LBL+PBL教学法与CBL+PBL教学法在甲乳外科护理带教中的应用效果比较

Comparison of the application effect of LBL+PBL teaching method and CBL+PBL teaching method in nursing teaching of thyroid and breast surgery department

目的比较以授课为基础的教学法(LBL)+以问题为基础的教学法(PBL)与以案例为基础的教学法(CBL)+PBL教学法在甲乳外科护理带教中的应用效果。方法2021年1月~2021年12月,将LBL+PBL教学法应用于徐州医科大学附属医院甲乳外科47名护理实习生的带教,纳入LBL+PBL组;2022年1月~2022年12月,将CBL+PBL教学法应用于52名护理实习生的带教,纳入CLB+PBL组。对比2组护理实习生出科考试成绩、自评评分、教学满意度差异,比较两种教学模式的效果。结果LBL+PBL组出科理论考试、操作考试成绩及综合评分均低于CBL+PBL组,差异有统计学意义(P<0.05)。LBL+PBL组出科时文献检索、自主学习、分析及解决问题、沟通交流、护理工作认同、理论联系实践能力评分均低于CBL+PBL组,差异有统计学意义(P<0.05)。LBL+PBL组出科时带教教学总满意率为80.85%,低于CBL+PBL组的96.15%,差异有统计学意义(P<0.05)。结论相较于LBL教学模式而言,CBL结合PBL教学法在提高护理实习生理论及操作成绩、改善学生综合能力方面效果更为显著,且接受CBL+PBL教学的护理实习生带教满意度更高。

Objective To compare the application effect of lecture-based learning(LBL)+problem-based learing(PBL)and case-based learning(CBL)+PBL in nursing teaching of thyroid and breast surgery department.Methods From January 2021 to December 2021,the LBL+PBL teaching method was applied to the teaching of 47 nursing interns in the Department of Thyroid and Breast Surgery in the Affiliated Hospital of Xuzhou Medical University,and they were included in the LBL+PBL group.From January 2022 to December 2022,the CBL+PBL teaching method was applied to the teaching of 52 nursing interns,and they were included in the CLB+PBL group.The differences of examination scores,self-evaluation scores,and teaching satisfaction were compared between the two groups of nursing interns,and the effect of the two teaching modes were compared.Results The scores of theoretical examination,operation examination and comprehensive score in the LBL+PBL group were lower than those in the CBL+PBL group,with statistical significance(P<0.05).The scores of literature retrieval,autonomous learning,analysis and problem solving,communication,nursing work identification,and the ability to combine theory with practice in the LBL+PBL group were lower than those in the CBL+PBL group,with statistical significance(P<0.05).The total satisfaction rate of teaching in the LBL+PBL group was 80.85%,which was lower than 96.15%in the CBL+PBL group,and the difference was statistically significant(P<0.05).Conclusion Compared with LBL teaching mode,the teaching method of CBL combined with PBL is more effective in improving the theoretical and operational performance of nursing interns and increasing students'comprehensive ability.The nursing interns who receive CBL+PBL teaching have higher satisfaction with teaching.