injury  standardized residency training  rehabilitation evaluation
基金项目:国家自然科学基金项目(82472593, 82272591);空军军医大学教学研究课题(2024YB18);空军军医大学“一流研究生教学计划”教育研究项目(C-YKT202202)
作者单位
禄熠行 空军军医大学西京医院康复医学科,西安710032 
孙玮 空军军医大学西京医院康复医学科,西安710032 
刘新禹 空军军医大学西京医院康复医学科,西安710032 
王虹 空军军医大学西京医院康复医学科,西安710032西安大兴医院康复医学科 
丁文辉 空军军医大学西京医院康复医学科,西安710032 
琚芬 空军军医大学西京医院康复医学科,西安710032 
张鑫 空军军医大学西京医院康复医学科,西安710032 
袁华 空军军医大学西京医院康复医学科,西安710032 
孙晓龙 空军军医大学西京医院康复医学科,西安710032 
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中文摘要:
  目的:探索可视化流程图工具在康复医学住院医师规范化培训(住培)教学中的应用效果。方法:以美国脊髓损伤协会(ASIA)制定的脊髓损伤神经学分类国际标准(ISNCSCI)为教学内容,选取2024年3月至2024年12月在我科轮转的住培学员为研究对象,分为研究组和对照组,每组30名。研究组使用我科开发的ASIA残损分级评估的可视化流程图工具“Ask Me”,对照组使用传统文字版评估工具。轮转结束后,比较2组学员出科考核中ASIA残损分级评估的正确得分、评估时长和对评估工具的满意度。结果:研究组学员的正确得分显著高于对照组(P<0.001),对评估工具的总体易用程度满意度显著高于对照组(P<0.05),2组学员评估时长及对评估工具促进知识理解、拓宽临床思维、增加实践信心的满意度无显著差异。结论:在康复医学住培教学中应用可视化流程图工具可显著提升教学效果。
英文摘要:
  Objective: To explore the effectiveness of visual flowchart tool in rehabilitation medicine standardized residency training. Methods: Using the International Standard for Neurological Classification of Spinal Cord Injury (ISNCSCI) developed by the American Spinal Injury Association (ASIA) as the teaching content, the residents who were rotating in the department from March 2024 to December 2024 were selected as the research objects, and they were divided into the experimental group (using the “Ask Me” visual flowchart tool developed by our department for ASIA Impairment Scale evaluation) and the control group (using traditional text-based guidelines), with 30 residents in each group. At the end of the rotation, the correct scores of ASIA Impairment Scale evaluation, evaluation time and satisfaction with evaluation tools were compared between the two groups. Results: The experimental group demonstrated significantly higher correct scores (P<0.001) and overall satisfaction with the ease of use of the evaluation tool than the control group (P<0.05), while no significant differences were observed in evaluation time or satisfaction with the evaluation tools in terms of promoting knowledge understanding, broadening clinical thinking, and increasing practical confidence. Conclusion: The application of visual flowchart tool in rehabilitation medicine standardized residency training can significantly improve the teaching effectiveness.
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