典型案例对比性查房在中医护理临床教学中的应用研究

doi:10.3761/j.issn.1672-9234.2025.01.010

摘要/Abstract

摘要：

目的探讨典型案例对比性查房在中医护理临床教学中的应用效果。方法选取2022年4月—2024年3月在广州中医药大学第二附属医院肝胆外科的72名护理专业实习生，按实习批次采用随机数字法分为试验组（n=36）和对照组（n=36），对照组根据专科教学大纲进行常规中医护理查房教学，试验组开展中医典型案例对比性教学查房。采用改良版迷你临床演练评估（Mini-CEX）量表比较两组教学查房效果及对专科中医理论知识、操作技能的掌握情况，并调查教学查房满意度。结果培训后，试验组迷你临床演练评估评分优于对照组（P<0.05），试验组在护理问诊、护理计划、护理技能、健康教育、组织效能方面均优于对照组（P<0.05）。培训后，两组在护理查体及人文关怀方面比较差异无统计学意义（P>0.05）。两组培训后的操作考核成绩均有所提高，差异具有统计学意义（P<0.05），但两组间操作考核成绩比较差异无统计学意义（P>0.05）。结论典型案例对比性护理查房临床教学效果良好，可提高护理实习生的中医护理查房能力及理论知识水平，可为中医护理临床实践教学模式的改革提供参考。

关键词: 中医护理学, 对比性查房, 案例, 临床教学

Abstract:

Objective To explore the effect of comparative ward rounds with typical cases in clinical teaching of the nursing of traditional Chinese medicine. Methods A total of 72 nursing students who interned in the Hepatobiliary Department of the Second Affiliated Hospital of Guangzhou University of Chinese Medicine from April 2022 to March 2024 were selected as the participants. These participants were divided into experimental group （n=36） or control group（n=36） by numerical randomization method. While the control group received routine nursing rounds according to the specialized teaching outline，the experimental group received comparative teaching rounds of typical cases. The improved version of Mini Clinical Exercise Evaluation（Mini-CEX） scale was used to compare the effect of the two groups of nursing students and their mastery of specialized theoretical knowledge and operational skills of Chinese medicine. Results After the training，the Mini-CEX score of the experimental group was better than that of the control group（P<0.05）. The experimental group was better than the control group in nursing consultation，nursing plan，nursing skills，health education，and organizational efficiency（P<0.05）. After the training，there was no statistically significant difference between the two groups in nursing physical examination and humanistic care（P>0.05）. The difference in operational assessment scores between nursing students before and after training was statistically significant（P<0.05），while the difference in operational assessment scores between the two groups after training was not（P>0.05）. Conclusion The clinical teaching effect of comparative nursing rounds in typical cases is effective，which can improve the nursing students’ ability and theoretical mastery of the nursing of Chinese medicine，and provide references for the reform of clinical practice teaching mode in Traditional Chinese Medicine Nursing.

Key words: Traditional Chinese Medicine Nursing, Comparative clinical nursing rounds, Cases, Teaching practice

林丽君, 王秋婷, 邹秀娟, 胡燕娇, 周春姣. 典型案例对比性查房在中医护理临床教学中的应用研究[J]. 中华护理教育, 2025, 22(1): 61-65.

LIN Lijun, WANG Qiuting, ZOU Xiujuan, HU Yanjiao, ZHOU Chunjiao. Application of comparative ward rounds with typical cases in clinical teaching practice of Traditional Chinese Medicine Nursing[J]. Chinese Journal of Nursing Education, 2025, 22(1): 61-65.

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参考文献 9

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