PBL联合情景模拟在护生针刺伤护理教学中的应用

Application of problem-based learning combined with scenario simulation in nursing teaching of needlestick injuries

目的:探讨基于问题的教学(problem-based learning,PBL)联合情景模拟教学在护生针刺伤护理教学中的应用效果。方法:选取某医科大学护理学专业2020级和2021级本科生共123人作为研究对象。2020级本科生60人作为对照组,采用PBL教学方法;2021级本科生63人作为试验组,采用PBL联合情景模拟教学法。比较两组护生的理论成绩、技能考核成绩和针刺伤相关知识、态度和行为问卷(needle-stick injury knowledge,attitude and practice questionnaire,KAP)结果。采用SPSS 25.0进行t检验、卡方检验和秩和检验。结果:试验组理论成绩、技能考核成绩[(84.43±5.03)分、(88.40±4.26)分]高于对照组[(80.30±4.81)分、(83.55±5.84)分](P<0.001);试验组KAP问卷的知识、态度、行为[(14.46±1.03)分、(52.59±3.09)分、(67.37±4.28)分]均高于对照组[(13.18±1.23)分、(48.05±3.06)分、(62.17±3.92)分](P<0.001)。结论:PBL联合情景模拟教学法可以有效提高在校护生针刺伤防护知识、操作水平,增强护生对针刺伤重视态度,促进针刺伤防护行为。

Objective To investigate the application effect of problem-based learning(PBL)combined with scenario simulation in nursing teaching of needlestick injuries.Methods A total of 123 undergraduates majoring in nursing were selected as research subjects from the classes of 2020 and 2021 in a medical university.The 60 undergraduates in the class of 2020 were established as control group and were given PBL teaching,and the 63 undergraduates in the class of 2021 were established as experimental group and were given PBL combined with scenario simulation.The two groups were compared in terms of theoretical score,skill examination score,and knowledge-attitude-practice(KAP)score of needlestick injury knowledge.SPSS 25.0 was used to perform the t-test,the chi-square test,and the rank sum test.Results Compared with the control group,the experimental group had significantly higher scores of theoretical examination[(84.43±5.03)vs.(80.30±4.81),P<0.001]and skill examination[(88.40±4.26)vs.(83.55±5.84),P<0.001],as well as significantly higher scores of knowledge[(14.46±1.03)vs.(13.18±1.23),P<0.001],attitude[(52.59±3.09)vs.(48.05±3.06),P<0.001],and practice[(67.37±4.28)vs.(62.17±3.92),P<0.001]in KAP questionnaire.Conclusions PBL combined with scenario simulation teaching can effectively improve the knowledge of protection against needlestick injuries and related skills in nursing students,enhance their awareness of needlestick injuries,and promote the protective behavior against needlestick injuries.