目的 探讨模块化教学在中医院新入职护士辨证施护能力培训中的应用效果。方法 将南通市中医院2017年—2018年的新入职护士设为对照组,2019年—2020年的新入职护士设为试验组,对两组新入职护士进行辨证施护能力的培训,对照组采用传统的理论讲授方式,试验组采用模块化教学,包含导入、目标、前测、参与式学习、后测、总结6个模块。培训6个月后对两组新入职护士的中医基础理论、辨证施护能力及教学满意度进行测评。 结果 培训6个月后,试验组中医基础理论知识考核得分93.0(91.5,94.5)高于对照组85.0(82.5,87.5),差异有统计学意义(Z=11.309,P<0.001);试验组客观结构化临床技能考核得分94.0(92.5,95.5)高于对照组93.0(92.0,94.0),差异有统计学意义(Z=3.063,P=0.002);试验组对教学的满意度85.0(81.5,88.5)高于对照组67.0(63.0,71.0),差异有统计学意义(Z=11.541,P<0.001)。 结论 将模块化教学应用于新入职护士辨证施护培训中,能有效提高中医院新入职护士辨证施护能力及教学满意度,可在新入职护士培训中进一步推广应用。

Objective To investigate the effects of the module teaching on ability of syndrome differentiation and treatment among new nurses in a traditional Chinese hospital. Methods New nurses recruited in the year 2017 and 2018 in the Nantong Traditional Chinese Hospital were assigned to the control group,and those recruited in the year 2019 to 2020 were assigned to the experimental group. Nurses in the control group received the traditional training. Nurses in the experimental group were trained through the modular teaching,including the modules of bridge-in,objective,pre-assessment,participatory learning,post-assessment and summary. After 6-month training,nurses in both groups were assessed for their knowledge of Chinese medicine,their ability of syndrome differentiation and treatment,and satisfaction level. Results After 6 months training,the knowledge score of nurses in the experimental group was 93.0(91.5,94.5) which was higher than that 85.0(82.5,87.5) of nurses in the control group(Z=11.309,P<0.001). The OSCE score of nurses in the experimental was 94.0(92.5,95.5),higher than that 93.0(92.0,94.0) of nurses in the control group(Z=3.063,P=0.002). The satisfaction level of nurses in the experimental group 85.0(81.5,88.5) was higher than that 67.0(63.0,71.0) of nurses in the control group(Z=11.541,P<0.001). Conclusion The module teaching can significantly improve new nurses’ ability of syndrome differentiation and treatment and satisfaction level. The training method is worthy to be promoted among new nurses.