循证护理与情景模拟法实践在头颈外科护理教学查房中的应用

彭妍 肖小兰

[摘要] 目的 分析循证护理与情景模拟法实践在头颈外科护理教学查房中的应用。方法 选取2017年2月—2019年 6月期间该院头颈外科的80名实习护生，随机分为对照组和观察组，每组40名护生。对照组采用常规教学，观察组采用循证护理与情景模拟法实践教学，对比两组护生的考试成绩和综合能力评分。结果 观察组学生理论成绩（95.2±1.3）分和实践操作成绩（94.8±1.8）分高于对照组（P<0.05），观察组学生综合能力中学习兴趣评分（92.8±2.3）分、护理程序应用能力评分（94.8±1.1）分、临床适应能力评分（93.8±2.2）分、应急能力评分（90.8±3.7）分、沟通能力评分（94.1±1.7）分、团结协作能力评分（91.9±3.6）分高于对照组（P<0.05）。 结论 头颈外科护理教学查房中应用循证护理与情景模拟法教学可提高学生理论基础和实践操作水平，提升学生综合素养。

[关键词] 循证护理;情景模拟法实践;头颈外科;护理教学查房

[中图分类号] R47 [文献标识码] A [文章编号] 1672-5654（2020）09（c）-0105-03

[Abstract] Objective To analyze the application of evidence-based nursing and scenario simulation practice in head and neck surgery nursing teaching rounds. Methods From February 2017 to June 2019， 80 nursing students in the head and neck surgery of the hospital were selected and randomly divided into a control group and an observation group， with 40 nursing students in each group. The control group used conventional teaching， and the observation group used evidence-based nursing and scenario simulation to practice teaching. The test scores and comprehensive ability scores of the two groups of nursing students were compared. Results The observation groups theoretical score （95.2±1.3）points and practical performance （94.8±1.8）points were higher than those of the control group （P<0.05）， and the observation groups comprehensive ability score of learning interest （92.8±2.3）points， nursing program application ability score （94.8±1.1）points， clinical adaptability score （93.8±2.2）points， emergency response ability score （90.8±3.7）points， communication ability score （94.1±1.7）points， unity and cooperation ability score （91.9±3.6）points， were higher than that of the control group （P<0.05）. Conclusion The application of evidence-based nursing and scenario simulation teaching in head and neck surgery nursing teaching rounds can improve students' theoretical foundation and practical operation level， and improve their comprehensive literacy.

[Key words] Evidence-based nursing; Practice of scenario simulation; Head and neck surgery; Nursing teaching rounds

循證护理是近几年临床中使用比较广泛的护理方式，该护理方式建立在紧密计划的基础之上，是通过谨慎选择临床护理经验，并获取相关证据之后，整理出一套护理流程[1]。情景模拟法则是通过模拟实际环境，加入工作的实际要素，锻炼学生的操作能力，该教学方式具有较强的代入感，能够让学生置身于实际的工作环境当中，考验和锻炼其能力[2]。头颈外科是一个工作环境比较复杂的科室，接收的患者多为病情复杂且病症严重，如颈部炎性疾病、颈部血管性疾病、腮腺疾病、颈部肿瘤等，导致临床护理难度升高，要求护士拥有较高的理论知识水平和实践操作能力，同时该科室患者病情多变，这就需要护士拥有良好的应变及应急能力。护理实习生未来多数将会从事相关护理工作，所以，需要提高自己的理论知识与实践技能，更好地为患者服务。在进行头颈外科护理教学时，不同的教学方式产生的教学效果有所不同。因此，该研究选取2017年2月—2019年6月期间该院头颈外科的80名实习护生，探讨循证护理与情景模拟法的应用效果，现报道如下。