目的 探讨基于虚拟仿真平台的压力性损伤护理的混合式教学的应用效果。方法 以某校二年级50名护理本科生为研究对象,在基础护理学课程的压力性损伤护理部分开展基于虚拟仿真平台的混合式教学,即课前虚拟训练—课中理论课翻转+操作课仿真实训—课后线上与线下实训结合第二课堂创新设计大赛。课后分析学生使用虚拟仿真平台的情况并发放问卷了解学生对教学的评价,12名听课教师进行集体讨论反馈。结果 学生课前使用压力性损伤护理虚拟仿真平台（2.50±1.44）次/名,课后教学目标达成度为94%~96%,对翻转课堂各教学环节评价优良率为78%~96%,对教学促进作用的认同度为94%~96%。参与听课评教的教师认为混合式教学提高了学生自主学习能力,理论联系实际效果好,提高了学生学业的挑战度、难度和深度。结论 基于虚拟仿真平台的混合式教学有助于学生掌握知识和技能及培养学生自主学习能力、临床思维和创新能力,可为护理教学改革提供借鉴。

Objective To explore the effects of the blended teaching in pressure injury care based on the virtual simulation platform. Methods The blended teaching based on the virtual simulation platform was applied in teaching of pressure injury care for 50 year-two students. The blended teaching included pre-class virtual training,flipped classroom,simulation practice,and post-class online and offline training & innovation design competition in the second classroom. Students’ feedback was analyzed and questionnaires were used to evaluate the effects of the blended teaching. Another 12 teachers had a discussion meeting and provided feedback. Results Before the blended teaching,the frequency that students used the virtual simulation platform was（2.50±1.44） times per person. After the blended teaching,the achievement degrees of teaching objectives were 94%~96%. The rates that students rated the class as excellent were 78%~96%. The rates that students agreed that blended teaching could facilitate their learning were 94%~96%. The teachers agreed that the blended teaching could improve students’ independent learning ability and the teaching effects of combining theory with practice. Such a method increased the academic challenges,difficulty,and depth of the learning. Conclusion The blended teaching based on the virtual simulation platform can help students master the knowledge and skills and help to cultivate students’ self-learning ability,clinical thinking and innovative ability,which can provide experience for the nursing teaching reform.