自我导向学习评定量表在护理实训中的应用研究

Application research of self-rating scale of self-directed learning in nursing training

目的研究提高护理专业大学生实训教学效果的改革方法。方法整群抽样法选取某高等护理学院396名护理大专学生为研究对象,其中实验组197人,对照组199人。实验组学生进行基于自我导向学习的外科护理实训教学,对照组学生进行传统讲授为主的外科护理实训教学。期间每3个月使用自我导向学习评定量表(self-rating scale of self-directed learning,SRSSDL,SDL)对学生自我导向学习能力进行动态测量,对学生实训考试成绩、课程满意度进行组间对比,并应用SPSS 17.0进行重复测量方差分析、独立样本t检验。结果自我导向学习能力重复测量评分实验组高于对照组,差异有统计学意义(F=16.237,P=0.016);实训考试分数除常用器械模块(P=0.056)外,实验组均高于对照组,且差异有统计学意义[手术室护理模块(P<0.01)、伤口护理模块(P=0.005)、肠造口护理模块(P<0.01)];学生对总体课程满意度,实验组高于对照组,差异有统计学意义。结论采用基于自我导向学习的护理实训教学方式,可有效提高学生以自我导向学习能力为基础的综合能力与素质,提高实训课程教学效果。

Objective To analyze the reform of improving the teaching effects of nursing college students'practical training.Methods Cluster sampling method was used to select 396 nursing college students in a higher nursing school as the research objects,with 197 in experimental group and 199 in control group.Self-directed learning was adopted in practical teaching of surgical nursing in the students in experimental group,and traditional surgery teaching was adopted in control group.Self-rating scale of self-directed learning(SRSSDL)was used every 3 months during the period.The students'self-directed learning ability was measured dynamically,and the scores of practical examination and course satisfaction were compared between the two groups.The data were statistically analyzed by repeated measures analysis of variance and independent sample t-test using SPSS 17.0.Results The scores of repeated measurement of SRSSDL in the experimental group were higher than those in the control group(F=16.237,P=0.016).Except for the common surgical instruments module(P=0.056),the scores of practical training examination in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.01 for the operating room nursing module,P=0.005 for the wound nursing module,P<0.01 for the enterostomy nursing module).The students'satisfaction with the overall curriculum in the experimental group was higher than that in the control group.Conclusion Self-directed learning in the teaching of nursing practice can effectively enhance comprehensive ability and quality of students based on self-directed learning ability,and improve the teaching effect of practical training courses.