目的 探讨高职护理专业来华留学生医学汉语课程教学改革的方法及效果。方法 选取2017级三年制高职护理专业留学生班为试验组（31名）,实施基于成果导向的医学汉语课程改革,采用理论与实训一体化的教学模式,增加临床常见护理情境中的高频专业词汇、语句及其应用的教学内容,采取过程性和终结性的评价方式;选取2016级护理专业留学生班为对照组（30名）,参照医学英语传统授课模式实施医学汉语教学。教学后评价两组的医学汉语能力及试验组对改革的满意度。结果 试验组的医学汉语能力测试得分高于对照组（P<0.01）;试验组留学生、授课教师及课程观察员对教学改革满意度高。结论 基于成果导向的医学汉语课程改革效果较好,可有效提高高职护理来华留学生的语言运用能力,促进其更好地进行临床沟通。

Objective To explore the methods and effects of medical Chinese teaching reform for international students in a higher vocational college. Methods The 31 international nursing students recruited in 2017 was assigned to the experimental group.The teaching reform was implemented in the experimental group involving integration of theory and practice,increasing the high-frequency professional vocabulary,sentences,and contents related to clinical nursing settings,and adopting the process and final evaluation.Another 30 students of Grade 2016 were assigned to the control group and traditional teaching method was used in this group. The outcomes evaluated included the score of medical Chinese proficiency test,and the satisfaction level students in the experimental group had towards the reform. Results The scores of medical Chinese proficiency test in the experimental group were significantly higher than those in the control group（P<0.01）. Students themselves,instructors and course observers were all satisfied with the teaching methods. Conclusion The medical Chinese teaching reform can effectively improve the language application ability of international students in the higher vocational college and promote their clinical communication ability.