目的 探讨混合式教学在妇产科护理学中的应用效果。方法 2020年9月—12月,选取某医学院2018级护理学专业2个班的学生为研究对象,分为对照组（38名）和试验组（38名）。对照组采用以面对面课堂讲授为主、线上教学为辅多媒体教学;试验组采用混合式教学进行授课,包括系统思维、问题导向、重点串联、经典实例、实践助学、知识拓展。课程结束后,对两组学生进行理论及操作考核,并且采用课程评价问卷及评判性思维能力测量表进行效果评价。结果 课程结束后,试验组理论成绩（82.05±4.19）及操作考核成绩（90.05±2.05）高于对照组理论成绩（79.37±4.76）及操作考核成绩（88.82±2.17）（均P<0.05）,试验组课程评价得分（108.97±7.49）高于对照组（104.39±6.96）（P<0.05）;试验组评判性思维能力在寻找真理、分析能力、系统化能力、求知欲维度、总得分方面优于对照组（P<0.05）。 结论 混合式教学有助于提高妇产科护理学教学质量,提高学生知识掌握程度及评判性思维能力,获得学生的认可。

Objective To explore the effects of the blended teaching in Obstetrics and Gynecology Nursing. Methods From September to December 2020,two classes of nursing students in a medical college in Hunan province were assigned to the control group（38 students） and the experimental group（38 students）. Students in the control group received multimedia teaching including face-to-face classroom teaching and online teaching supplemented. Students in the experimental group received blended teaching,including systematic thinking,question-orientated guide,key points,classical cases,practices,and knowledge expansion. At the end of the course,students in the two groups were assessed by examination and skill assessment. Besides,the course evaluation scale and Critical Thinking Disposition Inventory-Chinese Version were used. Results At the end of the semester,the examination score（82.05±4.19） and skills assessment（90.05±2.05） of students in the experimental group were higher than those in the control group（79.37±4.76 and 88.82±2.17,respectively）（all P<0.05）. The curriculum evaluation score of students in the experimental group（108.97±7.49） was higher than that in the control group（104.39±6.96）（P<0.05）. The scores of critical thinking in the experimental group were better than those in the control group with regard to truth seeking,analytical ability,systematization ability and desire for knowledge and the total score of critical thinking（P<0.05）. Conclusion The blended teaching can improve the teaching quality of Obstetrics and Gynecology Nursing,and also improve students’ knowledge and critical thinking. It is well accepted by students.