文献类型：期刊文献

中文题名：循证医学对医学生批判性思维能力影响的类随机对照试验研究

英文题名：The influence of evidence-based medicine on medical students’ critical thinking ability-a quasi-randomized controlled trial

作者：靳利梅[1];胡继宏[1];樊景春[1];邢新[1];裴凌云[1];郑贵森[1]

第一作者：靳利梅

机构：[1]甘肃中医药大学公共卫生学院,甘肃兰州730000

第一机构：甘肃中医药大学公共卫生学院

年份：2022

期号：11

起止页码：131

中文期刊名：中国高等医学教育

外文期刊名：China Higher Medical Education

基金：甘肃中医药大学教学研究与教学改革项目(YBXM-32)。

语种：中文

中文关键词：循证医学;批判性思维能力;医学生;类随机对照试验

外文关键词：Evidence-based medicine;Critical thinking;Medical students;Quasi-randomized controlled trial

摘要：目的:研究循证医学对医学生批判性思维能力的影响。方法:2019~2020学年第二学期某高校开设循证医学课程的所有医学本科生为循证组,整群随机抽取未开设循证医学课程的医学生为对照组,采用类随机对照试验方法,应用汉化版的批判性思维量表(CTDI-CV),在学期初和学期末分别对两组学生进行调查。结果:学期末循证组CTDI-CV总分为(287.51±34.96)分,高于对照组的(280.16±34.09)分,与学期初比较,两组CTDI-CV总分均有所下降,对照组降低了15.07分,高于循证组的3.30分。各维度方面,学期末,除寻找真相和认知成熟度两组差异无统计学意义外,其余维度的得分循证组均高于对照组。学期末与学期初比较,循证组批判思维自信心得分提高,求知欲、系统化能力、寻找真相方面循证组无变化,对照组得分降低;开放思想、分析能力、认知成熟度方面两组得分均降低,但对照组降低的分数高于循证组。结论:循证医学有利于医学生批判性思维能力的培养,但还需要从其他方面共同努力提高医学生的批判性思维能力。
Objectives: To study the influence of evidence-based medicine(EBM) on medical students’ critical thinking ability. Methods: Experimental group: all medical undergraduates who were offered EBM course in the second semester of the 2019-2020 academic year in a university. Control group: medical undergraduates who didn’t offered EBM course were collected by cluster random sampling method. Investigating two groups medical undergraduate by using Chinese version of critical thinking disposition inventory(CTDI-CV) at the start and the end of the semester respectively. Results: At the end of the semester, The total scores of CTDI-CV in experimental group(287.51±34.96) were higher than control group(280.16±34.09). The end of the semester compared with the start of the semester, The total scores of CTDI-CV of two groups are fall, the control group had a 15.07 points reduction and the experimental group had a 3.30 points reduction. At the end of the semester, The scores of five items including “open-mindedness”, “analysis”, “systematicity”, “confidence” and “thirst for knowledge” in experimental group were higher than control group. Conclusion: EBM is conducive to develop medical students’ critical thinking ability.