PBL联合情景模拟教学法在精神科护士急救技能培训中的应用

Application of PBL combined with situational simulation teaching method in the first aid skill training of psychiatric nurses

目的探讨PBL联合情景模拟教学法在精神科护士急救技能培训中的应用效果。方法将2018年5月~2019年3月广西壮族自治区脑科医院工作的124名精神科护士作为研究对象,按随机数字表法分为对照组和观察组,对照组61名,观察组63名。对照组采用情景模拟教学法,观察组采用PBL联合情景模拟教学法,进行10个月的急救技能培训,对两组急救理论知识、技能操作、模拟情景演练进行考评及比较,并评估教学效果。结果培训后,两组急救理论知识、技能操作、模拟情景演练考评分均显著高于培训前(P <0.01);观察组模拟情景演练考评分及评分的增加值均高于对照组(均P <0.05);观察组病情判断、风险评估、应急流程、临场应变能力分项考评分也高于对照组(P <0.05);观察组培训满意度总分及学习积极性、独立思考能力、巩固与灵活应用知识项评分高于对照组(P <0.05)。结论 PBL联合情景模拟教学法应用于精神科护士急救技能培训,能明显提高学员的学习积极性和应变能力,有良好的效果,值得推广。

Objective To explore the application effect of PBL combined with situational simulation teaching method in the first aid skills training of psychiatric nurses.Methods A total of 124 psychiatric nurses working in the Brain Hospital of Guangxi Zhuang Autonomous Region from May 2018 to March 2019 were studied.According to the random number table method,they were divided into the control group and the observation group,with 61 in the control group and 63 in the observation group.The control group adopted situational simulation teaching method,and the observation group adopted PBL combined situational simulation teaching method,the first-aid skill training was carried out for 10 months,The theoretical knowledge,skill operation and simulated scenario drills of the two groups were evaluted and compared,the teaching effect was evaluted.Results After the training,the scores of first aid theoretical knowledge,skill operation and simulated scenario exercise in the two groups were significantly higher than before the training(P<0.01).The score and value added of the observation group were higher than those of the control group(P<0.05).The observation group was also higher than the control group in terms of disease judgment,risk assessment,emergency response process and emergency response capacity(P<0.05).The total score of training satisfaction and learning enthusiasm,independent thinking ability,consolidation and flexible application of knowledge in the observation group were higher than those in the control group(P<0.05).Conclusion The application of the PBL method in the training of first aid skills for psychiatric nurses can obviously improve the students′learning enthusiasm and strain ability,and it has a good effect and is worthy of promotion.