循证医学教学法联合情景模拟在血液科临床护理带教中的应用  

Application of evidence-based medicine teaching method combined with scenario simulation in clinical nursing teaching in department of hematology

作　　者：陈慧萍[1] 俞颖[2] 陈辰[3] 沈新梅[1] CHEN Huiping;YU Ying;CHEN Chen;SHEN Xinmei(Department of Hematology,Nanjing First Hospital Nanjing Hospital Affiliated Nanjing Medical University,Jiangsu Province,Nanjing 210000,China;Department of Internal Medicine,Nanjing First Hospital Nanjing Hospital Affiliated Nanjing Medical University Postcode,Jiangsu Province,Nanjing 210000,China;Department of Cardiothoracic Surgery,Nanjing First Hospital Nanjing Hospital Affiliated Nanjing Medical University,Jiangsu Province,Nanjing 210000,China)

机构地区：[1]南京医科大学附属南京医院南京市第一医院血液科,江苏南京210000 [2]南京医科大学附属南京医院南京市第一医院内科办公室,江苏南京210000 [3]南京医科大学附属南京医院南京市第一医院心胸外科,江苏南京210000

出　　处：《中国医药导报》2023年第25期81-84,共4页China Medical Herald

摘　　要：目的探究在血液科临床护理带教中应用循证医学教学法联合情景模拟的临床效果。方法前瞻性纳入2021年5月至2022年5月在南京医科大学附属南京医院血液科实习的100例实习生,采用随机数字表法分为观察组及对照组,每组各50名。对照组实施循证医学教学法带教模式,观察组实施循证医学教学法联合情景模拟带教模式,两组均带教1个月。比较两组带教前及带教1个月的考核成绩(理论及操作技术)、评判性思维能力[采用中文版评判性思维能力测量表(CTDI-CV)评估]。结果带教1个月,两组理论成绩、操作技术成绩高于带教前,且观察组高于对照组,差异有统计学意义(P<0.05)。带教1个月,两组寻求真相、系统化能力、自信心、开放思想、认知成熟度、求知欲、分析能力评分高于带教前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论循证医学教学法联合情景模拟在血液科临床护理带教中的应用效果较好,可有效提高血液科实习生的专业及操作技能,提高其评判性思维。Objective To explore the clinical effect of evidence-based medicine teaching method combined with scenario simulation in clinical nursing teaching in department of hematology.Methods A total of 100 interns in the Department of Hematology,Nanjing Hospital Affiliated to Nanjing Medical University from May 2021 to May 2022 were prospectively included,and they were divided into observation group and control group by random number table method,with 50 interns in each group.The control group implemented the evidence-based medicine teaching mode,and the observation group implemented the evidence-based medicine teaching mode combined with the scenario simulation teaching mode.Both groups were taught for a month.The assessment results(theoretical and operational techniques)and the critical thinking ability(using the Chinese version of California critical thinking disposition inventory[CTDI-CV])between two groups were compared before and after teaching for a month.Results After a month of teaching,the theoretical and operational technical scores of the two groups were higher than those before teaching,while those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After a month of teaching,the scores of truth seeking,systematic ability,self-confidence,open mind,cognitive maturity,intellectual curiosity,and analytical ability of the two groups were higher than those before teaching,while those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The application of evidence-based medicine teaching method combined with scenario simulation in clinical nursing teaching of department of hematology is good,which can effectively improve the professional and operational skills of hematology department of hematology interns and improve their critical thinking.

关 键 词：血液科 临床护理带教 循证医学教学法 情景模拟 评判性思维能力 

分 类 号：G642[文化科学—高等教育学]