“问题-案例”双轨导向下肿瘤内科护理临床教学设计与应用研究

doi:10.3761/j.issn.1672-9234.2026.05.012

中华护理教育 ›› 2026, Vol. 23 ›› Issue (5): 587-593.doi: 10.3761/j.issn.1672-9234.2026.05.012

“问题-案例”双轨导向下肿瘤内科护理临床教学设计与应用研究

曹丽君(), 李琳^*(), 赵倩, 宁亮亮, 高利亚, 杨亚楠

山西省人民医院肿瘤科太原市 030012

收稿日期:2025-08-23 出版日期:2026-05-15 发布日期:2026-05-14
通讯作者: *李琳,E-mail:nursingzz@126.com
作者简介:曹丽君:女,硕士,主管护师,E-mail:lijun554732@163.com
第一联系人：作者贡献声明
曹丽君负责研究设计、教学方案制订、数据分析及论文撰写;李琳负责研究总体设计指导、教学质量控制及论文修订;赵倩负责教学实施、数据收集及教学督导;宁亮亮负责数据收集、统计分析及结果整理;高利亚负责文献检索、教学资料准备及数据录入;杨亚楠负责教学协调、过程性评价实施及论文校对。
基金资助:
山西医科大学教育教学研究课题(XJ2024112)

Application of problem-case integrated teaching in oncology nursing clinical practicum

CAO Lijun(), LI Lin^*(), ZHAO Qian, NING Liangliang, GAO Liya, YANG Ya’nan

Oncology Department, Shanxi Provincial People’s Hospital, Taiyuan 030012, China

Received:2025-08-23 Online:2026-05-15 Published:2026-05-14
Contact: *LI Lin,E-mail:nursingzz@126.com
Supported by:
Teaching and Educational Research Project of Shanxi Medical University(XJ2024112)

摘要/Abstract

摘要：

目的探讨基于成果导向教育理念的“问题-案例”双轨导向教学模式对肿瘤内科护理实习生临床实践能力和自我导向学习能力的影响。方法采用整群随机对照试验设计,选取2024年8月—2025年5月在山西省某三级甲等医院肿瘤内科本科护理实习生为研究对象,以轮转批次为单位,随机分配至试验组(n=60)和对照组(n=60)。试验组实施“问题-案例”双轨导向教学,对照组实施传统案例导向教学。采用临床实践能力量表和自我导向学习能力评定量表在干预前后进行评估,同时比较两组理论考核和操作考核成绩。结果干预后,试验组临床实践能力总分(169.28±10.23)分高于对照组(144.10±8.59)分,差异具有统计学意义(P<0.001);试验组自我导向学习能力总分(240.40±11.44)分高于对照组(213.43±14.23)分,差异具有统计学意义(P<0.001);试验组操作考核成绩(92.15±4.06)分高于对照组(86.93±4.87)分,差异具有统计学意义(P<0.001),但两组理论考核成绩差异无统计学意义(P=0.989)。结论基于成果导向教育理念的“问题-案例”双轨导向教学模式能有效提升肿瘤内科护理实习生的临床实践能力和自我导向学习能力。

关键词: 成果导向教育, 问题导向学习, 案例导向学习, 护理实习生, 临床实践能力, 自我导向学习

Abstract:

Objective To investigate the effects of an outcome-based education (OBE) -guided dual-track teaching model integrating problem-based learning (PBL) and case-based learning (CBL) on clinical practice competence and self-directed learning ability of nursing interns during oncology clinical practicum. Methods A cluster randomized controlled trial was conducted among undergraduate nursing students undertaking clinical practicum in the oncology department of a tertiary hospital in Shanxi Province,China,from August 2024 to May 2025. Using rotation batches as the unit of randomization,participants were randomly assigned to the intervention group(n=60) or the control group(n=60). The intervention group received the OBE-guided PBL-CBL dual-track teaching model,while the control group received routine CBL teaching. The Clinical Practice Competence Scale for Undergraduate Nursing Interns and the Self-Rating Scale of Self-Directed Learning were administered before and after the intervention. Theoretical and practical skill examination scores were also compared. Results After the intervention,the intervention group scored significantly higher than the control group on clinical practice competence(169.28±10.23 vs 144.10±8.59,P<0.001) and self-directed learning ability(240.40±11.44 vs 213.43±14.23,P<0.001). Practical skill examination scores were significantly higher in the intervention group (92.15±4.06 vs 86.93±4.87,P<0.001),while no significant difference was found in theoretical examination scores (P=0.989). Conclusion The OBE-guided PBL-CBL dual-track teaching model effectively enhances clinical practice competence and self-directed learning ability of nursing interns during oncology clinical practicum.

Key words: Outcome-based Education, Problem-based Learning, Case-based Learning, Nursing Interns, Clinical Practice Competence, Self-directed Learning

曹丽君, 李琳, 赵倩, 宁亮亮, 高利亚, 杨亚楠. “问题-案例”双轨导向下肿瘤内科护理临床教学设计与应用研究[J]. 中华护理教育, 2026, 23(5): 587-593.

CAO Lijun, LI Lin, ZHAO Qian, NING Liangliang, GAO Liya, YANG Ya’nan. Application of problem-case integrated teaching in oncology nursing clinical practicum[J]. Chinese Journal of Nursing Education, 2026, 23(5): 587-593.

图/表 4

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“问题-案例”双轨导向下肿瘤内科护理临床教学设计与应用研究

Application of problem-case integrated teaching in oncology nursing clinical practicum

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