| 摘要: |
| 目的 探讨经直肠超声引导下前列腺穿刺活检术的教学方法,缩短学习曲线,减少学习期手术相关问题的发生。方法 将完全未接触经直肠超声操作及穿刺相关操作的具有2~3年泌尿外科工作经验的6名住院医师随机分为两组：实验组和对照组,每组3名。两组均进行经直肠超声引导下的12针前列腺穿刺活检术。实验组采用“组块化分步学习”的培训模式；对照组采用传统的讲解+操作示教+全过程独立操作的学习方法。14 d后对两组学员进行操作考试并进行针对该培训的问卷调查。结果 14 d后,实验组全部3名学员均能顺利进行经直肠超声引导下的12针前列腺穿刺活检操作,而对照组只有1名学员能顺利规范完成。问卷调查显示,实验组3名学员均感觉该培训过程有趣而且不难,在实际操作过程中也没有出现紧张的情况；而对照组中只有1名学员感到操作过程较容易,另外2名学员感觉学习过程枯燥乏味,操作掌握难度较大,在实际患者身上操作过程中容易紧张、遗忘。结论 经直肠超声引导下的12针前列腺穿刺活检术“组块化分步学习”的培训过程能够极大地提高学员的学习效率、增强学员的学习兴趣,循序渐进的培训过程使该操作的学习过程变得简单有趣。 |
| 关键词: 组块化分步学习 经直肠超声 前列腺活组织检查 |
| DOI：10.3724/SP.J.1008.2014.01156 |
| 投稿时间：2014-01-07修订日期：2014-03-18 |
| 基金项目: |
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| Application of “modularized step-by-step training mode” in training for transrectal ultrasound guided prostate biopsy |
| WANG Hai-feng,YANG Bo,GAO Xu,SHI Zhen-kai,SHI Ting,SUN Ying-hao* |
(Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
*Corresponding authors) |
| Abstract: |
| Objective To explore the teaching method for transrectal ultrasound guided prostate biopsy, so as to shorten the learning curve and reduce the complications during the study period. Methods Six residents of urology, who had 2-3 years experience of urology and had no experience in transrectal ultrasound biopsy, were randomly divided into two groups: experimental group and control group (n=3). All the members were trained to perform transrectal ultrasound-guided 12 needle biopsy of the prostate. The experimental group received the modularized step-by-step training mode; and the control group received the traditional method, which included operation teaching and independent operation of the whole process. Fourteen days later,all the members were tested for manipulation and surveyed by questionnaires on the training. Results All the 3 residents in the experimental group were capable to perform the operation successfully after 14 days, while only 1 resident in the control group can do it smoothly. The questionnaire survey showed that, all the 3 residents in the experimental group thought that the training procedure was easy and interesting, and they were not nervous during the operation. In the control group, only 1 resident felt it was easy, and the other 2 felt it was difficult and boring, and they were liable to be nervous and forgetful in clinical practice. Conclusion The modularized step-by-step training mode can greatly improve the learning efficiency of training for transrectal ultrasound guided prostate biopsy, making the learning process simple and interesting. |
| Key words: step by step modular learning transrectal ultrasound prostate biopsy |
