PBL教学法对肝胆外科实习护生临床思维能力培养的评价  

Clinical thinking ability training by PBL in student nurses of hepatobiliary surgery

作　　者：赵素凡 黄丽萍[2] 许虹波[3] 

机构地区：[1]温州医科大学附属第二医院肝胆外科,浙江温州325000 [2]温州医科大学附属第二医院骨科,浙江温州325000 [3]温州医科大学护理学院,浙江温州325000

出　　处：《中国现代医生》2016年第27期134-137,共4页China Modern Doctor

基　　金：浙江省教科研规划课题(2015SCG187)

摘　　要：目的 评价PBL教学法在肝胆外科临床带教中对学生临床思维能力培养的作用。方法 选取在我科室2013年6月-2014年4月实习的护生为对照组,2014年6月-2015年4月实习的护生为实验组。对照组采用传统教学法教学,实验组采用PBL教学,各50例。分别比较两组护生的出科考成绩、采用中文版批判性思维能力测量表（CTDI-CV）对两组护生的批判性思维能力进行评价、比较带教老师对两组护生综合能力满意度。结果实验组护生在出科考成绩、批判性思维能力明显高于对照组,两组比较差异有统计学意义[分别为（87.68±6.67）vs（82.78±5.42）,（296.50±30.70）vs（277.24±30.75）,P〈0.05];带教老师对护生综合能力评价满意度也明显高于对照组,两组比较差异有统计学意义[分别为（51.80±7.91）vs（44.60±6.89）,P〈0.05]。结论 肝胆外科护生实习采用PBL教学法有助于提高学生的临床思维能力,可以有效提高学习效果。Objective To evaluate the role of PBL in clinical thinking ability training of student nurses of hepatobilialy surgery. Methods Student nurses interned in our department from June 2013 to April 2014 were selected as the control group, and those interned from June 2014 to April 2015 were selected as the study group, each with 50 students. Students in the control group were taught by traditional teaching methods, while those in the study group were taught by PBL. The examination scores and CTDI-CV scores were compared between the two groups to evaluate their ability of critical thinking. The satisfaction degrees of teachers towards the comprehensive abilities of these students were also compared. Results The examination scores and ability of critical thinking were significantly higher in the study group than in the control group [（87.68±6.67） vs （82.78±5.42）, （296.50±30.70） vs （277.24±30.75）, respectively, P〈0.05]. The satisfaction degree of teachers towards the comprehensive abilities of the students was also significantly higher in the study group than in the control group [（51.80±7.91） vs （44.60±6.89）, P〈0.05]. Conclusion PBL can help to improve the clini- cal thinking ability of student nurses of hepatobiliary surgery and can effectively improve the learning outcome.

关 键 词：肝胆外科 PBL教学法 传统教学法 临床思维能力 教学效果 

分 类 号：R-4[医药卫生] G642[文化科学—高等教育学]