ISSN 2097-6054（网络） ISSN 1672-9234（印刷） CN 11-5289/R
主管：中国科学技术协会　主办：中华护理学会
出版：中华护理杂志社
收录：中国科学引文数据库（CSCD）来源期刊
　　　中国期刊全文数据库
　　　中国核心期刊（遴选）数据库
　　　Scopus
中华护理教育

中华护理教育 ›› 2026, Vol. 23 ›› Issue (9): 1093-1100.doi: 10.3761/j.issn.1672-9234.2026.09.011

• 职业成长与发展研究 • 上一篇    下一篇

知识图谱赋能的情境化急危重症护理培训平台构建及应用研究

俞静萱1(), 冯亚萍2, 金莹莹2, 陈建萍2,*()   

  1. 1 浙江省台州医院手术室 浙江省台州市 317000
    2 浙江省台州医院急诊医学科 浙江省台州市 317000
  • 收稿日期:2025-10-01 出版日期:2026-09-15 发布日期:2026-09-15
  • 通讯作者: *陈建萍，E-mail：chenjp@enzemed.com
  • 作者简介:俞静萱：女，硕士，护师，E-mail：2274818292@qq.com
    第一联系人：

    研究构思与设计为俞静萱、冯亚萍，数据收集与处理为冯亚萍、金莹莹，论文撰写为俞静萱，英文修订为金莹莹，论文修改和审校为金莹莹、陈建萍。

  • 基金资助:
    浙江省医药卫生科技计划项目(2024KY1779)

Construction and application of situational critical care nursing teaching platform empowered by knowledge graph

YU Jingxuan1(), FENG Yaping2, JIN Yingying2, CHEN Jianping2,*()   

  1. 1 Operating Room， Zhejiang Taizhou Hospital， Taizhou 317000，Zhejiang Province， China
    2 Department of Emergency Medicine， Zhejiang Taizhou Hospital， Taizhou 317000，Zhejiang Province， China
  • Received:2025-10-01 Online:2026-09-15 Published:2026-09-15
  • Contact: *CHEN Jian-ping，E-mail：chenjp@enzemed.com
  • Supported by:
    Zhejiang Provincial Medical and Health Science and Technology Plan Project(2024KY1779)

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摘要：

目的 构建知识图谱赋能的情境化急危重症护理教学平台（简称平台），并探究其在急诊科低年资护士中的应用效果。 方法 聚焦脑卒中、急性心肌梗死、严重创伤及脓毒症休克四类常见急危重症，构建急危重症护理知识图谱。以该知识图谱为核心引擎，开发集成知识融合案例库、基础数据库，以虚实融合实训模块与智能化评估模块为核心的平台。便利选取该院30名急诊科低年资护士作为研究对象，基于平台对其实施高仿真模拟与虚拟仿真实验相结合的教学。通过系统可用性得分、培训前后低年资护士与平台间的交互数据（包括关键操作路径符合度、决策响应时间、情景模块完成时间、情景理论考核正确率），以及低年资护士对基于平台的培训反馈，评估平台的应用效果。 结果 30名低年资护士对系统可用性的评分为（70.33±5.69）分。培训后低年资护士与平台间的交互数据均优于培训前（P<0.05）。通过对20名低年资护士的访谈资料分析提炼出平台使用带来多维益处、平台的使用意愿受多种因素影响、对平台的期望3个主题。 结论 平台具有可用性，一定程度上能提升低年资护士的急危重症护理能力。未来仍需结合临床需求与用户反馈，提升系统功能与性能水平，并进一步评估平台应用对低年资护士能力的长期保留效果。

关键词: 急危重症护理, 知识图谱, 情境, 虚拟教学, 模拟教学, 低年资护士

Abstract:

Objective To construct a situational emergency and critical care teaching platform empowered by knowledge graphs（hereinafter referred to as the Platform），and explore its application effect among emergency junior nurses. Methods Focusing on four common critical illnesses including stroke，acute myocardial infarction，severe trauma and septic shock，a knowledge graph for emergency and critical care nursing was established. Taking the knowledge graph as the core engine，the Platform was developed with integrated knowledge-fused case library and basic database，and virtual-real integrated training module and intelligent evaluation module as core components. A total of 30 junior nurses in the Emergency Department of the hospital were recruited via convenience sampling as participants，and teaching combining high-fidelity simulation and virtual simulation experiments was carried out for them via the Platform. The application effect of the Platform was evaluated based on System Usability Scale（SUS） scores，pre-training and post-training human-computer interactive indicators（key operation compliance rate，decision response time，situational module completion duration，the accuracy of situational theoretical tests），and qualitative interview feedback from participants. Results The average SUS score rated by the 30 junior nurses was（70.33±5.69）. All interactive indicators between nurses and the Platform after training were significantly superior to those before training（P<0.05）. Three themes were extracted from interview data of 20 junior nurses：multi-dimensional benefits brought by the Platform，multiple factors influencing nurses’ willingness to use the Platform，and optimization demands for the platform. Conclusion The Platform possesses satisfactory usability and can effectively improve junior nurses’ proficiency in emergency and critical care nursing. Further optimization of system performance should be carried out in combination with clinical demands and user feedback，and long-term improvement of professional competency brought by the Platform shall be evaluated in follow-up studies.

Key words: Emergency and Critical Care Nursing, Knowledge Graph, Scenario, Virtual Teaching, Simulation Teaching, Junior Nurses