摘要目的 探讨实验室契约管理联合人文关怀教学模式在护理实践教学中的应用效果.方法 采用简单随机抽样法选择2015年4—7月于南方医科大学就读的2013级护理本科生180名为研究对象,按照实验室分为对照组和试验组,每组90名;对照组采用传统方法进行实验教学,试验组采用实验室契约管理与人文关怀教学相结合模式;对两组护生技能考核成绩、教师反馈情况、教学前后关怀意识与关怀能力进行比较.结果 试验组护生期末实验技能考核成绩(82.44±4.22)分,高于对照组的(76.29±5.82)分,差异有统计学意义(t=8.116,P<0.01).试验组护生在练习效率、操作掌握、难度重点掌握、练习主动性、兴趣持久性、开放练习效果、物品管理以及卫生管理等各个方面均优于对照组,差异有统计学意义(χ2值分别为7.273、11.211、25.392、14.187、7.831、15.843、24.318、6.423;P<0.05).教学后试验组的关怀特征量表评分(67.79±4.55)分高于教学前评分(62.57±4.91)分,差异有统计学意义(t=7.398,P<0.01),但对照组教学前后比较差异无统计学意义(P>0.05).教学前两组护生关怀能力评价量表各项及总分比较差异无统计学意义(P>0.05),但教学后试验组护生关怀能力评价量表中理解、耐心、勇气各项以及总分均高于对照组,且差异有统计学意义(P<0.05).结论 实验室契约管理与人文关怀教学模式联合应用能提高护生实践学习成绩,提高自主学习与自我管理能力,提高护生综合素质.

abstractsObjective To explore the application effects of laboratory contract management combined with humanistic care education in nursing practice teaching.Methods Totally 180 nursing undergraduates who enrolled in Southern Medical University in 2013 were selected from April to July 2015 by using simple random sampling method. The participants were divided into two groups. Patients in the control group (n=90) received conventional practice teaching,while patients in the intervention group (n=90) received laboratory contract management combined with humanistic care teaching mode. The students' skills assessment,teachers' feedback, and students' care awareness and abilities before and after the intervention were compared.Results The intervention group had higher score for skills assessment compared with the control group [(82.44±4.22) vs. (76.29±5.82);t=8.116;P<0.01]. The intervention group also performed better in practice efficiency,skills achievement,overcoming difficulties,active exercise,interest persistence,independent practice effects,goods management,and health management compared with the control group (χ2=7.273,11.211,25.392,14.187, 7.831,15.843,24.318,6.423;P<0.05). After the intervention,the intervention group significantly improved incare characteristic scale [(67.79±4.55) vs. (62.57±4.91);t=7.398;P<0.01],but the control group had limited change (P>0.05). Furthermore,there was no significant difference between two groups before the intervention (P>0.05). But after the intervention,the scores for understanding,patient,courage,and total score became higher in the intervention group than the control group (P<0.05).Conclusions The laboratory contract management combined with humanistic care education can effectively improve students' practice and academic achievements,enthusiasm,self-management abilities,and humanistic qualities.