[摘要] 目的 研究在心內科实习护理人员带教中运用PBL联合LBL教学法的教学效果。方法 该院心内科在2018年1月—2019年1月期间有98名符合实验要求护理人员，将其分为联合组和单一组，各49名实习护理人员。联合组实习护理人员采取PBL联合LBL教学法，单一组采用LBL教学法，对比两组心内科实习护理人员的教学效果。结果 联合组和单一组基础理论题考核成绩，差异无统计学意义（t=0.608，P>0.05），联合组实验护理人员各项考核成绩及总成绩明显高于单一组，差异有统计学意义（t=7.641、6.337、7.054、9.227，P<0.05）;联合组实验护理人员教学方法满意度为95.92%高于单一组实验护理人员教学方法满意度81.63%，两组数据对比有可比性，差异有统计学意义（χ2=11.537，P<0.05）;联合组实验护理人员工作主动性、沟通能力、学习能力所占人数比例均高于单一组，两组数据对比有可比性，差异有统计学意义（χ2=13.644、12.129、9.273，P<0.05）。结论 将PBL联合LBL教学法应用到心内科护理实习带教中能显著提高学生的综合素质和自主学习能力。

[关键词] PBL联合LBL教学法;心内科;护理;实习带教

[中图分类号] R47 [文献标识码] A [文章编号] 1672-5654（2020）07（b）-0158-03

Application of PBL Combined with LBL Teaching Method in Cardiology Nursing Practice Teaching

DENG Wen-jie

Changsha First Hospital， Changsha， Hunan Province， 410000 China

[Abstract] Objective To study the teaching effect of using PBL combined with LBL teaching method in the teaching of nurse practitioners in the Department of Cardiology. Methods From January 2018 to January 2019， there were 98 nurses who met the experimental requirements in the cardiology department of the hospital. They were divided into a joint group and a single group， each with 49 nurse nurses. The practice nurses in the joint group adopt the PBL combined with LBL teaching method， and the single group adopts the LBL teaching method to compare the teaching effects of the two groups of cardiology practice nurses. Results The test scores in the combined group and the single group of basic theoretical questions were not statistically significant （t=0.608， P>0.05）. The test results and total scores of the experimental nurses in the combined group were significantly higher than those of the single group， the difference was statistically significant（t=7.641， 6.337， 7.054， 9.227， P<0.05）; the teaching method satisfaction of the experimental nurses in the combined group was 95.92% higher than the single group experimental nursing staffs teaching method satisfaction 81.63%， the two groups of data were comparable， the difference was statistically significant（χ2=11.537， P<0.05）; the proportion of the work initiative， communication ability and learning ability of the experimental nurses in the group was higher than that in the single group. The two groups of data were comparable， the difference was statistically significant（χ2=13.644， 12.129， 9.273， P<0.05）. Conclusion The application of PBL combined with LBL teaching method to cardiology nursing practice teaching can significantly improve students' comprehensive quality and autonomous learning ability.

[Key words] PBL combined with LBL teaching method; Cardiology; Nursing; Practice teaching

心内科又称为心血管内科，是医疗机构为治疗研究心血管疾病而成立的科室，主要收治心肌炎、心绞痛、心率时常、心脏早搏、心率不齐、心力衰竭等患者[1]。众所周知，心脏是人体的核心器官，一旦出现问题，对患者生命健康将造成很大影响，所以心内科对医护人员的综合素质要求非常高。对该院心内科实习护理人员进行调查发现，传统的LBL教学法出科的实习护理人员临床实践能力和自主学习能力较弱，不能将所学知识运用到心内科护理中[2]。对此该院改变传统教学思路将PBL联合LBL教学法运用到心内科护理实习带教中，以在该院心内科实习的98名护理人员作为实验对象（2018年1月—2019年1月期间），对PBL联合LBL教学法在心内科护理实习带教中的应用效果进行研究，现报道如下。

1  资料与方法

1.1  一般资料

该院心内科将符合实验要求护理人员分为联合组和单一组，各49名实习护理人员。联合……