常见病证中西医护理临床思维训练课程的设计和教学实践

Research on curriculum design and teaching practice of Nursing Clinical Thinking Training for Common Diseases in Chinese and Western Medicine

目的探讨常见病证中西医护理临床思维训练课程设计及教学实践的效果。方法将选修课程护理综合技能训练改为必修课程常见病证中西医护理临床思维训练。课程内容包括能体现中西医结合特色的6个临床疾病(心绞痛、脑出血、病毒性肝炎、糖尿病、带状疱疹、COPD)模块,每个模块7个学时,其中理论3学时,实验4学时;另开设设计性实验3学时,实验考核3学时。疾病模块中,理论课由中医学、临床医学、基础医学、护理学教师合作教学;实验课以进展型标准化教学案例为主线,参照OSCE的形式开展教学。选取湖南省某中医院校283名三年级护理学专业本科生为研究对象,实施课程教学并进行考核,在教学前后采用自设的中西医护理临床思维能力量表进行调查。结果学生考核成绩为65~93(81.66±4.62)分;教学后,学生的中西医护理思维能力高于教学前(P<0.05)。结论常见病证中西医护理临床思维训练课程教学提高了学生的中西医结合护理临床思维能力。

Objective To explore the effect of curriculum design and teaching practice of Nursing Clinical Thinking Training for Common Diseases in Chinese and Western Medicine.Methods The elective course of Nursing Comprehensive Skills Training was changed to the compulsory course of Nursing Clinical Thinking Training for Common Diseases in Chinese and Western Medicine.The course content included six modules of clinical diseases(angina pectoris,cerebral hemorrhage,viral hepatitis,diabetes,herpes zoster and COPD)that could reflect the characteristics of integrated Chinese and western medicine,with seven class hours for each module,including three class hours for theory and four class hours for experiment.In addition,three class hours for design experiment and three class hours for experimental assessment.In the disease module,theoretical courses were taught by teachers of traditional Chinese medicine,clinical medicine,basic medicine and nursing.The experimental course employed the progressive standardized teaching case as the main line and carried out teaching in the form of OSCE.A total of 283 third year nursing undergraduates from a Chinese Medicine University in Hunan Province were selected as the participants in implementation.Before and after the teaching,the self-designed Chinese and western medicine nursing thinking ability scale was applied.Results The examination scores of the students were ranged from 65 to 93(81.66±4.62).Besides,after such teaching,students'thinking ability of traditional Chinese and western medicine nursing was higher than before(P<0.05).Conclusion The course of Nursing Clinical Thinking Training for Common Diseases in Chinese and Western Medicine improves the students'clinical thinking ability of integrated Chinese and western medicine nursing.