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| 中文摘要: |
| 目的 探讨模拟教学结合以案例为基础的学习（case-based learning，CBL）对胸外科护生实习效果的影响。方法 采取整群抽样法，选取2019年胸外科实习护生30人作为对照组，采用传统带教；选取2020年胸外科实习护生30人作为研究组，采用模拟教学结合CBL带教。培训结束后对两组实习护生进行理论和基本技能操作考核，通过问卷调查评估护生对教学的认可度。采用SPSS 22.0进行t检验和卡方检验。结果 研究组实习护生培训结束后理论和基本技能操作考核成绩优于对照组，差异有统计学意义（P＜0.001）。研究组实习护生在提高护理基本技能操作、提高自主学习能力、提高临床思维能力、提高突发应急应变能力、提高理论与实践操作相结合的能力、提高培训学习兴趣、培养团队合作能力、培养医患沟通能力等8个维度的教学认可度优于对照组，差异有统计学意义（P＜0.05）。结论 模拟教学结合CBL应用于胸外科护生实习中，可提高实习护生的护理技能掌握熟练程度，进而提升临床教学质量。 |
| 英文摘要: |
| Objective To explore the effect of simulation teaching combined with case-based learning (CBL) on the practice of thoracic surgery nursing students. Methods Cluster sampling method was adopted to select 30 practice nurses of the thoracic surgery department of 2019 as the control group, and traditional teaching was adopted. Another 30 thoracic surgery practice nurses of 2020 were selected as the research group, and simulation teaching combined with CBL was adopted. After the training, the two groups of practice nurses were assessed on theory and basic skills, and the nurses' recognition of teaching was assessed through questionnaire surveys. SPSS 22.0 was used for t test and chi-square test. Results After the training of practical nurses, the research group had better performances of theoretical and basic skills tests than the control group, with significant differences (P<0.001). The practice nurses of the research group did significantly better than those of the control group in such 8 dimensions as improving basic nursing skills, improving autonomous learning ability, improving the clinical thinking ability, enhancing our emergency response ability, improving the ability of theory combined with practice, improving training interest in learning, training team cooperation ability, cultivating the ability of doctor-patient communication and so on (P<0.05). Conclusion The combination of simulation teaching and CBL applied in the practice of thoracic surgery nursing students can improve the proficiency of nurses' nursing skills and improve the quality of clinical teaching. |
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