[摘要] 目的 研究分析三级护理教学管理模式在神经外科护理教学中的应用方法和效果。方法 在2017年9月—2018年7月到该院神经外科实习的护生中，选取58名作为该次研究的对照组，在2018年9月—2019年7月于该院神经外科实习的护生中，选取58名作为该次研究的观察组。对照组与观察组分别采用传统教学模式和三级护理教学管理模式。对比两组护生的理论知识成绩与操作考核成绩，两组护生对各自所接受的教学模式中各方面的满意度。结果 观察组护生的理论知识成绩与操作考核成绩以及教学质量均优于对照组（P<0.05），且观察组护生对所接受的教学模式中各方面的满意度均高于对照组（P<0.05）。结论 在神经外科护理教学中，采用三级护理教学管理模式，能有效提升护生学习兴趣和积极性，促进护生理论知识水平和实践操作能力的提升。

[关键词] 三级管理模式;神经外科;护理;教学;实习

[中图分类号] R47 [文献标识码] A [文章编号] 1672-5654（2020）05（b）-0121-03

Application Method and Effect of Three-level Nursing Teaching Management Mode in Neurosurgery Nursing Teaching

PENG Qing

Hengyang Traditional Chinese Medicine Hospital， Hengyang， Hunan Province， 421001 China

[Abstract] Objective To analyze the application methods and effects of the three-level nursing teaching management model in neurosurgery nursing teaching. Methods From September 2017 to July 2018， 58 people of nursing students who went to the hospital for neurosurgery practice were selected as the control group for this study. From September 2018 to July 2019， they were interned in neurosurgery in the hospital. Among the nursing students， 58 people were selected as the observation group of this study. The control group and the observation group adopted the traditional teaching mode and the tertiary nursing teaching management mode， respectively. Comparing the theoretical knowledge scores and operational assessment scores of the two groups of nursing students， the two groups of nursing students are satisfied with various aspects of their respective teaching models. Results The nursing students in the observation group were better than the control group in their theoretical knowledge scores， operational assessment results， and teaching quality（P<0.05）， and the satisfaction of the nursing students in the observation group in all aspects of the accepted teaching mode was higher than that of the control group（P<0.05）. Conclusion In the teaching of neurosurgery nursing， using the three-level nursing teaching management mode can effectively improve the nursing students' learning interest and enthusiasm， and promote the theoretical level and practical ability of nursing students.

[Key words] Three-level management mode; Neurosurgery; Nursing; Teaching; Practice

隨着社会经济的不断发展，人们对身心健康乃至对医疗水平的要求随之提高。护理作为患者与医院的联系创口，护理质量将直接影响到患者的满意度，进而影响到医院的整体社会效益[1-2]。护理教学是每一位护士由护生过渡而来的必经环节，护理带教是护理教学中较为重要的环节，在实施该环节过程中，帮助护生将已学的理论知识与实践操作进行联系。护生在实习期间不仅理论知识得到了巩固，并且其基本的操作技能得到了良好训练，护生的独立工作能力得到了锻炼[3]。神经外科患者多为危重症患者，其病死可能性较高，因此，神经外科护理工作较为繁重[4]。许多护生在实习前便对神经外科的护理工作有所了解，所以在实习前就已经出现了恐惧、不安、紧张等负面情绪，这加大了临床护理带教工作的难度。……