【摘要】 目的 探讨全科住院医师规范化培训卒中后抑郁的培训方法。方法 将50名参加住院医师规范化培训的学生按照随机数字表法分为两组,一组给予以授课为基础的学习教学法(LBL组),另一组给予以问题为基础的学习教学法(PBL组)。指导教师在教学前后对所带教的学生进行卒中后抑郁知识掌握能力的评估,对所有学生进行问卷调查,评估其对所使用的教学方法的看法。结果 教学后PBL组优良率显著高于教学前(P<0.01),且显著高于LBL组(P<0.05),教学后LBL组优良率与教学前比较差异无统计学意义(P>0.05)。采用以问题为基础的学习教学法可以从各个方面提高学生的能力,而以授课为基础的学习教学法对学生的提高不明显。结论 以问题为基础的学习教学法更适合基层医院的全科医师学习卒中后抑郁相关知识,值得推广应用。更多还原

【Abstract】 Objective To investigate the training methods for standardized training of post-stroke depression in general practitioners.Methods 50 students who participated in the standardized training of residents were divided into two groups according to the random number table method.One group was given a lecture based learning method(LBL group) and the other group was given a problem based learning method(PBL group).The instructors assessed the ability of student’s post-stroke depression knowledge before and after teaching.Questionnaires were surveyed for all students to assess their views on the teaching methods used.Results After treatment,the excellent rate of PBL group was significantly higher than that before teaching(P<0.01),and significantly higher than that of LBL group(P<0.05).There was no significant difference in the excellent and good rate of LBL group after teaching(P>0.05).The use of PBL teaching method can improve students’ ability in all aspects,and the LBL teaching method was not obvious to students.Conclusions The problem-based learning method is more suitable for general practitioners in primary hospitals to learn post-stroke depression related knowledge,which is worthy of popularization and application.更多还原