目的 探讨基于典型病例的伤口造口失禁专科护士实践培训效果。方法 选取2018年—2020年30名某学校伤口造口失禁专科护士学员为试验组,采用基于典型病例的培训方法,即以典型病例的2项选择原则、6项选择标准、5步骤操作方法为导向,指导学员在实践期间选择典型病例并对其进行整体护理,包括护理评估、诊断、制订计划和循证干预、评价患者结果。选取2015年—2017年的34名学员为对照组,采用常规的“理论讲解+操作演示”的培训方法。2周实践培训后,评价两组病例/个案护理报告和临床实践能力考核成绩,并让学员评价培训质量和培训效果。结果 试验组的病例/个案护理报告、临床实践能力考核成绩、培训质量和培训效果评价结果均优于对照组（均P<0.05）。结论 以典型病例为导向、将护理程序融入个案护理的培训方法有助于在有限的实践教学时间内提升专科护士学员的临床实践能力,改善教学效果和质量。

Objective To explore the effects of training based on typical cases for specialty nurses of wound,ostomy and continence. Methods A total of 30 nurses from a wound,ostomy continence school from 2018 to 2020 were selected and assigned to the experimental group. The training method based on typical cases was adopted in this group. Contents of training were developed based on 2 selection principles,6 selection criteria,and 5-step operation methods. Nurses were guided to select typical cases during the practice and carry out holistic care for them. The holistic care included nursing assessment,diagnosis,planning and evidence-based intervention,and evaluation of patient outcomes. Thirty-four nurses from 2015 to 2017 were selected as the control group,and the routine training method was adopted. After 2 weeks of training,the performance of case reports and clinical practice ability were compared between the two groups. Besides,participants were also invited to evaluate the training quality and effects. Results The performance of case report,clinical practice ability,and evaluation of training quality of nurses in the experimental group were better than those in the control group（all P<0.05）. Conclusion The typical case-oriented training integrating nursing procedures helps to improve the clinical practice ability of nurses and improve the teaching effects and quality.