目的 借鉴世界技能大赛健康与社会照护项目对老年护理情境模拟综合实训课程进行教学改革,并探讨实践效果。 方法 便利选取某校高职护理专业（老年护理方向）2019级1个班学生为对照组（n=45）,2020级1个班为试验组（n=40）。基于世界技能大赛健康与社会照护项目进行教学内容改革,采用线上线下混合式教学对试验组进行授课;对照组则采用传统教学方法。课程结束后,比较两组综合情境模拟考核成绩,并通过半结构式访谈了解试验组学生学习体验。 结果 试验组综合情境模拟考核成绩为（91.86±3.26）分,对照组为（83.73±4.38）分,差异有统计学意义（t=9.608,P<0.001）;试验组学生访谈得出4个主题,即感知到教学内容的广度和整合度、激发学习兴趣、提升综合能力、体会到课程具有挑战度。 结论 基于健康与社会照护项目改革的老年护理情境模拟综合实训课程增加了教学内涵,采用的混合式教学能提高学生学习兴趣和参与度,推动课程教学目标达成,提高了学生解决问题、沟通交流等综合能力,学生有较好的学习体验。

Objective To conduct a curriculum reform of the Comprehensive Practical Training of Scene Simulation on Geriatric Nursing based on health and social care project in the World Skills Competition. Methods Students in a class of grade 2019 in a higher vocational nursing college（geriatric nursing） were recruited as the control group（n=45）,and students in a class of grade 2020 were assigned to the experimental group（n=40）. Based on the health and social care project of the World Skills Competition,the teaching contents were reformed. Students in the experimental group was taught through online and offline method while students in the control group was taught by traditional teaching methods. At the end of the course,comprehensive scene simulation assessment was conducted. Semi structured interviews were adopted to explore the learning experience of students. Results The experimental group's comprehensive scene simulation assessment results were significantly better than those in the control group（P<0.05）.Four themes emerged from the interviews,including the breadth and integration of teaching contents,enhancement of learning interest,improvement of comprehensive abilities,and difficulties and challenges. Conclusion The comprehensive practical training of scene simulation on geriatric nursing based on health and social care project in the World Skills Competition enriched the connotation. The blended teaching method adopted can stimulate students' learning interest,improve comprehensive abilities such as communication and problem-solving. Students can have good experience during the course learning.