[摘要] 目的 分析PBL教学法在癌症疼痛护理带教中的效果观察及知识知晓率影响。方法 以护理专业2017年9月—2019年7月进入该院实习的100名实习护士作为研究对象，使用盲选法将实习护士分为对照组、实验组，每组人数为50名。对照组应用传统教学模式，实验组实施PBL教学法，对比两组教学质量、知识知晓率以及教学满意率。结果 实验组教学质量以及知识知晓率比对照组均更加理想，差异有统计学意义（P<0.05）;实验组实习护士对于教学的满意率评价比对照组更高，差异有统计学意义（P<0.05）。结论 癌症疼痛护理带教在实施的过程中引入PBL教学法，实习护士对于知识的了解更加深入，教学质量提升，同时对于癌症疼痛相应知识的知晓率改善，并且教学模式得到的认可度较高，教学效果理想。

[关键词] PBL教学法;癌症疼痛;护理带教;教学质量;知识知晓率

[中图分类号] R473.5 [文献标识码] A [文章编号] 1672-5654（2020）07（b）-0140-03

Effect Observation of PBL Teaching Method in Cancer Pain Nursing Teaching and Analysis of Influence of Knowledge Awareness Rate

CAO Jin

Hunan Provincial Tumor Hospital， Changsha， Hunan Province， 410000 China

[Abstract] Objective To analyze the effect of PBL teaching method in cancer pain nursing teaching and the influence of knowledge awareness rate. Methods 100 nurse practitioners who entered the hospital from September 2017 to July 2019 in the nursing major were used as the research objects. The practice nurses were divided into a control group and an experimental group using a blind selection method， with 50 students in each group. The control group was given the traditional teaching model， and the experimental group implemented the PBL teaching method. The teaching quality， knowledge awareness rate and teaching satisfaction rate of the two groups were compared. Results The teaching quality and knowledge awareness rate of the experimental group were better than those of the control group， and the difference was statistically significant（P<0.05）; the appraisal of the satisfaction rate of the training nurses in the experimental group was higher than that of the control group， and the difference was statistically significant（P<0.05）. Conclusion The PBL teaching method is introduced in the implementation of cancer pain nursing teaching. The trainee nurses have a deeper understanding of knowledge and the quality of teaching is improved. At the same time， the awareness rate of cancer pain related knowledge is improved， and the teaching mode is recognized by a higher degree， the teaching effect is ideal.

[Key words] PBL teaching method; Cancer pain; Nursing teaching; Teaching quality; Knowledge awareness rate

隨着医学的不断发展与进步，对于癌症的研究不断深入，不再局限于疾病的治疗，同时增加对于治疗耐受性的研究，其中关注较多的为癌症疼痛[1]。目前国际上已经将疼痛列为人体的第五大生命体征，而在肿瘤患者的自觉症状中，疼痛的发生率最高，不仅对患者的生命体征造成影响，造成情绪不稳定，失去生存的勇气，同时可能对治疗造成非常严重的影响，因此在日常的护理工作中需要关注癌症疼痛方面的知识[2]。而在进行实际研究中发现，临床目前对于癌痛护理相应措施重视度不足，缺乏相应的规范性指导措施，达不到治疗的要求，需要对护理措施进行改进。

护士作为与患者接触最多也最直接的医务人员，在实际工作中属于疼痛管理的直接评估者和指导者，未来的临床一线疼痛管理工作也需要护理人员进行实践，因此护理人员对于癌症疼痛的认知高低直接影响到护理措施的实施质量，需要在日常教学中增加相应的教学内容，培养护士的癌痛护理知识[3]。……