目的 开发新形态活页式教材《老年人综合照护实训指导》并应用于老年护理情境模拟综合实训课程，探讨其应用效果。方法 便利选取某校高职护理专业（老年护理方向）2021级1个班学生为对照组（n=41），2022级1个班为试验组（n=50）。两组学生在开课时间、授课学时、教学内容、授课师资和教学条件方面相同，均选用《失智失能老人整合照护》作为参考教材，在此基础上试验组开发并使用新形态活页式实训指导教材《老年人综合照护实训指导》。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师生对教材的看法。结果 两组课程总成绩试验组得分为（89.19±3.05），对照组得分为（80.82±4.03），差异有统计学意义（t=10.985，P<0.001）。试验组学生及授课教师认为综合实训指导教材凸显探究式学习理念、强调以人为中心、促进自主学习、体现岗课赛融通。结论 《老年人综合照护实训指导》新形态活页式教材凸显老年护理职业照护特质和“学材”功能；起到课前准备、课中引领、课后强化的指引作用，方便学生探究式学习，提升自学体验和获得感。未来有待扩大使用范围并探究其他院校的使用效果，进一步完善教材设计。

Objective Developing and apply a new form of loose leaf teaching material Comprehensive Care Experimental Training Guide for the Elderly to the course of Comprehensive Simulation Training of Elderly Nursing，and explore its application effect. Methods A class of Grade 2021 in higher vocational nursing major （geriatric nursing） of a nursing school was selected as the control group（n=41），and another class of Grade 2022 was selected as the experimental group（n=50） through a convenience sampling. Both groups of students had the same starting time，hours，content，staff and conditions，and both had chosen “Integrated care for dementia and disability” as a reference textbook. In addition，the experimental group used a new form of loose leaf training guidance textbook Integrated Care for the Elderly. At the end of the course，comprehensive scene simulation assessment result was compared between the two groups，and semi-structured interviews were adopted to understand the experience in using textbooks. Results The total score of the experimental group for the two courses was（89.19±3.05），while the score of the control group was（80.82±4.03），and the difference was statistically significant（t=10.985，P<0.001）. Besides，four themes were identified through interviews，namely highlighting the concept of inquiry based learning，emphasizing people-centered learning，promoting self-directed learning，and reflecting the integration of job，class，and competition. Conclusion The new form of loose leaf textbook of Comprehensive Care Experimental Training Guide for the Elderly highlights the characteristics of elderly nursing profession care and the function of “learning materials”. It plays a guiding role in pre class preparation，in class guidance，and post class reinforcement，facilitating students’ inquiry based learning and enhancing their self-learning experience and sense of achievement. In the future，it is necessary to expand the scope of use and collect information on its use in other colleges for further research.