李萍 温晓妮

[摘要] 目的 将案例式教学法（CBL）应用于作业治疗学教学中探讨其效果及可行性。 方法 选取2016年9月～2017年1月西安体育学院运动康复专业2013级本科生37名为对照组，采用传统教学法进行教学；选取2017年9月～2018年1月2014级本科生36名为CBL组，采用CBL教学法。比较两组教学效果。 结果 CBL组的临床实践操作技能成绩、理论成绩及总成绩均高于对照组，差异有统计学意义（P < 0.05）。 结论 CBL教学法在培养学生的临床思维能力方面起到了重要作用，同时积极调动了学生主观学习能动性，提高了学生综合素质，值得在作业治疗学课程教学中推广应用。

[关键词] CBL教学法；运动康复专业；作业治疗学；教学方法

[中图分类号] R49 [文献标识码] A [文章编号] 1673-7210（2018）09（a）-0051-04

[Abstract] Objective To explore the effect and feasibility of the case-based learning （CBL） method applied in occupational therapy teaching. Methods Thirty-seven undergraduates in Grade 2013 of Sports Rehabilitation in Xi′an Physical Education University from September 2016 to January 2017 were selected as control group， and they were taught in traditional teaching method； thirty-six undergraduates in Grade 2014 from September 2017 to January 2018 were selected as CBL group， and they were taught with CBL. The teaching efficacy was compared between the two groups. Results The clinical practice results， theoretical results， and total results of the CBL group were higher than those of the control group， the differences were statistically significant （P < 0.05）. Conclusion The CBL method plays an important role in cultivating students′ clinical thinking ability， and at the same time， it enhances the autonomous learning ability and improves the comprehensive ability. Thus， this method is worth promoting widely in the teaching of occupational therapy.

[Key words] Case-based learning； Sports rehabilitation； Occupational therapy； Teaching method

近些年，我國康复医学蓬勃发展，运动康复专业作为一个新兴的、与医学相交叉的前沿学科陆续在全国各大体育院校及医学院校开设[1-3]。该专业将体育知识和康复医学知识合理融合，教学中偏重于培养学生的临床康复实践技能[4-5]。康复实践技能的学习对该专业教学来说至关重要，直接关系到学生的就业，关系到所培养学生是否能得到社会的认可。作业治疗学（occupational therapy，OT）是运动康复专业的一门必修课程，是一门侧重于培养学生作业治疗方法和操作技能的主干课程。它通过对有功能障碍或残疾的患者进行康复评定，选取有目的的作业活动进行训练，以期最大限度地恢复或提高患者独立生活能力及工作能力，最终生活自立、回归家庭、重返社会[6-7]。由于该课程知识点较多，涉及各种功能障碍和慢性疾病的作业治疗，如果单纯采用传统灌输式教学方法，往往会限制学生的自主思维和学习的主观能动性，造成师生之间沟通互动少、操作技能训练不足、与临床联系不紧密，无法使学生深入理解作业治疗的内涵，最终可能出现教学效果不佳、学生理论成绩不理想及实践操作能力弱等问题。……