关键词: 神经病学; 教学; 卒中后抑郁; 标准化病人; 人文素养

Abstract:

Objective To explore the feasibility and application effect of standardized patients (SP) in the teaching of post-stroke depression (PSD) in neurological graduate students. 

Methods A total of 20 neurological graduate students who studied in the first affiliated hospital of Xinxiang medical college in 2017 participated in this study. They were required to study PSDrelated knowledge on their own. The neurological attending doctors severed as SP of PSD, each student communicated with the SP, and then students experienced by playing "patients" or "doctors" mutually by themselves. Applying the clinical communication ability scale and the evaluation of students from "SP" doctors, the assessment were made before and after teaching respectively. 

Results A total of 40 valid questionnaires were collected. The score of overall communication ability of students was (75.20±5.06) before teaching and (91.70±7.31) after teaching, and the difference was statistically significant (P <0.001). The scores of each evaluation aspect after teaching were higher than that before teaching, especially the difference in harmonious relation establishment, effective listening and judgment accuracy of PSD had significant difference (P <0.001). This style of teaching enabled students to learn better and improved the comprehensive quality of all students. 

Conclusions The application of SP teaching significantly improved students' interest in learning PSD, professional skills and communication skills, which obviously improved the humanistic quality of neurological graduate students in the teaching of PSD.

Key words: Neurology; Teaching; Post-stroke depression; Standardized patients; Humanistic quality