严肃游戏在护理教学中应用效果的系统评价  

The effects of serious games in nursing education:a systematic review

作　　者：郭娟 王聪[2] 刘珊珊[2] 邹金梅 陈玉珍 蒋艳 GUO Juan;WANG Cong;LIU Shan-shan;ZOU Jin-mei;CHEN Yu-zhen;JIANG Yan

机构地区：[1]四川卫生康复职业学院,四川省自贡市643030 [2]四川大学华西循证护理中心,成都市610041

出　　处：《中华护理教育》2022年第1期52-58,共7页Chinese Journal of Nursing Education

基　　金：四川省2018-2020年高等教育人才培养质量和教学改革项目(JG2018-1212)。

摘　　要：目的探索严肃游戏在护理教学中的应用效果,为有效开展护理教学提供参考。方法系统检索PubMed、Embase、CINAHL、Cochrane Library、CBM、万方、中国知网、维普中有关严肃游戏在护理教学中应用的随机对照试验,检索时限从建库至2021年5月5日。由2名研究者独立进行文献筛选、资料提取和质量评价,采用Review Manager 5.4与Stata15.1软件进行Meta分析。结果共纳入13项研究,总样本量为1896名。对照组采用传统教学方法,试验组采用严肃游戏教学方法。Meta分析结果显示,试验组理论成绩[SMD=2.62,95%CI(1.70,3.35),Z=5.55,P<0.05]、满意度[SMD=5.48,95%CI(1.63,9.33),Z=2.79,P<0.05]及自我效能感[SMD=3.47,95%CI(0.16,6.78),Z=2.05,P<0.05]均高于对照组,差异有统计学意义,但试验组与对照组的技能成绩[SMD=1.03,95%CI(-1.02,3.07),Z=0.99,P>0.05]差异无统计学意义。结论运用严肃游戏教学方法可以提高护理学生的理论成绩,增加学生满意度和自我效能感,但尚不能提升学生的技能成绩。教师在开展理论课时,可运用严肃游戏教学方法提升整体教学效果,在进行实训课时,不建议严肃游戏完全替代传统教学。Objective To explore the effects of serious games in nursing education.Methods Databases including PubMed,Embase,CINAHL,The Cochrane Library,CBM,Wanfang Database,CNKI,VIP were searched systematically.Randomized controlled trials which explored the effects of serious games in nursing education were collected.The retrieval period was from the establishment of the database to May 5,2021.Two researchers independently screened studies,extracted data and evaluated the risk of bias of the included studies.Review Manager 5.4 and Stata 15.1 software were used for meta-analysis.Results Thirteen studies with a total of 1896 subjects were included.The control group adopts traditional teaching methods,and the experimental group adopts serious game teaching methods.The results of meta-analysis showed that the theoretical score of the experimental group[SMD=2.62,95%CI(1.70,3.35),Z=5.55,P<0.05],satisfaction level[SMD=5.48,95%CI(1.63,9.33),Z=2.79,P<0.05]and self-efficacy[SMD=3.47,95%CI(0.16,6.78),Z=2.05,P<0.05]were higher than those of the control group.However,there was no statistical significance in the skill performance of students in experimental group and control group[SMD=1.03,95%CI(-1.02,3.07),Z=0.99,P>0.05].Conclusion The use of serious game teaching method can improve the theoretical performance of nursing students,increase students'satisfaction and self-efficacy,but such a method cannot improve students'skills.Teachers can use the teaching method of serious games to improve the overall effects in the theoretical teaching.It is not recommended that serious games completely replace the traditional teaching in the practical training class.

关 键 词：学生 护理 教育 护理 严肃游戏 系统评价 

分 类 号：R47-4[医药卫生—护理学] G642[医药卫生—临床医学]