目的 了解生成式人工智能（Generative Artificial Intelligence，Gen AI）在高职护理专业学生学习中的应用现状，分析其带来的积极影响与潜在问题。方法 选取某医学高等专科学校护理学院1 262名学生为研究对象，采用自制的Gen AI使用情况调查问卷进行调查，并进行多重响应分析。采用目的取样法选择使用过Gen AI辅助学习的学生开展访谈，应用主题分析法提炼主题。结果 417名（33.0%）学生近半年使用过 Gen AI用于辅助学习，主要应用场景为知识点理解（58.5%）、资料查询（56.4%），较少应用于创意启发（28.3%）和最新医学进展跟踪（17.3%）；提问方式主要为直接提出具体问题（68.6%）、使用开放式问题寻求多种答案（49.2%），较少使用引导性提示语（38.4%）和专业术语（36.0%）。访谈结果表明，学生认为Gen AI提供了高效便捷的知识获取路径，是功能强大的学习助手，同时也表示出使用过程的担忧及深度应用的期待。结论 Gen AI在辅助学生学习方面展现出了巨大潜力，但同时也面临着诸多问题和挑战。学校和教师应针对高职护理专业学生在应用人工智能辅助学习方面的薄弱点和不足进行干预，积极应对数智化时代新的教育难题。

Objective To understand the current application status of generative artificial intelligence（Gen AI） in the learning of vocational nursing students，analyze its positive impact and potential problems.Methods All the students（n=1 262） in nursing school of a medical college were selected as the research participants. In investigation，a self-made questionnaire was used to investigate the use of Gen AI，and multiple response analysis was carried out. The purpose sampling method was used to select students who had used Gen AI assisted learning in the survey to conduct interviews，and the theme analysis method was applied to refine the theme.Results Among the participated students，417（33.0%） had used Gen AI for assisted learning in the past six months，who mainly applied Gen AI in the scenarios of understanding knowledge points（58.5%），querying information（56.4%），and less in creative inspiration（28.3%） and tracking the latest medical progress（17.3%）. The main way of asking questions was to directly inquiry of specific questions（68.6%），use open-ended questions to seek multiple answers（49.2%），and rarely use guiding prompts（38.4%） and professional terminology（36.0%）. The interview results indicated that students believed that Gen AI provided an efficient and convenient path for knowledge acquisition，making it a powerful learning assistant. However，they also expressed concerns about the usage process and expectations for deep application.Conclusion Gen AI shows great potential in assisting students’ learning. Also，it faces many problems and challenges. Schools and teachers should intervene in the weak points and deficiencies of vocational nursing students in applying Gen AI assisted learning，and actively respond to new educational challenges and difficulties in the digital age.