神经病学与神经康复学杂志2025，Vol.21Issue(6)：515-521,7.DOI:10.12022/jnnr.2025-0122
循证医学PICOS模式结合基于案例的教学法在神经康复学教学中的实践研究
A practical study on integrating PICOS framework of evidence-based medicine with case-based learning in neurorehabilitation teaching
摘要
Abstract
Objective:To evaluate the effectiveness of integrating the evidence-based medicine(EBM)PICOS framework with case-based learning(CBL)in the teaching of neurorehabilitation. Methods:A total of 100 third-year undergraduates majoring in rehabilitation therapy at Changsha Medical University(Class of 2021)were randomly assigned into two groups through stratified randomization:a reform group and a control group,with 50 students in each.In the neurorehabilitation course,the control group received traditional teaching methods(lecture-based learning),while the reform group was taught using the EBM-PICOS framework combined with CBL.After course completion,teaching effectiveness was compared between the two groups across three dimensions:academic performance,learning outcomes,and clinical internship adaptability. Results:Compared with the control group,the reform group demonstrated statistically significant improvements in academic performance and clinical internship adaptation scores(P<0.05).The reform group also showed superior learning outcomes in seven aspects:learning engagement,self-directed learning competency,evidence-based practice proficiency,literature retrieval skills,clinical reasoning ability,applied knowledge integration,and professional identity(all P<0.05).However,no statistically significant difference was observed in medical ethics and professionalism between the two groups(P>0.05). Conclusion:The integration of the EBM-PICOS framework with CBL enhances teaching effectiveness in neurorehabilitation and effectively cultivates rehabilitation competency among rehabilitation therapy students.关键词
循证医学PICOS模式/基于案例的教学法/神经康复学/康复胜任力Key words
Evidence-based medicine PICOS framework/Case-based learning/Neurorehabilitation/Rehabilitation competency引用本文复制引用
何思,姚利民,胡小花,卢锦华,陈琳..循证医学PICOS模式结合基于案例的教学法在神经康复学教学中的实践研究[J].神经病学与神经康复学杂志,2025,21(6):515-521,7.基金项目
2022年湖南省普通高等学校教学改革研究一般项目(HNJG-2022-1171)General Project of Teaching Reform Research in Ordinary Colleges and Universities in Hunan Province in 2022(HNJG-2022-1171) （HNJG-2022-1171）
