中医护理进展性案例的设计与教学实践

Design and application of the progressive case in traditional Chinese medicine nursing

根据教学大纲和教学目标,以临床收集的病例为基础,编写了20个中医护理进展性案例。将案例应用于中医护理学课程中,教学内容涉及第七章八纲辨证以及脏腑辨证,共16学时,教学过程主要为进展性案例教学分析、讨论及总结,让学生建立中医辨证思维,培养学生分析解决问题的能力。有119名学生学习该课程,课程结束后,进行考试并用自设问卷调查学生对教学的评价。学生的病例分析成绩为(9.59±0.20)分,大部分学生认为有助于重点知识的掌握(96.6%),能提高中医辨证分析能力。在教学实践中发现,讨论环节仍需要完善,教师应明确讨论问题,有效发挥导向性作用。

Based on the outlines and objectives of Traditional Chinese Medicine(TCM)Nursing,20 progressive cases were developed by referring to the real clinic cases collected from the hospital.These cases were used in the TCM teaching and contents of the cases involved syndrome differentiation of eight principles and visceral syndrome differentiation.The total time for the case teaching was 16 hours.The teaching process mainly included analysis of case teaching,discussion,and summary to help build up the TCM differentiation thinking and cultivate the problem solving ability.A total of 119 students took part in the case teaching and self-developed questionnaire was used to evaluate the teaching effects after the course.The score of case analysis was(9.59±0.20).Most students believed that it was helpful to learn key knowledge(96.6%)and the case teaching can improve the ability of TCM syndrome differentiation.It is found that the discussion part needs to be improved.Instructors should clearly discuss the problem and effectively play a guiding role.