摘要目的 评价基于团队学习(team-based learning,TBL)联合团队纠错式教学方法在无菌术教学中的应用效果.方法 本研究采用实验对照方法.选取福建医科大学2015级"5+3"一体化临床医学专业108名学生为研究对象,并将其分为实验组和对照组.实验组学生采用TBL联合团队纠错式教学方法,对照组学生采用TBL联合传统教学方法.比较两组学生的理论成绩、无菌技能考核成绩和无菌术临床实际应用成绩.采用自编问卷调查两组学生对教学的满意度.结果 实验组和对照组学生在理论[(84.5±5.9)分比(78.5±9.4)分,t=6.13,P<0.01],洗手[(90.8±2.7)分比(87.1±1.6)分,t=8.83,P<0.01],穿衣、戴手套[(92.2±3.0)分比(86.4±2.3)分,t=11.45,P<0.01],消毒、铺巾[(92.0±2.9)分比(87.4±1.4)分,t=10.53,P<0.01],阑尾切除术无菌技能考核[(9.2±0.8)分比(8.7±0.7)分,t=2.01,P<0.05]上的成绩差异均具有统计学意义.问卷调查结果显示,在增强自学能力和增进团队合作方面,实验组学生对其教学方法的认可度高于对照组学生.结论 TBL联合团队纠错式教学方法,能够在一定程度上提高学生无菌术的理论水平、技能操作水平和临床实际应用能力,学生的满意度较高,可以尝试在无菌术教学中推广应用.

abstractsObjective To evaluate application effect of team-based learning ( TBL ) combined with error correction teaching in aseptic teaching. Methods Experimental control method was used. One hundred and eighty students from"5+3" clinical medicine enrolled in 2015 in Fujian Medical University were selected and randomly divided into two groups. TBL combined with team error correction teaching method was used in the experimental group, TBL combined with traditional teaching method was used in the control group. The theoretical results, aseptic performance and clinical application of aseptic technique were compared between the two groups. The satisfaction of two groups of students was surveyed by self-complied questionnaires. Results The differences between two groups in theory scores (84. 5±5. 9 vs 78. 5±9. 4, t=6. 13, P<0. 01), hand washing (90. 8±2. 7 vs 87. 1±1. 6, t=8. 83, P<0. 01), wearing clothes and gloves (92. 2±3. 0 vs 86. 4± 2. 3, t=11. 45, P<0. 01), sterilizing and operating drape (92. 0±2. 9 vs 87. 4±1. 4, t=10. 53, P<0. 01), test of aseptic skill in appendectomy (9. 2±0. 8 vs 8. 7±0. 7, t=2. 01, P<0. 05) all have statistical meanings.&nbsp;The results of questionnaires showed that, in enhancing self-learning ability and team cooperation, experimental group had better recognition than that of the control group. Conclusions TBL combined with error correction teaching method can improve the theoretical level and clinical performance, to a certain extent. The students' satisfaction toward TBL combined with error correction is high, and it worth to use more in future aseptic teaching.