急危重症护理学应用型课程改革对本科护生自主学习能力的影响

Effects of applied course reform of emergency critical care nursing on self-directed learning ability of nursing undergraduates

目的 探讨急危重症护理学应用型课程改革对本科护生自主学习能力的影响.方法 2016年9月—2017年1月,选取西安培华学院180名2014级本科护生为研究对象.随机抽取3个班86名护生为对照组,另外3个班94名护生为试验组（n=94）.对照组采用传统教学方法,试验组采用急危重症护理学应用型课程教学改革方案.实施前后,对两组护生自主学习能力进行比较.结果 课程改革实施后试验组护生自主学习能力总分、学习动机、计划和实施、自我管理、人际沟通维度得分分别为（78.31±8.15）、（23.94±3.06）、（23.09±2.77）、（15.51±2.13）、（15.78±2.04）分,高于对照组的（73.37±9.91）、（22.79±3.61）、（21.72±3.38）、（14.28±2.38）、（14.58±2.59）分,差异均有统计学意义（t值分别为-3.611、-2.301、-2.970、-3.661、-3.458;P〈0.05）;试验组护生的期末考试成绩为（84.57±8.21）分,高于对照组的（81.40±8.07）分,差异有统计学意义（t=2.616,P=0.007）.结论 急危重症护理学应用型课程教学改革有助于提高本科护生的自主学习能力.

Objective To explore the effects of applied course reform of emergency critical care nursing on self-directed learning ability of nursing students. Methods From September 2016 to January 2017, a total of 180 nursing undergraduates from Xi＇an Peihua University of grade 2014 were selected as the research subjects. 86 students from 3 classes were randomly recruited into control group, and 94 students from other 3 classes to observation group. Control group was treated with traditional teaching methods, while experimental group adopted the applied course reform of emergency critical nursing. Nursing students＇ self-directed learning ability was compared between the two groups before and after the course. Results After the whole course, the total score of students＇ self-directed learning, learning motivation,planning and implementation,self management and interpersonal communication dimensions were（78.31±8.15）, （23.94±3.06）,（23.09±2.77）, （15.51±2.13） and （15.78±2.04） , which were all higher than （73.37±9.91）, （22.79±3.61）, （21.72±3.38）, （14.28±2.38）, （14.58±2.59） in the control group respectively. The differences were statistically significant（t=-3.611, -2.301, -2.970, -3.661, -3.458; P〈 0.05）. The final exam score of the experimental group was （84.57±8.21）, which was higher than that in the control group （81.40±8.07）, with a statistically significant difference （t=2.616, P=0.007）.Conclusions Applied course reform of emergency critical nursing care can enhance nursing undergraduates＇ self-directed learning ability.