LBL和PBL双轨教学模式在急性胸痛分诊培训中的应用效果  

Effects of LBL and PBL teaching mode on emergency triage of acute chest pain

作　　者：王国英[1] 赫晓慈 李彩霞[1] 张呈[1] 田姣[1] 崔颖[1] 田素斋[2] 

机构地区：[1]河北医科大学第二医院急诊科,石家庄050000 [2]河北医科大学第二医院新区办,石家庄050000 [3]河北医科大学研究生学院,石家庄050017

出　　处：《中华现代护理杂志》2015年第35期4318-4320,共3页Chinese Journal of Modern Nursing

基　　金：河北医学科学研究课题（20130170）

摘　　要：目的探讨LBL和PBL教学法在急性胸痛分诊培训中的应用效果。方法2013年采取LBL、PBL和情最模拟教学法对22名分诊护士进行急性胸痛分诊知识的培训，比较6～10年组护士和〉10年组护士培训前后分诊急性胸痛患者的分诊正确率及急性胸痛理论知识水平有无差异。结果培训后，〉10年组护士分诊准确率由89．80％提高至98．31％，6-10年组护士分诊准确率由74．51％提高至92．68％，培训前后比较差异有统计学意义（X。值分别为3．91，5．22；P〈0．05）。〉10年组护士急性胸痛理论考核成绩由（84．00±3．74）分提高至（90．00±1．79）分，6-10年组护士由（76．50±4．72）分提高至（86．50±4．13）分，培训前后比较差异有统计学意义（t值分别为3．54，6．38；P〈0．05）。结论将LBL、PBL和情景模拟教学法运用于急性胸痛分诊培训中，提升了护士的理论成绩，提高分诊正确率，值得推广。Objective To explore the application effects of LBL and PBL teaching mode on emergency triage of acute chest pain. Methods In 2013, the scenario simulation method combining with LBL and PBL teaching mode were applied in training 22 triage nurses on emergency triage of acute chest pain, and triage accuracy and theoretical level of acute chest pain were compared between two groups of nurses （6-10 years and 〉 10 years）. Results After training, 〉 10 years group showed an increasing in triage accuracy rate from 89.80% to 98.31% , as well as the 6-10 years group, which the triage accuracy rate increased from 74.51% to 92.68% （ X2 = 3.91,5.22 ; P 〈 0. 05 ）. The grade of theoretical level test in 〉 10 years group increased from （84.00 ±3.74） to （90.00±1.79） ; and 6-10 years group increased from （76.50±4.72） to （86.50 ±4.13） （ t = 3.54,6. 38 ;P 〈 0.05 ）. Conclusions The combining LBL and PBL teaching mode and scenario simulation method can imorove the results of theoretical level test and the triage accuracy, which is worthy of promotion.

关 键 词：胸痛 预检分诊 以授课为基础的教学法 以问题为基础的教学法 

分 类 号：R47-4[医药卫生—护理学]