摘要
目的 本研究旨在探讨基于案例导向的中西医结合护理教学查房对护生辨证施护能力的培养效果。方法 本研究选取我院心血管病科2024年3月-2025年3月年实习护生80名为研究对象，随机分为实验组和对照组，每组各40名。对照组采用传统的护理教学查房模式，实验组实施案例导向的中西医结合护理教学查房，通过精选典型病例、整合四诊与西医指标、分阶段能力训练、小组协作及结构化反思等环节，开展为期4周的教学干预。结果 干预后，实验组中医辨证准确率（90.0% vs 70.0%）、中西医结合能力评分（21.5±1.8 vs 15.6±2.4）、临床思维能力评分（85.6±5.2 vs 78.3±6.1）及患者护理满意度（92.5% vs 80.0%）均显著优于对照组（均P<0.05）。结论 基于案例导向的中西医结合护理教学查房可提高护生辨证施护能力，具有推广价值。
关键词： 基于案例导向；中西医结合护理教学查房；辨证施护能力
Abstract
Objective This study aims to explore the effect of case-based integrated traditional Chinese and Western medicine nursing teaching rounds on the cultivation of nursing students' ability to apply syndrome differentiation in nursing. Methods A total of 80 nursing students from the cardiovascular department of our hospital during the 2024-2025 period were selected as the research subjects and randomly divided into an experimental group and a control group, with 40 students in each group. The control group adopted the traditional nursing teaching round model, while the experimental group implemented case-based integrated traditional Chinese and Western medicine nursing teaching rounds. Through the selection of typical cases, integration of four diagnostic methods and Western medical indicators, phased ability training, group collaboration, and structured reflection, a 4-week teaching intervention was carried out. Results After the intervention, the accuracy rate of TCM syndrome differentiation (90.0% vs 70.0%), the score of integrated TCM and Western medicine ability (21.5 ± 1.8 vs 15.6 ± 2.4), the score of clinical thinking ability (85.6 ± 5.2 vs 78.3 ± 6.1), and the satisfaction rate of patient care (92.5% vs 80.0%) in the experimental group were all significantly better than those in the control group (all P < 0.05). Conclusion Case-based integrated traditional Chinese and Western medicine nursing teaching rounds can enhance nursing students' ability to apply syndrome differentiation in nursing and have promotion value.
Key words： Case-based; Integrated traditional Chinese and Western medicine nursing teaching rounds; Nursing ability based on syndrome differentiation
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