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 (8): 957-964.doi: 10.3761/j.issn.1672-9234.2026.08.009

• 课程·教材·教法 • 上一篇    下一篇

基于真实事件的断臂患者院前急救虚拟仿真教学平台构建与应用

师亚1(), 梁颖妮1, 叶滢1, 张琬婷1, 彭娟2, 郭美英3, 陈嘉1, 王红红1, 谷灿1,*()   

  1. 1 中南大学湘雅护理学院 长沙市 410013
    2 中南大学湘雅二医院急诊科 长沙市 410013
    3 中南大学湘雅三医院急诊科 长沙市 410013
  • 收稿日期:2025-12-30 出版日期:2026-08-15 发布日期:2026-08-14
  • 通讯作者: *谷灿，E-mail：gucan_cs@csu.edu.cn
  • 作者简介:师亚：女，博士（在站博士后），讲师，E-mail：yashi_cato@outlook.com
    第一联系人：

    师亚：研究设计，数据收集、整理、分析，论文撰写；梁颖妮：数据收集、整理、分析，论文撰写；叶滢：数据收集、整理，论文撰写；张琬婷：平台测试、数据整理、统计分析；彭娟、郭美英：临床专家咨询、操作节点审核；陈嘉、王红红：研究指导、论文审阅；谷灿：研究总负责、经费支持、技术支持、平台开发、论文定稿。

  • 基金资助:
    中国高等教育学会高等教育科学研究规划课题(24YJ0415)

Development and implementation of a virtual simulation platform for pre-hospital emergency care using a real-life arm-severed case

SHI Ya1(), LIANG Yingni1, YE Ying1, ZHANG Wanting1, PENG Juan2, GUO Mei-ying3, CHEN Jia1, WANG Honghong1, GU Can1,*()   

  1. 1 Xiangya School of Nursing， Central South University， Changsha 410013， China
    2 Department of Emergency， the Second Xiangya Hospital of Central South University， Changsha 410013， China
    3 Department of Emergency， the Third Xiangya Hospital of Central South University， Changsha 410013， China
  • Received:2025-12-30 Online:2026-08-15 Published:2026-08-14
  • Contact: *GU Can，E-mail：gucan_cs@csu.edu.cn
  • Supported by:
    China Association of Higher Education Higher Education Scientific Research Planning Project(24YJ0415)

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摘要：

目的 构建基于真实事件的院前急救虚拟仿真教学平台，探索技能训练与价值塑造融合的护理教学路径。方法 以Jeffries护理模拟教学理论为指导，围绕“专业-情境-价值”三维主线构建平台，设置29个关键操作节点。采用单臂前瞻性设计，选取2所护理学院54名护理本科生为研究对象，通过平台考核数据与半结构化访谈评价教学效果。结果 所有操作节点末次操作正确率均高于首次，其中14项模拟操作正确率达100%。考核3次及以上组的“120”院前急救、长途转运用时及总用时低于考核1次组（P<0.017）。半结构访谈结果中提炼出沉浸体验激发学习投入、反复练习促进技能掌握、真实叙事引发价值共鸣等主题。结论 该平台将我国三级医疗服务体系优势转化为具身化教学资源，实现急救技能训练与课程思政深度融合，为“知识传授、能力培养、价值引领”三位一体的护理教学提供了可推广的实践路径。

关键词: 院前急救, 虚拟仿真, 护理本科生, 课程思政

Abstract:

Objective To develop a virtual simulation teaching platform for pre-hospital emergency care based on real clinical scenarios，and to explore a new nursing education model that integrates technical training with value cultivation. Methods Guided by the Jeffries Nursing Simulation Theory，the platform was constructed around three core dimensions，including professional skills，situational immersion，and value orientation，with 29 key operational nodes. A single-arm prospective design was adopted，enrolling 54 undergraduate nursing students from two nursing schools. After platform-based training，teaching outcomes were evaluated using a mixed-methods approach，combining objective performance data collected from the platform with semi-structured interviews. Results The accuracy of the final operation for all 29 key nodes was higher than that of the first attempt，with 14 simulation nodes achieving 100% accuracy. Students who underwent three or more assessments completed the “120” pre-hospital emergency care，long-distance transport，and total modules significantly faster than those assessed only once（P<0.017）. Qualitative analysis revealed key themes：immersive experience enhancing learning engagement，repeated practice promoting skill acquisition，and real-life narrative evoking value resonance，etc. Conclusion The platform transforms the strengths of China’s three-tier healthcare system into tangible embodied teaching resources，achieving deep integration of emergency skills training with ideological and political education. It offers a replicable practical pathway for nursing education that embodies the trinity of knowledge transmission，competency development，and value cultivation.

Key words: Pre-hospital Emergency Care, Virtual Simulation, Undergraduate Nursing Students, Curriculum-Based Ideological and Political Education