启发式临床医学教学模式联合以问题为导向的教学方法在心血管外科护理带教中的应用效果

Application of problem-originated clinical medical curriculum combined with problem-based learning in clinical nursing teaching of cardiovascular surgery

目的探讨启发式临床医学教学模式(PCMC)联合以问题为导向的教学方法(PBL)在心血管外科护理带教中的应用效果。方法选择2019年12月至2020年12月在中国科学院大学重庆医院心血管外科实习的50名护生作为研究对象,按照随机数字表法分为对照组和观察组,每组各25名。对照组应用常规护理带教法带教,观察组联合应用PCMC和PBL带教,比较两组护生的问题解决能力、出科理论和操作考核成绩以及带教满意度。结果入科时两组护生的问题解决能力总分和各维度评分比较,差异无统计学意义(P>0.05),出科时两组的问题解决能力总分和各维度评分均高于入科时,差异有统计学意义(P<0.05);出科时观察组护生的问题解决能力总分和各维度评分、出科理论和操作考核成绩、带教满意度评分均高于对照组,差异有统计学意义(P<0.05)。结论将PCMC和PBL联合应用于心血管外科护理带教中,可优化心血管外科的实习带教质量,促进护生专科理论知识水平和操作实践能力的提升,同时还可提高护生的问题解决能力和对带教的满意度。

Objective To explore the application effect of problem-originated clinical medical curriculum(PCMC)combined and problem-based learning(PBL)in nursing teaching of cardiovascular surgery.Methods A total of 50 nursing students who practiced in cardiovascular surgery in Chongqing hospital of University of Chinese Academy of Sciences from December 2019 to December 2020 were selected as the research objects,they were randomly divided into control group and observation group,with 25 in each group.The control group was taught by routine nursing teaching method,and the observation group was taught by PCMC and PBL.The problem-solving ability,graduation theory and operation assessment results and teaching satisfaction of nursing students in the two groups were compared.Results There was no significant difference in the total score of problem-solving ability and the scores of each dimension between the two groups at the time of admission(P>0.05).The total score of problem-solving ability and the scores of each dimension of the two groups at the time of graduation were higher than those at the time of admission,the differences were statistically significant(P<0.05).At graduation,the total score of problem-solving ability and the scores of each dimension,the scores of graduation theory and operation assessment,and the scores of teaching satisfaction of nursing students in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion The combined application of PCMC and PBL in cardiovascular surgery nursing teaching can optimize the quality of cardiovascular surgery practice teaching,promote the improvement of nursing students′theoretical knowledge level and operation practice ability,and improve nursing students′problem-solving ability and satisfaction with teaching.