Study on the application effects of virtual-reality integrated scenario simulation in home visit teaching

Li Xiaoxue; Zhang Zheng; Wang Lingyun; Wang Li; Guo Aimin

doi:10.3760/cma.j.cn116021-20251129-02253

您当前的位置：

首页 >

文章列表页 >

Study on the application effects of virtual-reality integrated scenario simulation in home visit teaching

Digital Intelligence Nursing Education Column | 更新时间：2026-06-17

- Study on the application effects of virtual-reality integrated scenario simulation in home visit teaching
- Chinese Journal of Medical Education Research Vol. 25, Issue 5, Pages: 513-519(2026)
- 作者机构：
  
  1.中国医学科学院&北京协和医学院护理学院社区护理学系，北京 100144
  2.北京西城区德胜社区卫生服务中心，北京 100088
  3.北京丰台区方庄社区卫生服务中心，北京 100071
- 作者简介：
  
  Guo Aimin, Email: guo_aimin@163.com
- 基金信息：
- DOI：10.3760/cma.j.cn116021-20251129-02253
  CLC： R-05
- Received：29 November 2025，
  
  Published：20 May 2026
- 稿件说明：
移动端阅览
李小雪, 张政, 王凌云, 等. 虚实结合情景模拟在家庭访视教学中的应用效果研究[J]. 中华医学教育探索杂志, 2026, 25(5): 513-519.

Li Xiaoxue, Zhang Zheng, Wang Lingyun, et al. Study on the application effects of virtual-reality integrated scenario simulation in home visit teaching[J]. Chinese Journal of Medical Education Research, 2026, 25(5): 513-519.
李小雪, 张政, 王凌云, 等. 虚实结合情景模拟在家庭访视教学中的应用效果研究[J]. 中华医学教育探索杂志, 2026, 25(5): 513-519. DOI： 10.3760/cma.j.cn116021-20251129-02253.

Li Xiaoxue, Zhang Zheng, Wang Lingyun, et al. Study on the application effects of virtual-reality integrated scenario simulation in home visit teaching[J]. Chinese Journal of Medical Education Research, 2026, 25(5): 513-519. DOI： 10.3760/cma.j.cn116021-20251129-02253.

摘要

目的

探讨虚实结合情景模拟在家庭访视教学中的应用效果。

方法

选取2022级护理本科143名学生为研究对象，于2025年3月至4月开展研究。将学生随机分为虚实结合组和常规组，分别实施虚实结合情景模拟教学和常规情景模拟教学。比较教学前、教学后2组间家庭访视态度-技能问卷得分、临床模拟学习沉浸量表得分的差异。其中，临床模拟学习沉浸量表包含认知同化、情感认同、集中注意力和学习体验4个维度。采用SPSS 26.0进行配对和独立样本

检验确认差异的统计学意义。对24名虚实结合组学生进行半结构式访谈后，以内容分析法分析访谈资料。

结果

常规组教学后家庭访视技能得分（60.89±6.62）高于教学前（59.00±6.65，

=-2.52，

=0.014），但与虚实结合组教学后得分（60.60±6.85）差异无统计学意义（

=0.25，

=0.803）。虚实结合组学习沉浸感得分（72.42±8.19）高于常规组（69.44±8.41，

=-2.03，

=0.045）。访谈资料显示围绕虚实结合情景模拟教学参与体验产生了“真实性与智能性感知显著”“学习效果提升与挑战性并存”及“技术局限影响互动体验”3个主题。

结论

虚实结合情景模拟教学在家庭访视课中可有效提升学生学习沉浸感，但对家庭访视态度和技能的提高效果有待进一步研究。

Abstract

Objective

To explore the application effects of virtual-reality integrated scenario simulation in home visit teaching.

Methods

A total of 143 undergraduate nursing students enrolled in 2022 were selected as the participants. The study was conducted from Ma

rch to April 2025. The students were randomly assigned to a virtual-reality integrated group and a conventional group

and received virtual-reality integrated scenario simulation teaching and conventional scenario simulation teaching

respectively. Differences in the scores of the Home Visit Attitude-Skill Questionnaire and the Clinical Simulation Learning Immersion Scale were compared before and after teaching between the two groups. The Clinical Simulation Learning Immersion Scale included four dimensions: cognitive assimilation

emotional buy-in

focused attention

and learning experience. Paired and independent samples

-tests were performed using SPSS 26.0 to determine the statistical significance of the differences. Semi-structured interviews were conducted with 24 students from the virtual-reality integrated group

and the interview data were analyzed using content analysis.

Results

The home visit skill score of the conventional group after teaching was higher than that before teaching (60.89±6.62 vs. 59.00±6.65

=-2.52

=0.014)

but was not significantly different from that of the virtual-reality integrated group after teaching (60.89±6.62 vs. 60.60±6.85

=0.25

=0.803). The learning immersion score of the virtual-reality integrated group was higher than that of the conventional group (72.42±8.19 vs. 69.44±8.41

=-2.03

=0.045). Interview data revealed three themes regarding the participation experience in the virtual-reality integrated scenario simulation teaching: significant perception of realism and intelligence

improved learning outcomes coexisting with challenge

and technical limitations affecting interactive experience.

Conclusions

Virtual-reality integrated scenario simulation teaching effectively enhanced the learning immersion of students in home visit teaching. However

its effects on improving attitudes and skills of home visits require further investigation.

关键词

Keywords

references

国家卫生健康委 , 国家中医药局 . 关于印发进一步改善护理服务行动计划（ 2023 — 2025 年）的通知[EB/OL ] . [ 2025-04-30 ] . https://www.gov.cn/zhengce/zhengceku/202306/content_6887303.htm https://www.gov.cn/zhengce/zhengceku/202306/content_6887303.htm .

刘赟赟，刘国莲，陈红 . 以护生为主体的家庭访视情景模拟设计教学及效果评价 [J ] . 哈尔滨医药， 2018 ， 38 （ 1 ）： 38 - 40 .

杨凯文，姜岳，赵付英 . 家庭访视在以家庭为单位的健康照顾中的实施效果研究 [J ] . 中国全科医学， 2021 （ 22 ）： 2880 - 2884 . DOI: 10.12114/j.issn.1007-9572.2021.00.212 http://dx.doi.org/10.12114/j.issn.1007-9572.2021.00.212 .

旷光华，罗伟，夏瑞，等 . 情境模拟教学在临床医学教学中的应用 [J ] . 医学与哲学， 2023 ， 44 （ 18 ）： 56 - 61 . DOI: 10.12014/j.issn.1002-0772.2023.18.13 http://dx.doi.org/10.12014/j.issn.1002-0772.2023.18.13 .

马霞，金海红，应伟佳，等 . BOPPPS联合情境模拟在妇产科危急重症临床教学中的应用研究 [J ] . 医学教育管理， 2025 ， 11 （ 4 ）： 450 - 455 . DOI: 10.3969/j.issn.2096-045X.2025.04.013 http://dx.doi.org/10.3969/j.issn.2096-045X.2025.04.013 .

曲靓靓，刘建磊，崔雅玲，等 . PBL联合情景模拟在护生针刺伤护理教学中的应用 [J ] . 中华医学教学探索杂志， 2024 ， 23 （ 6 ）： 830 - 834 . DOI: 10.3760/cma.j.cn116021-20221115-01720 http://dx.doi.org/10.3760/cma.j.cn116021-20221115-01720 .

王涛，赵再华，董倩，等 . 情景模拟联合案例式教学在高原缺氧环境下心肺功能训练评估教学中的应用 [J ] . 心脏杂志， 2026 （ 4 ）： 481 - 484， 489 .

吕鹏，陈典涵 . 社会复杂系统智能模拟：涌现机理与方法路径 [J ] . 山东大学学报（哲学社会科学版）， 2024 （ 1 ）： 125 - 135 . DOI: 10.19836/j.cnki.37-1100/c.2024.01.011 http://dx.doi.org/10.19836/j.cnki.37-1100/c.2024.01.011 .

杨现民，曾佳尧，李新 . 人工智能与教育深度融合的场景细化及落地实践：基于探索性多案例分析法 [J ] . 开放教育研究， 2025 ， 31 （ 1 ）： 82 - 92 . DOI: 10.13966/j.cnki.kfjyyj.2025.01.009 http://dx.doi.org/10.13966/j.cnki.kfjyyj.2025.01.009 .

Ko EJ , Nam KA , Kim EJ . Development and psychometric testing of learning immersion scale in clinical simulation: a methodological study [J ] . Nurse Educ Today , 2022 , 113 : 105363 . DOI: 10.1016/j.nedt.2022.105363 http://dx.doi.org/10.1016/j.nedt.2022.105363 .

戴美玲，冯瑶，张帆，等 . 临床模拟学习沉浸量表的汉化及其在护理专业学生中的信效度检验 [J ] . 中华护理教育， 2023 ， 20 （ 8 ）： 946 - 950 . DOI： 10.3761/j.issn.1672-9234.2023.08.009 http://dx.doi.org/10.3761/j.issn.1672-9234.2023.08.009 .

Kim J , Park JH , Shin S . Effectiveness of simulation-based nursing education depending on fidelity: a meta-analysis [J ] . BMC Med Educ , 2016 , 16 : 152 . DOI: 10.1186/s12909-016-0672-7 http://dx.doi.org/10.1186/s12909-016-0672-7 .

鲁静雅，熊柱凤，辜秦霞，等 . OBE融合情景模拟教学对本科护生双创思维培养的效果观察 [J ] . 中国高等医学教育， 2025 （ 9 ）： 48 - 50 . DOI: 10.3969/j.issn.1002-1701.2025.09.017 http://dx.doi.org/10.3969/j.issn.1002-1701.2025.09.017 .

于博，孔慧，赵荣楠，等 . 仿生模型联合情景模拟在耳鼻喉技能培训中的教学实践研究 [J ] . 中华医学教学探索杂志， 2025 ， 24 （ 6 ）： 823 - 828 . DOI: 10.3760/cma.j.cn116021-20240105-01978 http://dx.doi.org/10.3760/cma.j.cn116021-20240105-01978 .

Alruwaili AN , Alshammari AM , Alhaiti A , et al . Virtual reality simulation for high-risk neonatal emergency nursing training: a mixed-methods study on nurse competency and outcomes [J ] . BMC Nurs , 2025 , 24 ( 1 ): 367 . DOI: 10.1186/s12912-025-03038-4 http://dx.doi.org/10.1186/s12912-025-03038-4 .

徐苏益，吴俊，范建文，等 . CBS-RISE模式联合情景模拟演练在门诊急救培训中的应用 [J ] . 中华危重症医学杂志 (电子版)， 2024 （ 4 ）： 323 - 325 . DOI: 10.3877/cma.j.issn.1674-6880.2024.04.009 http://dx.doi.org/10.3877/cma.j.issn.1674-6880.2024.04.009 .

Zarifsanaiey N , Amini M , Saadat F . A comparison of educational strategies for the acquisition of nursing student's performance and critical thinking: simulation-based training vs. integrated training (simulation and critical thinking strategies) [J ] . BMC Med Educ , 2016 , 16 ( 1 ): 294 . DOI: 10.1186/s12909-016-0812-0 http://dx.doi.org/10.1186/s12909-016-0812-0 .

刘甜芳，杨莉萍 . 高职生学习沉浸体验的量表编制与特点研究 [J ] . 职业技术教育， 2017 ， 38 （ 13 ）： 56 - 62 . DOI： 10.3969/j.issn.1008-3219.2017.13.014 http://dx.doi.org/10.3969/j.issn.1008-3219.2017.13.014 .

吴素梅，卢宁 . 沉浸体验的研究综述与展望 [J ] . 心理学进展， 2018 （ 10 ）： 1575 - 1584 . DOI: 10.12677/AP.2018.810182 http://dx.doi.org/10.12677/AP.2018.810182 .

Jackson SA , Marsh HW . Development and validation of a scale to measure optimal experience: the flow state scale [J ] . J Sport Exerc Psychol , 1996 , 18 ( 1 ): 17 - 35 . DOI: 10.1123/jsep.18.1.17 http://dx.doi.org/10.1123/jsep.18.1.17 .

孙厌舒 . 沉浸理论与外语教学 [J ] . 山东外语教学， 2005 ， 26 （ 1 ）： 64 - 66 . DOI: 10.16482/j.sdwy37-1026.2005.01.025 http://dx.doi.org/10.16482/j.sdwy37-1026.2005.01.025 .

Hamad A , Jia B . How virtual reality technology has changed our lives: an overview of the current and potential applications and limitations [J ] . Int J Environ Res Public Health , 2022 , 19 ( 18 ): 11278 . DOI: 10.3390/ijerph191811278 http://dx.doi.org/10.3390/ijerph191811278 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Application of defect-based scenario simulation teaching following INACSL standards in pre- employment skill training for nursing interns

Application and evaluation of scenario simulation combined with standardized patient in the training of doctor-patient communication skills among interns

A study on the impact of scenario simulation teaching based on Eilks model on critical thinking, clinical decision-making, and communication and collaboration abilities of residents in the department of stomatology

Application of an integrated situational simulation teaching model based on "Internet+" in obstetrics and gynecology clinical clerkship

Study on the effect of high-fidelity intelligent simulator combined with scenario simulation in emergency response training of radiology department

Related Author

Wang Pengju

Zhao Xiaoshuang

Xu Zhaoning

Yang Guangyu

Jin Nüwa

Chen Liang

Zhou Dong

Liu Tianjiao

Related Institution

Department of Otolaryngology-Head and Neck Surgery, The First Hospital of Jilin University

Department of Nursing, The First Hospital of Jilin University

Department of Pancreatic Surgery and Clinical Skills Training Center, Qilu Hospital of Shandong University

Department of Pediatrics, Qilu Hospital of Shandong University

Department of Emergency, Qilu Hospital of Shandong University

⁰