微信结合案例教学在中医体质调护教学中的应用

Application of the case-based learning assisted with WeChat software in the teaching of TCM Constitution nursing regulation

目的 观察微信结合案例教学（case-based learning,CBL）在中医护理学体质调护课中的应用效果.方法 将参加中医护理学体质调护教学的2013级护理本科1、2班分为微信结合CBL组和传统教学（LBL）组,各48人.微信结合CBL组课前准备包括教师编写案例和思考题、微信发送教学信息等,学生分组讨论、收集资料,课堂以学生演讲为主,教师做点评、总结和计分.LBL组通过教师备课、多媒体PPT讲授开展教学.课后发放体质调护测试卷和教学效果电子问卷,评价教学效果.利用SPSS 21.0进行数据统计,计量资料采用t检验.结果 微信结合CBL组学生体质调护测试卷单选题得分、多选题得分及总成绩均高于LBL组[（52.46±4.35）vs.（47.63±5.84）;（33.42±3.11）vs.（29.88±4.55）;（85.88±5.72）vs.（77.50±7.88）],差异有统计学意义.问卷结果显示,微信结合CBL组学生对自身所受教育方法在提高学习兴趣、知识掌握、分析问题和解决问题的能力、自主学习能力、检索文献能力、沟通协作能力、中医辨证思维能力、活跃课堂气氛方面的评分,均高于LBL组,差异有统计学意义.结论 微信结合CBL教学,对调动学生学习积极性,提高学生自主学习能力,培养中医辨证思维等方面有促进作用,值得在中医体质调护教学中推广.

Objective To observe and investigate the effects of the case-based learning assisted with WeChat software in the teaching of nursing constitution regulating theory. Method The two classes of nursing undergraduate Grade 2013 were randomized into the case-based learning （CBL） group and the traditional teaching group （LBL）. WeChat group combined with CBL group made preparation before class, including teachers writing the cases and thinking questions, WeChat sending teaching information, students discussing problems in group and collecting information. In class, students gave presentation and made speech, and the teachers made comments, did summary and gave scores to students＇ performance. In LBL group teacher prepared a lesson, and taught lessens assisted by multimedia PPT. After class, we used the test of nursing constitution regulating and teaching effect questionnaire to compare the differences between the two groups, using SPSS 21.0 for data statistics, and t test for measurement data. Results The single choice score, multiple choice score and the total score of the test of nursing constitution regulating in the CBL group were （52.46±4.35）, （33.42±3.11）, and （85.88±5.72）, higher than the LBL group which were （47.63±5.84）, （29.88±4.55）, and （77.50±7.88）. The difference was statistically significant. Scores of self-study ability, interest in learning, literature retrieval ability, communication and cooperation ability, TCM differentiation and the examination scores in CBL group were significantly higher than that in LBL group. Conclusion The case-based learning assisted with WeChat software can inspire the interest of learning, cultivate the self-study ability and practice the ability of TCM differentiation. It is worthy of being generalized.