PBL结合LBL教学法在骨科护理临床教学中的应用

Application of PBL integrating LBL in bed side teaching of orthopedics nursing

目的探讨基于问题的学习（PBL）教学模式结合传统教学模式（LBL）对提高骨科临床实习的护理学生教学质量的作用。方法选取90名2008—2009年度在骨科临床实习的学生作为研究对象，进行PBL结合LBL教学法与单纯PBL教学法及LBL教学法进行对比研究，课程结束后采用统一试卷进行考试以评价教学效果，并对实验组学生进行问卷调查以评价学生的学习态度及学习动力。结果PBL结合LBL教学法实验组考试成绩显著优于PBL组及LBL组，PBL组与LBL组考试成绩差异无显著性，且绝大部分实验组学生认为PBL结合LBL教学法能树立良好学习态度及激发学习动力。结论PBL结合LBL教学法既可运用传统教学法将基础知识传授给学生，又可用PBL教学法培养学生独立思考、协调合作、运用知识和解决问题的能力，充分发挥了各自教学方法的特长，从而提高教学质量。

Objective To investigate the effect of problem - based learning （PBL） integrating lecture - based learning （LBL） on promoting the teaching qualities of nursing students who practice in the department of orthopaedics. Methods From 2008 to 2009, 90 nursing students were divided into three groups： the PBL group, LBL group and PBL integrating LBL group, each was taught through the corresponding method. At the end of the course, an objective exam was taken, and the scores were used to assess the teaching quality. Besides, a questionnaire was employed to evaluate learning attitude and motivation of the experimental group students. Results The test scores of PBL integrating LBL group was better than that of the other two groups significantly, while there was no significant difference between the other two groups. Conclusions PBL integrating LBL can achieve better qualifies in bed side teaching than PBL or LBL alone, it is a nursing teaching mode which fits our nation condition.