摘要目的 探讨分析基于迷你临床演练评估量表(mini-clinical evaluation exercise,Mini-CEX)的临床教学在普外科的应用效果.方法 选择2016年6月到2018年6月在普外科实习的护生共82名,其中2016年实习的本科生41名为对照组,2017年实习的本科生41名为干预组,对照组护生采用传统实习带教,实验组护生采用基于Mini-CEX构建的临床教学进行带教,比较分析两组护生实习出科考核成绩、Mini-CEX得分、临床护理带教质量评估表得分,采用SPSS 23.0进行卡方检验和t检验.结果 实验组护生出科考核成绩[(96.56±4.23)分]明显高于对照组[(90.42±5.12)分];Mini-CEX总得分,实验组[(5.22±0.45)分]高于对照组[(4.01±1.03)分],实验组护生优秀率高于对照组,差异具有统计学意义(P＜0.05);临床护理带教质量评估表,实验组[(98.34±6.12)分]高于对照组[(92.45±5.16)分].结论 基于Mini-CEX的临床教学能够提高普外科带教质量,提高教师临床带教技能,进而提升护生的临床技能和综合素质.

abstractsObjective To investigate the effect of the clinical teaching model based on the miniclinical evaluation exercise (Mini-CEX) scale in Department of General Surgery,and to provide a reference for improving the quality of clinical teaching in Department of General Surgery.Methods A total of 82 nursing interns in Department of General Surgery from June 2016 to June 2018 were enrolled,among whom 41 undergraduates in 2016 were enrolled as control group and 41 undergraduates in 2017 were enrolled as intervention group.The undergraduates in the control group were taught with the traditional clinical teaching method,and those in the intervention group were taught with the clinical teaching model based on the Mini-CEX scale.The two groups were compared in terms of department examination results,score of the Mini-CEX scale,and quality assessment score of clinical nursing teaching,in order to evaluate the teaching quality in Department of General Surgery.Results Compared with the control group,the intervention group had significantly higher department examination score [(96.56 ± 4.23) vs.(90.42 ± 5.12)] and total score of Mini-CEX scale [(5.22 ± 0.45) vs.(4.01 ± 1.03)].The intervention group had a significantly higher excellent rate than the control group (P＜0.05).The intervention group also had a significantly higher quality assessment score of clinical nursing teaching than the control group [(98.34 ± 6.12) vs.(92.45 ± 5.16)].Conclusion The clinical teaching model based on the Mini-CEX scale can improve the quality of teaching and clinical teaching skills in department of general surgery and thus improve the clinical skills and comprehensive quality of nursing interns.