临床路径管理模式在肿瘤科护理实践教学中的应用  

Application of clinical pathway management mode in clinical nursing practice teaching of oncology

作　　者：秦艳玲[1] 

机构地区：[1]武汉市中心医院肿瘤科,430023

出　　处：《中华现代护理杂志》2013年第19期2322-2324,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨临床路径管理模式在肿瘤科护理实践教学中的应用效果。方法采用整群抽样法选择2010年9月至2012年6月在肿瘤科实习的护生120名，按照随机数字表法随机分为临床路径组和传统对照组各60名，实习时间均为8周。传统对照组采用传统“传帮带”的教学方法，临床路径组按照临床路径护理教学模式进行带教，首先制定教学路径，带教教师按照“肿瘤科护生临床路径带教表”进行教学。实习结束前2d，对两组护生肿瘤护理实践的理论知识和操作能力进行考核；自制问卷，对护生的实践教学满意度进行调查。所得数据采用SPSS16．0统计软件进行分析。结果临床路径组护士理论知识、技能操作和实践能力得分分别为（93．75±3．82），（92．36±2．93），（90．31±3．62）分，传统对照组分别为（80．23±3．06），（74．09±5．35），（78．25±6．74）分，两组比较差异均有统计学意义（t值分别为10．25，11．94，8．24；P〈0．05）。临床路径组对教学质量满意度（93．33％）显著高于传统对照组（81．67％），差异有统计学意义（X^2=5．839，P〈0．05）。结论临床路径是一种先进的管理模式，将这种管理理念引入到肿瘤科护理实践教学中，使教学目标、带教方法具体化，有利于教学管理者控制教学质量。Objective To explore the effect of clinical pathway management mode in nursing practice teaching of oncology. Methods Totals of 120 nursing students between September 2010 and June 2012 from oncology department, were randomly divided into the clinical pathway group （ n = 60） and control group （ n = 60） with 8 weeks practice. Control group used the traditional mentoring teaching method, while clinical pathway group according to the clinical pathway nursing teaching mode, developed teaching approach. Two days before the practice ended, all nursing students＇ knowledge and skills and satisfaction on practice teaching were assessed. Results The study showed that the scores of theoretical basis, the operating skills and the practical ability of nurses in the clinical pathway group were （93.75 ± 3.82）, （92.36 ± 2.93 ）, （90.31 ± 3.62 ）, respectively, and those in the control group were（80.23 ± 3.06）, （74.09 ± 5.35） and （78.25 ± 6.74）, and the results of the clinical pathway group were significantly better than those of control group （ t = 10. 25,11.94, 8.24, respeetively;P 〈 0. 05 ）. Teaching quality satisfaction of nursing students in the clinical pathway group was significantly higher than that of the control group （93.33% vs 81.67% ）, and the difference was statistically significant （ X2 = 5. 839, P 〈 0. 05 ）. Conclusions The clinical pathway is a kind of advanced management mode. If the management concept is introduced into oncology nursing practice teaching, the teaching goal, teaching method, and teaching quality will be improved.

关 键 词：护理 教学 肿瘤 临床路径管理模式 

分 类 号：G642[文化科学—高等教育学] R47-4[文化科学—教育学]