目的 探讨改良式病例讨论法在外科护理学教学中的应用效果,从而促进护理学教学改革。方法 选取湖北医药学院护理学专业383名护理本科学生为研究对象。其中,2010级195名学生为实验组,2009级188名学生为对照组。外科护理学教学中,实验组学生采用改良式病例讨论教学方法,即课堂上采用病例讨论记录单,并作为形成性评价的一部分成绩;对照组学生采用传统病例讨论教学方法。比较两组学生期末的理论考试成绩,并对实验组学生进行问卷调查。 结果 实验组学生外科护理学成绩及其对外科护理学学习相关指标的评价均高于对照组学生。 结论 改良式病例讨论教学方法充分体现了以学生为中心的教育理念,有利于提高学生自主学习的能力,激发学生的学习兴趣,有利于学生临床思维的培养和综合能力的提高,培养学生的团结协作精神,加强师生之间的互动。

Objective To investigate the effect of modified method of case discussion using in the surgical nursing teaching so as to promote nursing teaching reform. Method 383 nursing undergraduates of Hubei University of Medicine were selected as the research object. The grade 2010 was selected as the experimental group, grade 2009 as the control group. In surgical nursing teaching, the experimental group adopted modified method of case discussion, the control group adopted traditional method of case discussion. A record sheets of case discussion was used in experimental group and as a part of formative assessment results.The theoretical examination results of the two group were compared. Questionnaire survey was carried out in experimental group.Results The examination results of the experimental group and their academic assessment of relevant indicators about learning surgical nursing were higher than those of control group.Conclusions The modified method of case discussion fully reflects the student-centered philosophy of education, it can be helpful to improve students' self-learning ability. It can conducive to cultivate students' clinical thinking and integrated capabilities, and strengthen the interaction between teachers and students.