思维导图联合互动沟通模式在神经外科临床带教中的应用

目的 观察思维导图联合互动沟通模式在神经外科临床带教中的应用效果。方法 将2019年9月至2020年9月在贵州医科大学附属医院神经外科实习的40名学生纳入对照组，采取传统带教；将2020年10月至2021年10月在神经外科实习的40名学生纳入观察组，采取思维导图联合互动沟通模式带教。两组学生均带教2周，教学结束后评价教学效果。使用SPSS 25.0软件进行t检验和卡方检验。结果 带教2周后，两组学生的理论知识及实践操作技能考核评分均高于带教前，观察组理论知识（90.38±4.03）分、实践操作技能（93.37±3.48）分高于对照组（85.52±5.26）分、（87.25±4.48）分，两组比较差异有统计学意义（t=4.63、6.83，P<0.001）。两组学生的病例分析评分高于带教前，观察组（86.03±6.07）分高于对照组（79.13±5.57）分，两组比较差异有统计学意义（t=5.30，P<0.001）。两组学生的人际沟通能力、合作能力评分均高于带教前，观察组人际沟通能力（82.53±4.74）分、合作能力（169.73±7.55）分高于对照组（77.93±4.45）分、（158.42±8.01）分，两组比较差异有统计学意义（t=4.48、6.49，P<0.001）。结论 思维导图联合互动沟通模式带教能够有效提高神经外科实习学生的临床基础知识及临床实践能力，提升学生的沟通及合作能力。

Application of mind mapping combined with interactive communication mode in clinical teaching of Neurosurgery

Objective To observe the application effect of mind mapping combined with interactive communication mode in clinical teaching of neurosurgery.Methods A total of 40 students who practiced in the Department of Neurosurgery in the Affiliated Hospital of Guizhou Medical University from September 2019 to September 2020 were included in the control group, and traditional teaching was adopted; another 40 students who practiced from October 2020 to October 2021 were included in the observation group, and mind mapping combined with interactive communication mode was adopted for teaching. The two groups of students were taught for 2 weeks, and after the teaching, the teaching effect was compared between the two groups. SPSS 25.0 software was used to conduct t-test and Chi-square test.Results After 2 weeks of teaching, the scores of theoretical knowledge (90.38±4.03) and practical operation skills (93.37±3.48) in the two groups were higher than those before teaching [(85.52±5.26) and (87.25±4.48)], with statistically significant differences (t=4.63, 6.83, P<0.001). The case analysis score of the two groups was higher than that before teaching, and that of the observation group (86.03±6.07) was higher than that of the control group (79.13±5.57), with statistically significant differences (t=5.30, P<0.001). The scores of interpersonal communication ability and cooperation ability of the two groups were higher than those before teaching. The scores of interpersonal communication ability (82.53±4.74), cooperation ability (169.73±7.55) of the observation group were higher than those of the control group [(77.93±4.45) and (158.42±8.01)], with statistically significant differences (t=4.48, 6.49, P<0.001).Conclusion Mind mapping combined with interactive communication mode can effectively improve the clinical basic knowledge and clinical practice ability of interns in the Department of Neurosurgery, and improve their communication and cooperation ability.