改良Peyton结合SET GO教学在耳鼻咽喉头颈外科护理实习教学中的应用价值

方姝; 程鹤; 于学民; 魏明超

doi:10.3760/cma.j.cn116021-20241211-02132

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改良Peyton结合SET GO教学在耳鼻咽喉头颈外科护理实习教学中的应用价值

护理教育研究 | 更新时间：2026-02-13

- 改良Peyton结合SET GO教学在耳鼻咽喉头颈外科护理实习教学中的应用价值
- Application value of modified Peyton combined with SET GO in nursing internship teaching in the department of otolaryngology head and neck surgery
- 中华医学教育探索杂志 2026年25卷第1期页码：115-122
- 作者机构：
  
  1.山东大学齐鲁医院（青岛）耳鼻咽喉头颈外科，青岛 266035
  2.滨州医学院烟台附属医院胸外科，烟台 264100
- 作者简介：
  
  程鹤，Email：qlyych@163.com
- 基金信息：
  
  国家自然科学基金委员会资助项目(81600782);山东省中医药科技项目(2020M088)
- DOI：10.3760/cma.j.cn116021-20241211-02132
  中图分类号： R-05
- 收稿：2024-12-11，
  
  纸质出版：2026-01-20
- 稿件说明：
移动端阅览
方姝, 程鹤, 于学民, 等. 改良Peyton结合SET GO教学在耳鼻咽喉头颈外科护理实习教学中的应用价值[J]. 中华医学教育探索杂志, 2026, 25(1): 115-122.

Fang Shu, Cheng He, Yu Xuemin, et al. Application value of modified Peyton combined with SET GO in nursing internship teaching in the department of otolaryngology head and neck surgery[J]. Chinese Journal of Medical Education Research, 2026, 25(1): 115-122.
方姝, 程鹤, 于学民, 等. 改良Peyton结合SET GO教学在耳鼻咽喉头颈外科护理实习教学中的应用价值[J]. 中华医学教育探索杂志, 2026, 25(1): 115-122. DOI： 10.3760/cma.j.cn116021-20241211-02132.

Fang Shu, Cheng He, Yu Xuemin, et al. Application value of modified Peyton combined with SET GO in nursing internship teaching in the department of otolaryngology head and neck surgery[J]. Chinese Journal of Medical Education Research, 2026, 25(1): 115-122. DOI： 10.3760/cma.j.cn116021-20241211-02132.

摘要

目的

分析改良Peyton结合应诊录像教学（SET GO）在耳鼻咽喉头颈外科护理实习教学中的应用价值。

方法

选取2022年4月至2024年5月在山东大学齐鲁医院耳鼻咽喉头颈外科实习的107名护理本科生，按实习批次分为对照组（51名，传统教学）和观察组（56名，采用改良Peyton结合SET GO教学）。对比2组专科理论水平、操作技能评分、临床决策能力，并评估2组教学满意度。采用SPSS 26.0进行独立样本

检验和

检验。

结果

观察组护生在疾病护理[（26.50±2.30）分 vs. （22.10±3.00）分

]

、急症处置[（22.80±1.90）分 vs. （18.30±2.70）分

]

、专科药物知识[（13.90±1.20）分 vs. （12.10±1.80）分

]

及理论总分[（90.60±4.50）分 vs. （78.60±6.20）分

]

上均高于对照组（均

0.001）。操作技能方面，观察组护生在鼻出血处置[（18.70±1.20）分 vs. （15.10±2.30）分

]

、气管切开护理[（17.90±1.50）分 vs. （14.30±2.10）分

]

等站点得分更高（均

0.001），且安全否决率显著降低[（3.57% vs. 23.52%），

=0.043

]

。临床决策能力中，观察组护生在风险识别[（22.70±1.60）分 vs. （17.80±2.40）分

]

和初步处置[（23.10±1.40）分 vs. （19.30±2.00）分

]

维度表现更优（均

0.001）。教学满意度总分观察组亦高于对照组[（88.60±4.38）分vs. （80.25±4.07）分，

0.001

]

。

结论

改良Peyton结合SET GO教学能有效提升护生的专科理论水平、操作规范性及临床决策能力，教学满意度高，为耳鼻咽喉头颈外科护理教学提供了优化方案。

Abstract

Objective

To analyze the application value of modified Peyton combined with consultation video teaching (SET GO) in the nursing internship teaching in the department of otolaryngology head and neck surgery.

Methods

A total of 107 nursing undergraduate students who interned in the Department of Otolaryngology Head and Neck Surgery at Qilu Hospital of Shandong University from April 2022 to May 2024 were selected. They were divided into a control group (51 students

traditional teaching) and an observation group (56 students

modified Peyton combined with SET GO teaching) according to their internship batches. The two groups were compared in terms of specialty theoretic

al knowledge

operational skill scores

clinical decision-making ability

and the satisfaction with teaching. The independent samples

-test and chi-square test were performed using SPSS 26.0.

Results

The observation group of nursing students showed higher scores in disease care [(26.50±2.30) vs. (22.10±3.00)

]

emergency management [(22.80±1.90) vs. (18.30±2.70)

]

specialized drug knowledge [(13.90±1.20) vs. (12.10±1.80)

]

and total theoretical score [(90.60±4.50) vs. (78.60±6.20)

]

compared to the control group (all

0.001). In terms of operational skills

the observation group of nursing students scored higher in sites such as nosebleeds management [(18.70±1.20) vs. (15.10±2.30)

]

and tracheotomy nursing [(17.90±1.50) vs. (14.30±2.10)

]

(all

0.001)

with a significantly reduced safety rejection rate (3.57% vs. 23.52%

=0.043). In terms of clinical decision-making ability

the observation group of nursing students showed better performance in risk identification [(22.70±1.60) vs. (17.80±2.40)

]

and preliminary management [(23.10±1.40) vs. (19.30±2.00)

]

dimensions (both

0.001). The total score of teaching satisfaction in the observation group was also higher than that in the control group [(88.60±4.38) vs. (80.25±4.07)

0.001

]

Conclusions

Modified Peyton combined with SET GO teaching can effectively enhance the specialty theoretical knowledge

operational standardization

and clinical decision-making ability of nursing students

with high teaching satisfaction

providing an optimized solution for nursing teaching in the department of otolaryngology head and neck surgery.

关键词

Keywords

references

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