Application of Blending Learning Model in Training Teaching of Hyperbaric Oxygen for Postgraduates Major in Neurology

doi:10.3969/j.issn.1673-5765.2024.05.017

Abstract

Abstract: Objective To explore the effect of blending learning model in training teaching of hyperbaric oxygen (HBO) for postgraduates majoring in neurology.
Methods Postgraduates who major in neurology and work as interns in the Department of HBO from April to December 2023 were enrolled in this study. After sending out questionnaires to investigate the basic situation and needs of postgraduates, the blending learning model was applied to teach theoretical knowledge and practical operations of HBO, and the total credit hours were 40. Exams and questionnaires were used to evaluate the teaching effect.
Results A total of 15 neurology postgraduates were included in the study. According to the questionnaire, 13 (86.67%) neurology postgraduates hoped to take HBO as an elective course. After adopting the blending learning model, all 15 neurology postgraduates passed the exam, and the score was (93.53±3.14) points. During the course, the awareness rates of HBO definition and mechanism in these postgraduates increased from 40.00% (6 cases) to 100% (15 cases) (P=0.0003), and the awareness rates of HBO indications and contraindications increased from 33.33% (5 cases) to 93.33% (14 cases) (P=0.0003). Besides, 12 postgraduates (80%) were aware of HBO treatment regimens. The satisfaction rating of these postgraduates was 100% (15 cases).
Conclusions Blending learning model can effectively enhance the teaching level of HBO, and enable the postgraduates who major in neurology to master the knowledge of HBO more effectively.

Key words: Hyperbaric oxygen; Blending learning model; Clinical teaching

摘要： 目的探讨对神经内科研究生应用高压氧科混合式教学模式的效果。
方法纳入2023年4—12月在高压氧科实习的神经内科研究生为研究对象。授课前发放调查问卷摸底研究生基础情况和需求后，应用混合式教学模式向研究生讲授高压氧理论知识和实际操作（共40学时），授课后根据出科考试和问卷调查评估教学效果。
结果研究共纳入15名神经内科研究生，前期调查问卷显示，13名（86.67%）神经内科研究生希望将高压氧作为选修课程。采用混合式模式教学后，15名神经内科研究生均通过出科考试，出科考试成绩为（93.53±3.14）分。神经内科研究生对高压氧定义和作用机制的知晓率从授课前的40.00%（6例）提升至100%（15例）（P=0.0003）；对高压氧治疗适应证和禁忌证的知晓率从授课前的33.33%（5例）提升至93.33%（14例）（P=0.0008）；教学后，研究生对高压氧治疗方案的知晓率为80.00%（12例）。神经内科研究生对教学的满意度为100%（15例）。
结论混合式教学模式可提升高压氧教学水平，使神经内科研究生有效掌握高压氧学科知识，教学效果显著。

关键词: 高压氧; 混合式教学模式; 临床教学

CLC Number:

REN Ziqi, LIU Yaling, LIU Yanfang, WANG Wenjuan, WANG Cong, YU Qiuhong. Application of Blending Learning Model in Training Teaching of Hyperbaric Oxygen for Postgraduates Major in Neurology[J]. Chinese Journal of Stroke, 2024, 19(5): 597-600.

任梓齐, 刘亚玲, 刘艳芳, 王文娟, 王丛, 于秋红. 混合式教学模式在神经内科研究生高压氧科教学培训中的应用[J]. 中国卒中杂志, 2024, 19(5): 597-600.

References

[1] 祝歆，楚心茹，丁庆洋. 混合式教学研究现状及趋势——基于CiteSpace可视化分析[J]. 北京联合大学学报，2024，38（1）：13-23，41.
ZHU X，CHU X R，DING Q Y. Current status and trends of blended teaching：based on citespace visual analysis[J]. Journal of Beijing Union University，2024，38（1）：13-23，41.
[2] 任梓齐，王丛，薛连璧. 缺血性卒中高压氧治疗的研究现状及展望[J]. 中国卒中杂志，2020，15（8）：823-828.
REN Z Q，WANG C，XUE L B. The research status and prospect of hyperbaric oxygen therapy for ischemic stroke[J]. Chin J Stroke，2020，15（8）：823-828.
[3] 于秋红，张红霞，刘亚玲，等. 病案导学式教学法在高压氧神经病学临床见习中的应用[J]. 中国卒中杂志，2014，9（6）：539-540.
YU Q H，ZHANG H X，LIU Y L，et al. The application of case-based learning in clinical practice of hyperbaric oxygen neurology[J]. Chin J Stroke，2014，9（6）：539-540.
[4] 杨琳，高宇，李茁，等. CBL结合PBL模式在一氧化碳中毒教学中的应用[J]. 中国病案，2020，21（8）：73-75.
YANG L，GAO Y，LI Z，et al. Application of the combination of CBL and PBL teaching models in the acedemic instructions of carbon monoxide poisoning[J]. Chinese Medical Record，2020，21（8）：73-75.
[5] MCCORMICK J G，HOULE T T，SALTZMAN H A，et al. Treatment of acute stroke with hyperbaric oxygen：time window for efficacy[J]. Undersea Hyperb Med，2011，38（5）：321-334.
[6] WONG Z K，TEO C K，KWEK J W，et al. Hyperbaric oxygen for the treatment of carbon monoxide-induced delayed neurological sequelae：a case report and review of the literature[J]. Diving Hyperb Med，2024，54（1）：65-68.
[7] QIAN H，LI Q，SHI W. Hyperbaric oxygen alleviates the activation of NLRP‑3‑inflammasomes in traumatic brain injury[J]. Mol Med Rep，2017，16（4）：3922-3928.
[8] HUANG F L，YANG L，TAN Z，et al. Prognostic factors of hyperbaric oxygen therapy for patients with delayed encephalopathy after acute carbon monoxide poisoning[J/OL]. Heliyon，2022，8（12）：e12351[2023-11-11]. https://doi.org/10.1016/j.heliyon.2022.e12351.
[9] 张奕，杨晶，马琳琳，等. 微信平台混合教学模式在高压氧带教中的实践[J]. 中国继续医学教育，2021，13（25）：53-56.
ZHANG Y，YANG J，MA L L，et al. Practice of hyperbaric oxygen clinical blending teaching based on Wechat platform for the residents[J]. China Continuing Medical Education，2021，13（25）：53-56.
[10] 郭大志，潘树义. 浅谈抗疫期间“云组会”在医学科研型研究生培养中的实践体会[J/OL]. 中国高等医学教育，2020（11）：123-124[2024-01-01]. https://doi.org/10.3969/j.issn.1002-1701.2020.11.063.
GUO D Z，PAN S Y. The application of cloud-meeting in the cultivation of medical research oriented graduates during the anti-epidemic period[J/OL]. China Higher Medical Education，2020（11）：123-124[2023-11-11]. https://doi.org/10.3969/j.issn.1002-1701.2020.11.063.

[1]	REN Ziqi, WANG Qinfang, LIU Yaling, WANG Cong, YU Qiuhong. Effects of Different Oxygen Supply Methods during Hyperbaric Oxygen Therapy on the Transcutaneous Oximetry of Post-Surgery Stroke Patients [J]. Chinese Journal of Stroke, 2024, 19(10): 1148-1154.
[2]	LU Yue, TAO Tao, ZHUANG Zong, LI Wei, HANG Chunhua. Application of Problem-based Learning in Clinical Teaching of Intracranial Aneurysms Management [J]. Chinese Journal of Stroke, 2021, 16(12): 1302-1304.
[3]	MENG Shi-Jiao, ZHUO Zi-Ze, XU Rong, REN Yi. Meta Analysis on Efficacy Comparison between Problem-Based Learning and Lecture-Based Learning inCerebrovascular Disease Clinical Teaching in China [J]. Chinese Journal of Stroke, 2021, 16(08): 864-872.
[4]	YU Qiu-Hong, LI Jie,LIU Ya-Ling, WANG Cong, REN Zi-Qi, XUE Lian-Bi. The Neuroprotective Effect of Hyperbaric Oxygen after Cerebral Infarction in Rats [J]. Chinese Journal of Stroke, 2020, 15(08): 830-835.
[5]	ZHOU Lei, YING Ying, FAN Mao-Dan, ZHENG Cheng-Gang, YI Hong-Jie, LIU Qing-Le. Effect of Hyperbaric Oxygen Therapy on Cognitive Function in Rats with Chronic Cerebral Ischemia and Mechanism [J]. Chinese Journal of Stroke, 2020, 15(08): 836-841.
[6]	LIU Ya-Ling, YU Qiu-Hong, WANG Cong, XUE Lian-Bi. The Efficacy of Hyperbaric Oxygen Therapy for Cerebral Infarction after Unruptured Intracranial Aneurysm Clipping [J]. Chinese Journal of Stroke, 2020, 15(08): 842-847.
[7]	SONG Lu, WANG Yong, LI Hai-Dong,GAO Ya-Li, LIU Jie, LI Zheng, LU Min-Jie, LIU Yue-Wei, ZHANG Xiao-Xiao. Analysis of Factors Associated with 6-month Outcome in Postoperative Aneurysmal Subarachnoid Hemorrhage Patients Treated with Hyperbaric Oxygen and Rehabilitation Therapy [J]. Chinese Journal of Stroke, 2020, 15(08): 848-852.
[8]	SHA Ying, HE Jian,WANG Qing, XIE Qing, ZHANG Lei.. Effect of Nursing in Hyperbaric Oxygen in Children with Ischemic Moyamoya Disease [J]. Chinese Journal of Stroke, 2020, 15(07): 771-774.
[9]	JIA Qian, WU Jian-Wei, ZHANG Tong, CHEN Sheng-Yun, Du Wan-Liang, ZHANG Ning, ZHANG Zai-Qiang, ZHAO Xing-Quan, WANG Yong-Jun. Application of Standardized Patient in Examination of Medical Humanistic Quality for Neurology Residents [J]. Chinese Journal of Stroke, 2018, 13(09): 998-1000.
[10]	WANG Li-Li, ZHANG Yun, HE Mao-Lin. Discussion of Clinical Teaching Methods of Cerebrovascular Disease [J]. Chinese Journal of Stroke, 2018, 13(03): 293-294.
[11]	ZHANG Qian, GE Pei-Cong, ZHANG Dong, WANG Rong, ZHANG Yan, WANG Shuo, ZHAO Yuan-Li, ZHAO Ji-Zong. Application of Seminar Teaching Method in Clinical Teaching of Management of Complex Cerebrovasular Disease with Hybrid Operation [J]. Chinese Journal of Stroke, 2017, 12(09): 874-876.
[12]	WANG Xia, DAI Wei. Effect Analysis and Risk Evaluation of Hyperbaric Oxygen Therapy on Hemorrhagic Moyamoya Disease in Adult [J]. Chinese Journal of Stroke, 2016, 11(12): 1019-1022.
[13]	ZHANG Qian, ZHANG Ning, LI Jing-Jing, et al.. The Application of English Teaching Clinical Rounds in Clinical Teaching for Cerebrovascular Diseases [J]. Chinese Journal of Stroke, 2015, 10(08): 726-728.
[14]	CAI Wei-Xin*, SU Dan, ZHANG Jun-Li, DIAN Hui-Juan. . Evaluation of Clinical Teaching Model for Nursing Practice in Intensive Care Unit for Cerebrovascular Disease: an Individualized Instruction Model [J]. Chinese Journal of Stroke, 2015, 10(07): 619-621.
[15]	YU Qiu-Hong, LI Jie, LIU Ya-Ling, et al.. Effect of Large-dose Hyperbaric Oxygenation on Cell Apoptosis of Focal Cerebral Infarction Rats in Super-early Stage [J]. Chinese Journal of Stroke, 2014, 9(09): 762-766.