Application of Problem-based Learning Combined with Virtual Reality Technology in Clinical Teaching of Post-stroke Sleep Disorder

doi:10.3969/j.issn.1673-5765.2023.05.007

Abstract

Abstract: Objective To explore the effect of problem-based learning (PBL) combined with virtual reality (VR) into neurology clinical teaching on post-stroke sleep disorder.
Methods A total of 70 postgraduates who underwent training in the Department of Neurology of the First Hospital of Jilin University from September 2022 to January 2023 were included and randomly divided into the experimental group and the control group, 35 in each group. The control group adopted PBL teaching method, and the experimental group adopted PBL combined with VR teaching method. The teaching content was about the anatomical basis of post-stroke sleep disorder. After the course, two groups were assessed with test papers and questionnaires, and the assessment results were compared.
Results Students in the experimental group had higher scores in basic theory (46.03±1.76 vs. 43.69±1.91), case analysis (42.11±2.19 vs. 39.57±2.56) and total score (88.14±2.55 vs. 83.26±3.55)than the control group, and the difference was statistically significant (P<0.001); students in the experimental group had higher evaluations on the role of this course in stimulating motivation (2.63±0.49 vs. 2.11±0.47), improving learning efficiency (2.57±0.50 vs. 1.97±0.57), improving self-learning ability (2.54±0.51 vs. 2.00±0.42) and cultivating clinical thinking (2.51±0.51 vs. 1.94±0.42) than the control group, and the difference was statistically significant (P<0.001).
Conclusions Application of PBL combined with VR in neurology clinical teaching improves effectiveness of teaching on clinical education of post-stroke sleep disorder.

Key words: Virtual reality; Problem-based learning; Neurology; Post-stroke sleep disorder; Teaching methods

摘要： 目的将以问题为基础的教学（problem-based learning，PBL）模式联合虚拟现实技术（virtual reality，VR）引入神经病学理论及实习教学，探究其对卒中后睡眠障碍临床教学质量的改善作用。
方法纳入2022年9月—2023年1月在吉林大学第一医院神经内科进行学习的70名研究生，随机分为对照组和试验组，每组各35人，对照组采用PBL教学模式，试验组采用PBL联合VR教学模式，教学内容为卒中后睡眠障碍的解剖学基础。课程结束后，对两组学生进行试卷考核和问卷调查，比较两组学生试卷考核成绩及问卷调查结果。
结果试验组学生基础理论成绩[（46.03±1.76）分 vs.（43.69±1.91）分]、病例分析成绩[（42.11±2.19）分 vs.（39.57±2.56）分]及总成绩[（88.14±2.55）分 vs.（83.26±3.55）分]均高于对照组，差异有统计学意义（P＜0.001）。试验组学生对于本次课程在激发学习积极性[（2.63±0.49）分 vs.（2.11±0.47）分]、提高学习效率[（2.57±0.50）分 vs.（1.97±0.57）分]、提高自学能力[（2.54±0.51）分 vs.（2.00±0.42）分]、培养临床思维 [（2.51±0.51）分 vs.（1.94±0.42）分] 的作用评价均高于对照组，差异有统计学意义（P＜0.001）。
结论 PBL联合VR教学模式引入神经病学临床教学可提高卒中后睡眠障碍临床教育的教学质量。

关键词: 虚拟现实技术; 以问题为基础的教学; 神经病学; 卒中后睡眠障碍; 教学方法

GUO Zhenni, ZHANG Han, FU Yuli, WANG Zan, YANG Yi, DENG Fang.

Application of Problem-based Learning Combined with Virtual Reality Technology in Clinical Teaching of Post-stroke Sleep Disorder

[J]. Chinese Journal of Stroke, 2023, 18(05): 534-537.

郭珍妮, 张晗, 傅钰丽, 王赞, 杨弋, 邓方. 以问题为基础的教学联合虚拟现实技术在卒中后睡眠障碍临床教学中的应用[J]. 中国卒中杂志, 2023, 18(05): 534-537.

References

[1] 王拥军，李子孝，谷鸿秋，等. 中国卒中报告2020（中文版）（1）[J]. 中国卒中杂志，2022，17（5）：433-447.
[2] 《中国脑卒中防治报告2018》编写组. 我国脑卒中防治仍面临巨大挑战——《中国脑卒中防治报告2018》概要[J]. 中国循环杂志，2019，34（2）：105-119.
[3] 《中国脑卒中防治报告》编写组. 《中国脑卒中防治报告2019》概要[J]. 中国脑血管病杂志，2020，17（5）：272-281.
[4] RYAN G V，CALLAGHAN S，RAFFERTY A，et al. Learning outcomes of immersive technologies in health care student education：systematic review of the literature[J/OL]. J Med Internet Res，2022，24（2）：e30082[2023-02-15]. https://preprints.jmir.org/preprint/30082.
[5] 丁小灵. 加强临床教学培养高质量的医学人才[J]. 安徽医学，2010，31（5）：524-525.
[6] 陈利锋. 临床神经解剖教学结合5G技术在神经外科教学中的应用[J]. 中国继续医学教育，2022，14（20）：176-179.
[7] 高斌，顾慧，游咏. 卒中后睡眠障碍研究进展[J]. 海南医学，2019，30（18）：2418-2421.
[8] 蔡增林，张永进. 多媒体启发式教学在神经病学临床教学中的应用[J]. 中国医学创新，2014，11（35）：121-124.
[9] 张放，满玉红，姚刚，等. 脑卒中部位与睡眠障碍相关性研究进展[J]. 中国医药导报，2019，16（5）：23-26.
[10] 吴丽，高庆春. 三维动画在神经病学多媒体教学中的运用[J]. 中国继续医学教育，2018，10（33）：49-51.
[11] 黄冠，曾靖盛. 虚拟现实技术的研究现状、热点与趋势[J]. 中国教育信息化，2022，28（10）：49-57.
[12] BAILLIEUL S，DEKKERS M，BRILL A K，et al. Sleep apnoea and ischaemic stroke：current knowledge and future directions[J]. Lancet Neurol，2022，21（1）：78-88.

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