基于理-虚-实一体化的骨科术后疼痛管理教学模式与实证研究

摘要/Abstract

摘要： 目的探究基于理-虚-实一体化的骨科术后疼痛管理教学模式的应用效果。方法选取2023年9月—2024年8月在烟台业达医院实习的骨科护士116名,按照随机数表法分为研究组和对照组,每组58名,对照组进行骨科术后疼痛管理的传统教学,研究组在此基础上进行理-虚-实一体化教学,比较两组护士疼痛知识和态度评估问卷（NKAS）评分、核心能力、压力评分、自我效能感评分及教学满意度。结果培训前,两组护士的NKAS评分比较,差异无统计学意义（P>0.05）;培训后,两组的NKAS评分均高于对照组,且研究组高于对照组,差异有统计学意义（P<0.05）。培训前,两组的疼痛管理能力、临床技能、疼痛应急能力、医患沟通能力、信息收集能力评分比较,差异无统计学意义（P>0.05）;培训后,两组的疼痛管理能力、临床技能、疼痛应急能力、医患沟通能力、信息收集能力评分均高于培训前,且研究组高于对照组,差异有统计学意义（P<0.05）。研究组的压力评分低于对照组,研究组的自我效能感评分高于对照组,差异有统计学意义（P<0.05）。研究组的教学总满意度（96.55%）高于对照组（86.21%）,差异有统计学意义（P<0.05）。结论基于理-虚-实一体化的骨科术后疼痛管理教学模式可有效帮助实习护士掌握疼痛管理相关知识、提高实习护士的核心能力、自我效能感、缓解实习护士压力、增加教学满意度、提高教学质量。

关键词: 骨科, 疼痛管理, 理-虚-实一体化, 教学模式

Abstract: Objective To explore the application effect of the teaching mode of pain management after orthopedic surgery based on the integration of rational-virtual-real. Methods A total of 116 orthopedic nurses who practiced in Yantai Yeda Hospital from September 2023 to August 2024 were selected and divided into the study group and the control group according to the random number table method, with 58 in each group. The control group received the traditional teaching of orthopedic postoperative pain management, and the study group received the integrated teaching of rational-virtual and real-real on this basis. The scores of nurses'knowledge and attitude survey regarding pain (NKAS), core competence, stress, self-efficacy and teaching satisfaction were compared between the two groups. Results Before training, there was no difference in NKAS scores between the two groups (P>0.05). After training, the NKAS scores of the two groups were higher than control group, and the study group was higher than control group, the difference was statistically significant (P<0.05). Before training, the scores of pain management ability, clinical skills, pain emergency response ability, doctor-patient communication ability and information collection ability were compared between the two groups, and there was no statistical significance (P>0.05). After training, the scores of pain management ability, clinical skills, pain emergency response ability, doctor-patient communication ability and information collection ability of both groups were higher than before training, and the study group was higher than control group, the difference was statistically significant (P<0.05). The stress score of the study group was lower than control group, and the self-efficacy score of the study group was higher than control group, the difference was statistically significant (P<0.05). The total teaching satisfaction of the study group (96.55%) was higher than control group (86.21%), and the difference was statistically significant (P<0.05). Conclusion The teaching mode of pain management after orthopedic surgery based on the integration of rational-virtual-reality can effectively help practice nurses master pain management knowledge, improve their core competence, self-efficacy, relieve their pressure, increase teaching satisfaction and improve teaching quality.

Key words: orthopedics, pain management, rational-virtual-real integration, teaching mode

中图分类号:

R471

孙秋实, 许萌, 李童艳, 孙琳. 基于理-虚-实一体化的骨科术后疼痛管理教学模式与实证研究[J]. 中华养生保健, 2025, 43(12): 96-100.

SUN Qiu-shi, XU Meng, LI Tong-yan, SUN Lin. Teaching Model and Empirical Study of Pain Management After Orthopedic Surgery Based on Rational-Virtual-Real Integration[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(12): 96-100.

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