PBL结合情景模拟在GTCS护理应急培训中的构建与应用  

Construction and Application of PBL Combined with Scenario Simulation in GTCS Nursing Emergency Training

作　　者：陈彦蓓 姚萍 潘小丽 范耀东 董艳 龙进勇 牛华涛 CHEN Yanbei;YAO Ping;PAN Xiaoli;FAN Yaodong;DONG Yan;LONG Jinyong;NIU Huatao(Dept.of Neurosurgery,Peking University Cancer Hospital Yunnan Hospital/Yunnan Provincial Cancer Hospital/The 3rd Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650118;Dept.of Neurosurgery,People’s Hospital of Jinping County,Jinping Yunnan 661599,China)

机构地区：[1]北京大学肿瘤医院云南医院/云南省肿瘤医院/昆明医科大学第三附属医院神经外科,云南昆明650118 [2]金平县人民医院神经外科,云南金平661599

出　　处：《昆明医科大学学报》2024年第11期181-185,共5页Journal of Kunming Medical University

基　　金：昆明医科大学教研教改基金资助项目(2022-JY-Y-117)。

摘　　要：目的研究PBL教学模式结合情景模拟教学法在癫痫全面强直阵挛(generalized tonic-clonic seizure,GTCS)发作护理急救培训中的构建与应用效果。方法采用SPSS软件对2022年10月至2024年3月进入云南省肿瘤医院神经外科护理实习和轮转的120名护生为研究对象,根据调查时间选取相同批次护生随机分为观察组(n=60)和对照组(n=60),观察组采用PBL教学法分组讨论培训前、PBL集中教学后和情景模拟结束后3个时间段,使用《SET-M修订版情景模拟效果评价表》对每个时间段护生对模拟前介绍、学习、自信和引导性反馈四维度的感受进行统计对比分析。对照组采用传统PPT讲解结合基本护理操作常规练习的方式进行培训。结果观察组护生接受培训过程中,不同阶段各个维度的得分均有所提高,且培训前后的对比在统计学上具有显著意义(P<0.05)。观察组在理论考试得分、操作考试得分及课程满意度均高于对照组(P<0.05)。结论构建的PBL教学模式结合情景模拟培训法在癫痫全面强直阵挛(GTCS)发作护理急救课程在护生中的应用有显著的培训效果,护生对本课程能够有效提高学生的理论知识和临床实践能力认同度高。Objective To study the construction and application effect of PBL teaching model combined with the scenario simulation teaching method in the nursing first aid course for generalized tonic-clonic seizure(GTCS)attacks.Methods A total of 120 nursing students who entered the Neurosurgery Department of Yunnan Cancer Hospital for nursing practice and rotation from October 2022 to March 2024 were selected as the research objects.The SPSS software was used to randomly divide the same batch of nursing students into an observation group and a control group according to the investigation time.PBL teaching method was used in the observation group for group discussions respectively before the training,after the PBL centralized teaching,and after the scenario simulation.The"SET-M Revised Version of the Scenario Simulation Effect Evaluation Form"was used to statistically compare and analyze the feelings of nursing students towards the four dimensions of pre-simulation introduction,learning,confidence,and guided feedback at each time period.The control group was trained using the traditional PPT explanation combined with basic nursing operation routine exercises.Results During the training process of the observation group,the scores of each dimension in different stages were improved,and the comparison before and after the training was statistically significant(P<0.05).The observation group had the higher scores in the theoretical exam,practical exam,and course satisfaction than the control group(P<0.05).Conclusion The PBL teaching model combined with the scenario simulation teaching method constructed in this study has a significant teaching effect in the application of the nursing first aid course for generalized tonic-clonic seizure(GTCS)attacks among nursing students.Nursing students have a high degree of recognition that this course can effectively improve their theoretical knowledge and clinical practice ability.

关 键 词：癫痫GTCS发作急培训 PBL教学 情景模拟教学 护理应急培训课程 

分 类 号：G642[文化科学—高等教育学]