PBL教学法对培养护生评判性思维影响效果的Meta分析

A Meta analysis of effect of problem-based learning on development of nursing students＆#39; critical thinking

目的 系统评价PBL教学法对培养护生评判性思维的影响效果.方法 利用计算机检索国内外相关文献,根据Note Express软件进行文献筛选和查重,对纳入符合标准的随机或非随机对照实验（RCT）文献采用RevMan5.2软件进行数据合并分析.结果 共纳入9篇文献,采用随机效应模型分析,纳入研究对象为1 187人,实验组574人,对照组613人.根据测量采用的量表不同进行亚组分析显示,PBL教学法可以显著提高护生的评判性思维能力;控制大样本量研究进行敏感性分析结果显示,研究结果稳定性高,结论可靠.结论 PBL教学法可以显著提高护生的评判性思维能力,可以为临床带教师生提供一种更好的学习方法,值得进一步推广.

Objective To assess systematically the effect of problem-based learning （PBL） versus traditional methods in nursing students.Methods Relative literature was searched by computer at home and abroad.according to the inclusion and the exclusion criteria,which were analyzed by RevMan5.2 software,and literature selection and repetition were used according to the Note Express software.Results A total of 9 studies of randomized controlled or not randomized controlled trial were brought into the study by random effects model.A total of 1 187 were collected into the study,574 in the experimental group and 613 in the control group.According to subgroup analysis showed by measurement scale,problem-based learning （PBL） can significantly improve the critical thinking ability of nursing students.The results had high stability and reliability.Conclusions PBL teaching method can significantly improve the critical thinking ability of nursing students,and provide a better learning method for clinical teachers and students,which is worthy of further promotion.