Real situational teaching in "simulated traditional chinese medicine nursing clinic" based on the cultivation of syndrome differentiation ability

Yang Jiaojiao; Peng Lili; Li Yilan; Li Aoqi; Jiang Yuan; Duan Lina; Peng Dongmei; Liu Chaosheng

doi:10.3760/cma.j.cn116021-20221026-01581

您当前的位置：

首页 >

文章列表页 >

Real situational teaching in "simulated traditional chinese medicine nursing clinic" based on the cultivation of syndrome differentiation ability

Nursing Education Study | 更新时间：2024-11-01

- Real situational teaching in "simulated traditional chinese medicine nursing clinic" based on the cultivation of syndrome differentiation ability
- Chinese Journal of Medical Education Research Vol. 23, Issue 10, Pages: 1425-1429(2024)
- 作者机构：
  
  1.湖南中医药大学护理学院中医护理教研院，长沙　410208
  2.湖南中医药大学附属第二医院重症医学科，长沙　410005
  3.湖南中医药大学附属第一医院皮肤科，长沙　410007
- 作者简介：
  
  Peng Lili, Email: 550521944@qq.com
- 基金信息：
  
  Education Special Project of Hunan Social Science Foundation(23YBJ19)
- DOI：10.3760/cma.j.cn116021-20221026-01581
  CLC： R-05
- Published：20 October 2024，
  
  Received：26 October 2022，
- 稿件说明：
移动端阅览
杨娇娇, 彭丽丽, 李翊澜, 等. 基于辨证能力培养的“模拟中医护理门诊”真实情景教学研究[J]. 中华医学教育探索杂志, 2024, 23(10): 1425-1429.

Yang Jiaojiao, Peng Lili, Li Yilan, et al. Real situational teaching in "simulated traditional chinese medicine nursing clinic" based on the cultivation of syndrome differentiation ability. [J]. Chinese Journal of Medical Education Research, 2024,23(10):1425-1429.
杨娇娇, 彭丽丽, 李翊澜, 等. 基于辨证能力培养的“模拟中医护理门诊”真实情景教学研究[J]. 中华医学教育探索杂志, 2024, 23(10): 1425-1429. DOI： 10.3760/cma.j.cn116021-20221026-01581.

Yang Jiaojiao, Peng Lili, Li Yilan, et al. Real situational teaching in "simulated traditional chinese medicine nursing clinic" based on the cultivation of syndrome differentiation ability. [J]. Chinese Journal of Medical Education Research, 2024,23(10):1425-1429. DOI： 10.3760/cma.j.cn116021-20221026-01581.

摘要

目的

观察“模拟中医护理门诊”真实情景教学法对中医护理学生辨证施护能力及教学效果的影响。

方法

将325名2020级大二护理学生分为常规教学组163人（接受常规护理教学）和真实情景教学组162人（在常规护理教学的基础上同时接受“模拟中医护理门诊” 真实情景教学）。用自制辨证施护能力问卷、中医护理理论及操作技能考核成绩和教学满意度问卷进行评估。对比分析两组学生辨证施护能力、中医护理理论和技能考核成绩、教学满意度情况。采用SPSS 24.0进行单因素方差分析和卡方检验。

结果

干预后，真实情景教学组（治疗组和体验组）辨证施护能力（掌握四诊内容、诊断证候、分析证候、确定护理原则、制定护理方案）评分分别为（8.97±1.00）、（8.47±1.20）、（8.33±1.06）、（8.30±1.26）、（7.89±1.13）和（8.39±1.10）、（8.17±1.15）、（8.07±1.06）、（7.97±1.26）、（7.73±1.38），均高于常规教学组的（7.96±1.14）、（7.29±1.36）、（7.14±1.18）、（7.39±1.30）、（7.26±1.18），差异有统计学意义（

0.05）；真实情景教学组教学总满意度[160（97.6％）

]

高于常规教学组[150（92.0％）

]

，差异有统计学意义（

0.05）。

结论

“模拟中医护理门诊”教学能强化护理学生中医护理辩证思维及能力、提高中医护理理论及技能学习效果，增强中医护理学习兴趣。

Abstract

Objective

To investigate the effect of "simulated Chinese medicine nursing clinic" teaching on syndrome differentiation ability among nursing students and the teaching effect of this method.

Methods

A total of 325 students were randomly divided into conventional teaching group with 163 students (receiving conventional nursing teaching) and real situational teaching group with 162 students (receiving "simulated Chinese medicine nursing nursing clinic" teaching at the same time). A self-made questionnaire for syndrome differentiation-based nursing ability

assessment scores of traditional Chinese medicine nursing theories and skills

and a teaching satisfaction questionnaire were used for evaluation.

Results

After intervention

the real situational teaching group (the treatment group and the experience group) had significantly higher socres of syndrome differentiation-based nursing ability (mastery of four diagnostic methods

diagnosis of syndromes

analysis of syndromes

determination of nursing principles

and development of nursing regimens) than the conventional teaching group (the treatment group and the conventional teaching group: 8.97±1.00/8.47±1.20/8.33±1.06/8.30±1.26/7.89±1.13 and 7.96±1.14/7.29±1.36/7.14±1.18/7.39±1.30/7.26±1.18

0.05; the experience group and the conventional teaching group: 8.39±1.10/8.17±1.15/8.07±1.06/7.97±1.26/7.73±1.38 and 7.96±1.14/7.29±1.36/7.14±1.18/7.39±1.30/7.26±1.18

0.05). The real situational teaching group had a significantly higher overall degree of satisfaction with teaching than the conventional teaching group [160 (97.6%) and 150 (92.0%)

0.05

]

Conclusions

The "simulated Chinese medicine nursing clinic" teaching program effectively enhances the thinking of syndrome differientiation and related abilities for nursing

improves the learning effect of traditional Chinese medicine nursing theories and skills

and increases the learning interest in traditional Chinese medicine nursing among nursing students.

关键词

模拟门诊中医护理真实情景教学辨证施护能力

Keywords

Simulated clinicTraditional Chinese medicine nursingReal situational teachingSyndrome differentiation-based nursing ability

references

李净，孟静岩. 中医护理学基础[M]. 北京：中国医药科技出版社， 2017： 179-186.

邱华丽，潘晓彦，晋溶辰，等. 缺陷式情境教学法在中医护理学本科教学中的应用研究[J]. 中华护理教育， 2014， 11（12）： 885-887. DOI: 10.3761/j.issn.1672-9234.2014.12.001http://dx.doi.org/10.3761/j.issn.1672-9234.2014.12.001.

Brown JS, Collins A, Duguid P. Situated cognition and the culture of learning [J]. Educ Res, 1989, 18(1): 32-42. DOI: 10.3102/0013189x018001032http://dx.doi.org/10.3102/0013189x018001032.

刘焕仪，李锐. 浅谈情境教学法在中医护理技能培训中的应用[J]. 按摩与康复医学， 2018， 9（11）： 86-87. DOI: 10.19787/j.issn.1008-1879.2018.11.044http://dx.doi.org/10.19787/j.issn.1008-1879.2018.11.044.

史航. TBL结合情景模拟在心内科实践教学中的应用[J]. 中国继续医学教育， 2022， 14（10）： 70-74. DOI: 10.3969/j.issn.1674-9308.2022.10.019http://dx.doi.org/10.3969/j.issn.1674-9308.2022.10.019.

郑亚民，梁阔，王悦华，等. 在外科实习阶段提高医学生临床思维能力的教学模式[J]. 中国医药导报， 2022， 19（10）： 72-76.

吕露露，胡力云，郭红. 高仿真模拟人情景教学在临床护理课程教学中的SWOT分析[J]. 中华现代护理杂志， 2015（36）： 4459-4462. DOI: 10.3760/cma.j.issn.1674-2907.2015.36.041http://dx.doi.org/10.3760/cma.j.issn.1674-2907.2015.36.041.

范琳琳，钟琴. 高仿真模拟情景教学在儿科护理实训教学中的SWOT分析[J]. 西部中医药， 2018， 31（10）： 27-31. DOI: 10.3969/j.issn.1004-6852.2018.10.010http://dx.doi.org/10.3969/j.issn.1004-6852.2018.10.010.

孙宏玉，范秀珍. 护理教育理论与实践[M]. 2版. 北京：人民卫生出版社， 2018： 136-137.

徒文静，徐桂华，叶然，等. 以提升辨证施护能力为导向的混合式教学模式在中医儿科护理教学中的应用[J]. 中华现代护理杂志， 2019， 25（7）： 798-801. DOI: 10.3760/cma.j.issn.1674-2907.2019.07.002http://dx.doi.org/10.3760/cma.j.issn.1674-2907.2019.07.002

金胜丽，钱茹意. 情境实践模拟教学在中医内科护理带教中的应用[J]. 中医药管理杂志， 2022， 30（2）： 179-180. DOI: 10.16690/j.cnki.1007-9203.2022.02.126http://dx.doi.org/10.16690/j.cnki.1007-9203.2022.02.126.

Cheng A, Eppich W, Grant V, et al. Debriefing for technology-enhanced simulation: a systematic review and meta-analysis [J]. Med Educ, 2014, 48(7): 657-666. DOI: 10.1111/medu.12432http://dx.doi.org/10.1111/medu.12432.

金三丽，路潜，庞冬，等. 基于标准化病人的“胫骨骨折”情景模拟教学案例的开发与评价[J]. 中国护理管理， 2021， 21（7）： 1064-1068. DOI: 10.3969/j.issn.1672-1756.2021.07.020http://dx.doi.org/10.3969/j.issn.1672-1756.2021.07.020.

张国娣，徐东娥，贾晓雁. 以提高护士中医专科能力为导向的案例教学研究[J]. 护理学报， 2017， 24（14）： 14-17. DOI: 10.16460/j.issn1008-9969.2017.14.014http://dx.doi.org/10.16460/j.issn1008-9969.2017.14.014.

张娟，芦良花. 情景模拟配合Seminar教学法在急诊科护理带教中的应用[J]. 护理实践与研究， 2017， 14（5）： 114-116. DOI: 10.3969/j.issn.1672-9676.2017.05.051http://dx.doi.org/10.3969/j.issn.1672-9676.2017.05.051.

陈婉群. 案例教学联合情景模拟对低年资护士综合能力、核心胜任力的影响[J]. 中国现代医药杂志， 2020， 22（6）： 85-87.

张国娣，徐东娥，郭巧英，等. 情景模拟案例教学法对提升中医专科护理能力的研究[J]. 医院管理论坛， 2019， 36（3）： 67-70. DOI: 10.3969/j.issn.1671-9069.2019.03.021http://dx.doi.org/10.3969/j.issn.1671-9069.2019.03.021.

余徵徵，张秀峰. 情境教学模式在血透室临床护理带教中的应用效果观察[J]. 临床合理用药杂志， 2020， 13（10）： 38-39. DOI: 10.15887/j.cnki.13-1389/r.2020.10.021http://dx.doi.org/10.15887/j.cnki.13-1389/r.2020.10.021.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

No data

Related Author

No data

Related Institution

No data

⁰