元认知与SOAP评价在康复治疗学生临床实践中的应用

Chaosheng Zhou, Weishuang Tang, Jie Xu
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摘要

目的探讨元认知结合主观、客观、评估、计划(SOAP)评价方法在康复治疗学生临床实践中的应用效果。方法选取2017 - 2018年上海市第十人民医院康复医学科上海医学院和天华学院康复治疗专业学生40名,随机分为实验组和对照组。实验组采用MC+ SOAP教学法,对照组采用SOAP教学法。3个月后,两组均采用APP(评估物理治疗实践,APP)和SOAP进行评估。结果3个月后,试验组应用程序的专业行为[(15.10±0.71)vs(14.30±1.26)]、分析和计划[(14.85±0.93)vs(13.95±1.39)]、干预[(17.95±1.46)vs(16.90±1.61)]和客观资料[(4.40±0.75)vs(3.85±0.93)]、评估[(4.50±0.69)vs(3.90±0.97)]、计划[(4.40±0.60)vs(3.95±0.68)]均高于对照组(P<0.05)。试验组APP量表总分较对照组明显提高[(14.85±0.93)vs(13.95±1.39),P<0.01]。结论元认知结合SOAP评价方法能提高学生临床技能、临床推理能力,加强康复绩效的规范化。关键词:元认知;肥皂;康复
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Application of metacognition and SOAP assessment in clinical practice of rehabilitation therapy students
Objective To investigate the effect of metacognition (MC) combined with SOAP (subjective, objective, assessment, plan )assessment method in clinical practice of rehabilitation therapy students. Methods Totally 40 rehabilitation therapy students from Shanghai Medical College and Tianhua College in the department of rehabilitation medicine, Shanghai Tenth People's Hospital from 2017 to 2018, were randomly divided into experimental and control groups. The experimental group received MC+ SOAP teaching method and the control group received SOAP teaching method.After three months, both groups were evaluated using the APP(assessment of physiotherapy practice, APP)and SOAP. Results After three months, The professional behavior[(15.10±0.71)vs(14.30±1.26)], analysis and planning[(14.85±0.93)vs(13.95±1.39)], intervention [(17.95±1.46)vs(16.90±1.61)]of the APP and the objective data[(4.40±0.75)vs(3.85±0.93)], assessment[(4.50±0.69)vs(3.90±0.97)], and planning [(4.40±0.60)vs(3.95±0.68)]of the SOAP assessment method in the experimental group were higher than those in the control group(all P<0.05). The total score of the APP scale in the experimental group was improved significantly in the control group[(14.85±0.93)vs(13.95±1.39), P<0.01]. Conclusions Metacognition combined with the SOAP assessment method can improve students' clinical skills, clinical reasoning, and strengthen the standardization of rehabilitation performance. Key words: Metacognition; SOAP; Rehabilitation
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