棋盘游戏在超声医学生知识掌握与教学满意度中的效果研究

邸郅欣; 孙钦亮; 逄冬; 张玉环

doi:10.16766/j.cnki.issn.1674-4152.003002

棋盘游戏在超声医学生知识掌握与教学满意度中的效果研究

doi: 10.16766/j.cnki.issn.1674-4152.003002

1.
哈尔滨医科大学附属第二医院超声医学科, 黑龙江哈尔滨 150086
2.
哈尔滨医科大学附属第二医院神经内科
3.
哈尔滨医科大学附属第二医院学生科

基金项目:

黑龙江省教育科学“十三五”规划2021年度重点课题 GJB1421294

详细信息

通讯作者:
张玉环，E-mail：2802262584@qq.com

中图分类号: R192.3 R445.1
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出版历程
- 收稿日期: 2022-10-19

Effect of board game on knowledge mastery and teaching satisfaction of ultrasound medical students

1.
Department of Ultrasound Medicine, the Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150086, China

摘要

摘要: 目的探讨棋盘游戏在超声诊断学中的应用效果。方法 2021年11—12月，采用方便抽样的方法，选取黑龙江省某三甲医院超声医学科20名学生为研究对象，以胃超声诊断课程为学习内容，在课堂授课结束后，将学生分成4人一组，按照指定游戏规则进行教育游戏。通过自身前后对照的方式，验证棋盘游戏在超声医学生知识掌握以及教学满意度方面的效果。结果学生前测分数4.50(3.00, 6.00)，后测分数8.50(8.00, 9.00)，自身前后测分数比较差异有统计学意义(Z=-3.951, P＜0.05)；每个知识点下学生前后测答题正确、错误数量比较(知识点1~10分别为胃部超声检查禁饮时间；胃部超声检查禁忌证；胃切迹名称；胃冠状斜切面图的识别；胃恶性溃疡判断；胃石症判断；正常胃壁蠕动波声像图表现；胃平滑肌肉瘤声像图表现；空腹胃声像图表现；食管下段以及贲门部充盈剂通过声像图表现比较)差异有统计学意义(均P＜0.05), 学生对棋盘游戏的满意度总体达90%左右。结论棋盘游戏提高了超声医学生的知识记忆，有效促进学生学习效果，值得未来在教育教学领域中推广应用。
- 教育游戏 /
- 棋盘游戏 /
- 超声医学生 /
- 胃影像学 /
- 效果研究
Abstract: Objective To explore the effect of board game in ultrasound diagnosis. Methods A total of 20 students in the Department of Ultrasound Medicine of a third-class hospital in Heilongjiang Province were selected as the research objects by using the convenient sampling method from November 2021 to December 2021. The course of gastric ultrasound diagnosis was taken as the learning content. After the classroom teaching, the students were divided into four groups and played educational games according to the specified game rules. Through the way of self-comparison, the effect of board game on ultrasonic medical students' knowledge mastery and teaching satisfaction was verified. Results Students' pre-test scores were 4.50 (3.00, 6.00) and post-test scores were 8.50 (8.00, 9.00), and there was a significant difference between their scores before and after the test (Z=-3.951, P < 0.05). The number of students' correct and wrong questions before and after the test showed statistically significant differences in each knowledge point (Knowledge points 1-10 were respectively the forbidden time of gastric ultrasound examination; Contraindications of ultrasonic examination of stomach; Name of gastric notch; Recognition of oblique view of stomach; Gastric ulcer judgment; Judgment of gastrolithiasis; Ultrasonographic manifestations of normal gastric wall peristalsis; Ultrasonographic features of gastric leiomyosarcoma; Ultrasonographic manifestations of fasting stomach, all P < 0.05). The satisfaction of students with board games was about 90%. Conclusion The board game can improve the knowledge memory of ultrasonic medical students and effectively promote their learning effect. It is worth popularizing in the field of education and teaching in the future.
- Educational games /
- Board game /
- Ultrasound medical students /
- Gastric imaging /
- Effect study
利益冲突 无

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图 1 胃超声游戏路径图

Figure 1. Game path map of stomach ultrasound

下载: 全尺寸图片幻灯片

表 1 问题卡设置

Table 1. Problem card setup

问题序号	问题
1	什么是胃窗超声造影检查？
2	检查前患者如何进行准备？
3	胃超声与CT比较优缺点？
4	胃窗超声造影禁忌证？
5	胃的运动形式有哪些？
6	简述胃的解剖结构(两壁、两缘、两口、两切迹、四部分)？
7	胃壁超声下表现，以及代表的组织分层？
8	下列图片是胃的哪个切面？
9	该切面可以观察到的主要结构有哪些？
10	该切面下主要诊断的疾病有哪些？
11	下列图片是胃的哪个切面？
12	下列图片是胃的哪个切面？
13	该切面下主要观察胃的那些结构？
14	下列图片可以看到胃的哪些结构？
15	下列图片可以看到胃的那些结构？
16	下列图片可以看到胃的那些结构？
17	患者急性腹痛就诊，胃部超声扫查可见如下，简述图片特征及超声诊断？

下载: 导出CSV

表 2 20名学生前后测试知识点正确和错误数量比较[人(%)]

Table 2. Comparison of the number of correct and wrong knowledge points of 20 students before and after the test[cases (%)]

序号	知识点	结果	前测知识点	后测知识点	χ²值	P值
知识点1	胃部超声检查禁饮时间	正确	12(60.00)	18(90.00)	4.800	0.028
		错误	8(40.00)	2(10.00)
知识点2	胃部超声检查禁忌证	正确	11 (55.00)	19(95.00)	8.533	0.003
		错误	9(45.00)	1(5.00)
知识点3	胃切迹名称	正确	7(35.00)	16(80.00)	8.286	0.004
		错误	13(65.00)	4(20.00)
知识点4	胃冠状斜切面图的识别	正确	9(45.00)	18(90.00)	9.231	0.002
		错误	11(55.00)	2(10.00)
知识点5	胃恶性溃疡判断	正确	13(65.00)	20(100.00)	8.485	0.008
		错误	7(35.00)	0
知识点6	胃石症判断	正确	8(40.00)	20(100.00)	17.143	< 0.001
		错误	12(60.00)	0
知识点7	正常胃壁蠕动波声像图表现	正确	7(35.00)	20(100.00)	19.259	< 0.001
		错误	13(65.00)	0
知识点8	胃平滑肌肉瘤声像图表现	正确	9(45.00)	20(100.00)	15.172	< 0.001
		错误	11(55.00)	0
知识点9	空腹胃声像图表现	正确	9(45.00)	19(95.00)	11.905	< 0.001
		错误	11(55.00)	1(5.00)
知识点10	食管下段以及贲门部充盈剂通过声像图表现	正确	9(45.00)	18(90.00)	9.231	0.002
		错误	11(55.00)	2(10.00)

下载: 导出CSV

表 3 学生对棋盘游戏的满意度评价(%)

Table 3. Students' satisfaction evaluation of board games(%)

问题	是	否
你认为该游戏有趣么？	100	0
你认为该游戏有助于更好的理解知识内容？	90	10
你认为该游戏的问题设置难度是否能接受？	70	30
你认为该游戏有助于目标知识的学习吗？	100	0
你认为该游戏的设计清楚吗？	100	0
你认为该游戏是增强学习的重要方式吗？	100	0
你认为该游戏有助于促进团队沟通么？	100	0
你认为该游戏有助于识别知识薄弱点？	100	0

下载: 导出CSV

参考文献(18)

[1]	祁明, 朱玉峰. 模块式满负荷教学在超声诊断学实习中的应用[J]. 中国继续医学教育, 2020, 12(29): 36-39. https://www.cnki.com.cn/Article/CJFDTOTAL-JXUY202029010.htm QI M, ZHU Y F. Application of Modular and Full-load Teaching in the Clinical Practice of Ultrasonic Diagnostics[J]. Chin Cont Med Edu, 2020, 12(29): 36-39. https://www.cnki.com.cn/Article/CJFDTOTAL-JXUY202029010.htm
[2]	HILL R V, NASSRALLAH Z. A game-based approach to teaching and learning anatomy of the liver and portal venous system[J]. MedEdPORTAL, 2018, 14. DOI: 10.15766/mep_2374-8265.10696.
[3]	COIL D A, ETTINGER C L, EISEN J A. Gut check: the evolution of an educational board game[J]. PLoS Biol, 2017, 15(4): e2001984. DOI: 10.1371/journal.pbio.2001984.
[4]	NODA S, SHIROTSUKI K, NAKAO M. The effectiveness of intervention with board games: a systematic review[J]. Biopsychosoc Med, 2019, 13. DOI: 10.1186/s13030-019-0164-1.
[5]	代妮娜, 张文君, 张忠磊, 等. 混合式教学模式在超声诊断学教学中的应用[J]. 中国继续医学教育, 2020, 12(15): 40-42. https://www.cnki.com.cn/Article/CJFDTOTAL-JXUY202015017.htm DAI N N, ZHANG W J, ZHANG Z L, et al. The Application of Blended Teaching Mode in Ultrasound Diagnostics Teaching[J]. Chin Cont Med Edu, 2020, 12(15): 40-42. https://www.cnki.com.cn/Article/CJFDTOTAL-JXUY202015017.htm
[6]	VALENTE P, LORA P S, LANDELL M F, et al. A game for teaching antimicrobial mechanisms of action[J]. Med Teach, 2009, 31(9): e383-e392. doi: 10.1080/01421590802637958
[7]	都晓英, 唐文波, 宋涛, 等. PBL联合CBL在超声医学教学中的应用研究[J]. 中华全科医学, 2021, 19(11): 1943-1945. doi: 10.16766/j.cnki.issn.1674-4152.002207 DU X Y, TANG W B, SONG T, et al. Application of PBL and CBL in ultrasonic medical teaching[J]. Chinese Journal of General Practice, 2021, 19(11): 1943-1945. doi: 10.16766/j.cnki.issn.1674-4152.002207
[8]	GORBANEV I, AGUDELO-LONDONO S, GONZALEZ R A, et al. A systematic review of serious games in medical education: quality of evidence and pedagogical strategy[J]. Med Educ Online, 2018, 23(1): 1438718. DOI: 10.1080/10872981.2018.1438718.
[9]	NASIRI M, AMIRMOHSENI L, MOFIDI A, et al. Educational games developed for students in perioperative nursing: a systematic review and appraisal of the evidence[J]. Nurse Educ Pract, 2019, 37: 88-96. doi: 10.1016/j.nepr.2019.05.002
[10]	EPSTEIN D S, ZEMSKI A, ENTICOTT J, et al. Tabletop board game elements and gamification interventions for health behavior change: realist review and proposal of a game design framework[J]. JMIR Serious Games, 2021, 9(1): e23302. DOI: 10.2196/23302.
[11]	MCCOY L, LEWIS J H, DALTON D. Gamification and multimedia for medical education: a landscape review[J]. J Am Osteopath Assoc, 2016, 116(1): 22-34.
[12]	CASTRO M J, LÓPEZ M, CAO M J, et al. Impact of educational games on academic outcomes of students in the Degree in Nursing[J]. PLoS One, 2019, 14(7): e0220388. DOI: 10.1371/journal.pone.0220388.
[13]	ABURAHMA M H, MOHAMED H M. Educational games as a teaching tool in pharmacy curriculum[J]. Am J Pharm Educ, 2015, 79(4): 59. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4469025/
[14]	LUCHI K C G, CARDOZO L T, MARCONDES F K. Increased learning by using board game on muscular system physiology compared with guided study[J]. Adv Physiol Educ, 2019, 43(2): 149-154.
[15]	MARTINS F D P, LEAL L P, LINHARES F M P, et al. Effect of the board game as educational technology on schoolchildren' s knowledge on breastfeeding1[J]. Rev Lat Am Enfermagem, 2018, 26: e3049. DOI: 10.1590/1518-8345,2316.3049.
[16]	吕雀芬, 吴淑美, 徐莹媺, 等. 游戏式学习与护理教育应用: 同理心桌游教学[J]. 护理杂志, 2018, 65(1): 96-103. LU Q F, WU S M, SHU Y M, et al. Applying Game-Based Learning in Nursing Education: Empathy Board Game Learning[J]. Journal of Nursing, 2018, 65(1): 96-103.
[17]	FENS T, HOPE D L, CRAWSHAW S, et al. The international pharmacy game: a comparison of implementation in seven universities world-wide[J]. Pharmacy (Basel), 2021, 9(3): 125.
[18]	SABA M, METRY I, LUCAS C, et al. Evaluation of a flipped examination model implemented in a final-year undergraduate pharmacotherapeutics course[J]. Am J Pharm Educ, 2019, 83(3): 6568. DOI: 10.5688/ajpe6568.