文章摘要
田芸婕,张军,张曼,等.SPOC融入"读-思-研-践"模式对妇产科学自主学习能力的影响[J].安徽医药,待发表.
SPOC融入"读-思-研-践"模式对妇产科学自主学习能力的影响
投稿时间:2025-09-26  录用日期:2025-10-29
DOI:
中文关键词: 小规模限制性在线课程  读思研践  妇产科学教育  自主学习能力
英文关键词: 
基金项目:2024年度河北医科大学教育教学研究课题(2024YBZD-7);2025年河北省高等教育教学改革研究与实践项目(2025GJJG164)
作者单位地址
田芸婕 河北医科大学第四医院 石家庄市健康路12号河北医科大学第四医院
张军* 河北医科大学第四医院 
张曼 河北医科大学第四医院 石家庄市健康路12号河北医科大学第四医院
王国彪 河北医科大学第四医院 石家庄市健康路12号河北医科大学第四医院
赵焕焕 河北医科大学第四医院 石家庄市健康路12号河北医科大学第四医院
关英霞 河北医科大学第四医院 石家庄市健康路12号河北医科大学第四医院
刘金熹 河北医科大学 石家庄市中山东路361号
滑天 邢台市人民医院 邢台市襄都区红星街16号
李宾 邯郸市中心医院 邯郸市丛台区丛台北路59号
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中文摘要:
      目的 探讨小规模限制性在线课程(SPOC)融入"读-思-研-践"教学模式对临床医学专业本科生妇产科学自主学习能力的影响。方法 采用准随机对照设计,纳入河北医科大学2020级和2021级临床医学专业本科生168名,按班级分为干预组(n=84)和对照组(n=84)。干预组接受SPOC融入"读-思-研-践"教学,对照组采用常规教学。采用自主学习准备度量表(SDLRS)评估基线(T0)、学期中(T1)、期末(T2)和3个月随访(T3)时的自主学习能力,采用学习投入量表评估学习投入度。采用线性混合效应模型分析组间差异,并进行中介效应分析。结果 干预组在T2时SDLRS总分显著高于对照组(234.56±18.92 vs 218.34±20.47,P<0.001),效应量Cohen's d=0.82。组×时交互作用显著(F=12.46,P<0.001)。学习投入在干预效应中起部分中介作用,中介效应占总效应的32.5%(95%CI:18.7%-46.3%)。干预组在元认知策略(P<0.001)、学习动机(P=0.002)和时间管理(P<0.001)维度改善更明显。T3时效应保持稳定。结论 SPOC融入"读-思-研-践"教学能显著提升临床医学专业学生妇产科学自主学习能力,效应具有持续性。建议在临床医学专业妇产科学教育中推广此整合教学模式。
英文摘要:
      Objective To investigate the impact of Small Private Online Course (SPOC) integrated with "Read-Think-Research-Practice" teaching model on self-directed learning ability of clinical medicine students in obstetrics and gynecology. Methods A quasi-randomized controlled design was adopted, enrolling 168 undergraduate clinical medicine students from grades 2020 and 2021 at Hebei medical university. Students were allocated by class to intervention group (n=84) receiving SPOC integrated with "Read-Think-Research-Practice" teaching, or control group (n=84) receiving conventional teaching. Self-Directed Learning Readiness Scale (SDLRS) was used to assess self-directed learning ability at baseline (T0), mid-semester (T1), end of semester (T2), and 3-month follow-up (T3). Student engagement was assessed using the Student Engagement Scale. Linear mixed-effects models were used to analyze between-group differences, with mediation analysis conducted. Results The intervention group showed significantly higher SDLRS total scores than control group at T2 (234.56±18.92 vs 218.34±20.47, P<0.001), with effect size Cohen's d=0.82. Group×time interaction was significant (F=12.46, P<0.001). Learning engagement partially mediated the intervention effect, accounting for 32.5% of total effect (95%CI: 18.7%-46.3%). The intervention group showed greater improvements in metacognitive strategies (P<0.001), learning motivation (P=0.002), and time management (P<0.001) dimensions. Effects remained stable at T3. Conclusion SPOC integrated with "Read-Think-Research-Practice" teaching significantly enhances self-directed learning ability of clinical medicine students in obstetrics and gynecology with sustained effects. Implementation of this integrated teaching model in obstetrics and gynecology education is recommended.
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