目的 优化专升本外科护理学课程教学改革方案，并评价教学实施效果。 方法 在学情分析基础上，结合专升本护理专业学生特点及学习喜好设计教学改革方案，主要步骤包括重置教学目标、重构教学内容、优化教学设计、调整学时分配、完善教学资源等。将2023级专升本护理专业学生为对照组，接受传统教学；将2024级专升本护理专业学生为试验组，接受“学习—实践—巩固—再实践”的递进式教学。比较两组课程成绩、自主学习能力和评判性思维能力得分。 结果 试验组课程成绩、自主学习能力和评判性思维能力得分均高于对照组（P<0.05）。 结论 专升本外科护理学课程教学改革取得良好效果，可有效解决学生知识理解表浅、自主学习与评判性思维能力薄弱的问题。

Objective To design a teaching reform program for the Surgical Nursing course in the associate-to-bachelor upgrading program for nursing majors，and to evaluate its implementation effects. Methods On the basis of student situation analysis，a teaching reform program was designed in combination with the characteristics and learning preferences of nursing students in the associate-to-bachelor upgrading program. The main steps included resetting teaching objectives，reconstructing teaching content，optimizing teaching design，adjusting class hour allocation，and improving teaching resources. Nursing students of the 2023 cohort in the associate-to-bachelor upgrading program were selected as the control group and received traditional teaching；while students of the 2024 cohort were selected as the experimental group and received a progressive teaching model characterized by “Learning-Practice-Consolidation-Repractice”. The course scores，self-directed learning ability and critical thinking ability were compared between the two groups. Results The experimental group demonstrated significantly higher scores in course performance，self-directed learning ability，and critical thinking ability compared to the control group（P<0.05）. Conclusion The teaching reform of the Surgical Nursing course in the associate-to-bachelor upgrading program has achieved good results，which can effectively address the issues of students having a superficial understanding of knowledge and weak abilities in independent learning and critical thinking.