临床路径在妇产科临床教学中的应用及效果评价

目的：探讨临床路径（clinical pathway， CP）在妇产科临床教学中的应用及效果。方法选取200名临床医学专业专科实习学生为研究对象，随机分为两组（各100人），分别采用CP教学和传统教学。实习结束后，两组学生均接受统一的专业考核，同时对CP教学组学生进行问卷调查。采用SPSS 17.0对两组学生考核成绩进行分析，计数资料行χ2检验，计量资料用t检验。结果 CP教学组学生专业考核平均成绩为（80.01±9.34）分、合格率为96%，均优于传统教学组（72.37±10.79）分和87%]，P等于0.000和0.022。在问卷调查中学生认为，将CP引入妇产科临床教学能增强自身学习积极性、主动性，可提高综合分析能力、临床思维、动手能力等；约90%的实习学生认可CP教学。结论在妇产科临床教学中引入临床路径，有利于提高教学效果、规范教学流程，以及提升妇产科带教教师的工作素质。

Application and evaluation of clinical path in clinical teaching in the department of gynecology and obstetrics

Objective To evaluate the effects of applying clinical pathway （CP） in clinical teaching of gynecology and obstetrics. Methods Totally 200 clinical specialist interns selected for the study were randomly divided into two groups （each 100）, respectively, using CP teaching and tradi-tional teaching. After the internship, professional assessment （clinical skills assessment, theory test, the respondent）were conducted to two groups of students and their professional examination scores were compared, while questionnaires were conducted in the CP teaching group. All date were analyzed by SPSS 17.0 software. Chi-square test was used for enumeration date while t test was used for mea-surement data. Results CP teaching team of professional test results （80.01 ± 9.34） vs. （72.37 ± 10.79）], the passing rate（96%vs. 87%） were superior to the traditional teaching group（P=0.000 and 0.022）. The questionnaire showed that： applying CP in clinical teaching of obstetrics and gynecology can improve interns＆#39; learning enthusiasm and initiative, improve their comprehensive analysis ability, clinical thinking ability, practical ability and many other capabilities and it got about 90% of interns＆#39; recognition. Conclusions The application of the CP in clinical teaching of obstetrics and gynecology can help enhance the teaching effectiveness, standardize the teaching process, and improve the qual-ity of teachers teaching gynecology and obstetrics.