Objective:To study the application effect of objective structured clinical examination (OSCE)-based situational simulation case teaching on Nursing Fundamentals practical training. Methods:Using convenient sampling method, two undergraduate nursing classes of Batch 2018 in Hubei University of Chinese Medicine were chosen as the study objects. They were divided into observation group with 45 students and control group with 43 students through ball touching method. The control group used traditional teaching method, on this basis, the observation group used OSCE-based situational simulation case teaching. At the end of the semester, the results of theoretical assessment, operational skills assessment, humanistic care, health education achievements of the two groups of nursing students and students’ evaluation of the new teaching method in the observation group. SPSS 22.0 was used for t test. Results:The sores of theoretical assessment, operational skills and humanistic care assessment in the observation group were (81.01±8.53), (92.69±3.87) and (11.73±1.59), and the corresponding sores in control group were (76.94±9.74), (91.21±2.70) and (10.79±1.36). The nursing students in the observation group had significantly higher scores than the control group in above mentioned aspects ( P<0.05). In the observation group, 45 students (100.0%) believed that this teaching method could stimulate learning interest and comprehensively deal with clinical problems, 43 students (95.6%) thought that this teaching method could improve team cooperation ability, only one person (2.2%) did not agree that this teaching method could help to form critical thinking, and 42 students (93.3%) said that the teaching hours of this teaching method could be appropriately increased. Conclusion:The OSCE-based situational simulation case teaching may effectively improve the teaching quality of the nursing students and mobilize their learning activities.

目的 回顾国内外护生批判性思维评价的特点及应用局限,为开发我国护生批判性思维的培养及评价方案提供参考.方法 回顾并分析国内外相关研究,从批判性思维的内涵和外延,我国护生批判性思维教育存在的问题,国外护生批判性思维评价的特点及其对我国护理教育的启示几个方面进行阐述.结果 国外批判性思维评价致力探索适合护生特有的评价工具,注重对反思性素材及时评价和反馈,但评价工具缺乏系统性;国内护生批判性思维评价工具存在一定的信度、效度偏差,培养重点关注做出正确的临床决策,忽视批判性思维对护生自我完善和自我成长的作用.结论 护理教育及实践者应该深入了解批判性思维的内涵和外延,选择合适的理论框架,思考探索适合中国护生的批判性思维评价工具,使得评价方式多样化、专业化、本土化.

教师的思想政治素质和道德情操直接影响着学生的世界观、人生观、价值观的养成,学校的师德师风建设对于全面提高教育质量具有重大而深远的意义.湖北中医药大学护理学院将师德师风建设作为提高人才培养质量的重要抓手,针对目前师德师风建设中存在的普遍性问题,在思想政治工作质量提升工程中注重培育全体教师的四大院花精神:塑强如"丁香"般勤劳奉献的品质,弘扬如"七叶一枝花"般团结奋斗的作风,发扬如"红景天"般坚韧顽强的精神,点亮如"百合"般圣洁高雅的形象,积极构建融合中医药文化的"四位一体"师德师风长效机制,全面提升了教师队伍的整体素质.

目的 研究微信教学平台在基础护理学课程辅助教学中的应用效果.方法 采用方便抽样法抽取湖北中医药大学2016级护理学专业2个本科班作为研究对象,随机分为观察组和对照组,各49人.对照组采用传统教学法,观察组在传统教学法的基础上采用微信教学平台辅助教学.学期末比较2组理论和操作技能考核成绩、护生对教学效果的评价及对教学方法的总满意度.结果 观察组理论及操作技能考核成绩均明显高于对照组,2组比较差异有统计学意义(P＜0.01);观察组在激发护生学习兴趣、提高自学能力、促进师生交流、延伸课堂教学和拓展学生视野等5个方面的肯定率均明显高于对照组,2组比较差异有统计学意义(P＜0.05或P＜0.01);观察组总满意度为89.8％,对照组为73.5％,2组比较差异有统计学意义(P＜0.05).结论 微信教学平台有助于提高基础护理学课程的教学质量及护生满意度.

弘扬传统文化,培养具有中医特色的护理人才是中医药高等护理院校的使命.移动网络的快速发展催生了碎片化学习的应用,促进形成新的教学模式.该研究基于当前我院在培养具有中医特色护理人才时的部分反思,综合考虑了当代护理学生的自身特点、学习需求等问题,提出了融合中医传统文化的微教学平台模型,并对其构建设计做了详细论述.

Objective To explore the effect of the modular teaching for nursing students based on WeChat in the comprehensive training before the practice.Methods The undergraduate students of nursing were randomly divided into 5 classes,among which class 1,2,3 as the control group,and class 4,5 as the experimental group.The control group used the traditional ‘Case Teaching Method',taking the group as a unit to practice the clinical nursing skills individually;while the experimental group took the method which integrated individual nursing skills and practical materials with humanistic qualities in clinical cases.They conducted practical training by dividing the learning module with the ‘representative patients',using WeChat as the learning and exchange platform andbuilding modular training model.After the training,the results were evaluated by the score sheet for integrated skills,a critical-thinking scale and the learning model questionnaire.The data was analyzed by T-Test and Chi-Square inspection.Results All of the nursing students were willing to use WeChat for autonomous learning.The scores of the nursing students in the experimental group were higher than those in control group in the abilities of judgement,communication,operation and introspection.The difference was statistically significant (P＜0.05).In addition to the cognitive maturity,the scores of experimental group were higher than those in control group in the searching for truth,opening mind,abilities of analysis and integration and self-confidence in critical thinking and desire for knowledge,The difference was statistically significant (P＜0.05);Also the proportion of experimental group was higher than the control group in students' attitude to study,knowledge acquisition and practical training mode.The difference was statistically significant (P＜0.05).Conclusion The implementation of nodular teaching mode based on WeChat is beneficial to improve the clinical comprehensive ability of nursing students,and help to train the high quality nursing talents who meet the needs of clinical practice.

以将人文关怀理念融入护理教育为目的,体现人文关怀与护理操作技能并存的重要性,探索在护理综合实训教学中融入人文关怀的方法,运用具有人文关怀特质的护理实践教学素材,更新教学理念,改进教学方法,编制人文化护理操作学习模块,建立新的考评体系,构建人文环境下的护理综合实训模式,以帮助护生领悟和提高人文关怀能力.

体感交互技术是一项新型人机智能交互技术,它以躯体动作、声音等自然语言来操纵多媒体设备;体感交互技术的研究多集中在感应精度与深度方面,在语言、数学、科学、物理等特殊教育领域也有一些探索和实验.简述了体感交互技术的发展史以及其在教育领域的应用情况;通过分析体感交互技术真实感强、沉浸度高的优点及护理实训教学的实际困境,指出体感交互技术在护理实训教学的中有较大的应用前景,但仍需要在虚拟实训平台构建、课程体系设置等方面进行更深远的研究.

采用中医文化背景下院-校一体化的人文关怀教育模式,使护生人文关怀能力的培养不仅仅依赖人文课程的教学,更要将以中医文化为特点的人文关怀融入到护理专业课的教学活动中,同时在临床实习过程中也要重现人文关怀教育.将护理人文关怀建设成一本立体的教科书,使学生在校期间得到全程、系统、全面的人文关怀能力的培养,促进学生科学知识与人文素养的共同提高.

目的 观察替比夫定联合强肝健脾方治疗肝郁脾虚型慢性乙型肝炎的临床疗效.方法 将186例患者随机分为两组.治疗组96例给予强肝健脾方联合替比夫定治疗,对照组90例单纯用替比夫定治疗.治疗第4周、12周、24周、48周后分别观察两组患者谷丙转氨酶(ALT)复常率、HBV-DNA转阴率、HBeAg转阴率.结果 治疗组治疗第4周ALT复常率优于对照组(P＜0.05),但在治疗第12周、24周、48周,两组ALT复常率比较差异均无统计学意义(P＞0.05);两组在治疗第4周、12周的HBV-DNA阴转率和第12周、24周、48周HBeAg转阴率比较,差异均有统计学意义(P＜0.05).结论 替比夫定联合强肝健脾方能明显改善肝功能,并有一定抗乙型肝炎病毒的作用,疗效肯定.

目的：通过《基础护理学》教学方法改革后对教师及学生的访谈，以了解教学改革成效，为制定出适合学科发展和培养高素质学生的教学方法提供依据。方法：采用质性研究方法中的现象学研究方法，深入访谈我院讲授《基础护理学》的4个教师、2008级2个四年制班本科学生和2009级4个四年制班本科学生（共388人）。结果：提炼出3个主题：①教学方法改革得到教师和学生的一致认可；②教学方法改革后学生各方面的能力和素质得到提高（学生分析问题的能力得到提高；提高了学生的动手能力和沟通能力；促进了学生职业心理素质的自我养成）；③教学方法的改革取得良好的效果（促进了校级重点学科的建设；学生取得良好的考核成绩）。结论：面对当前传统的教学方法存在的弊端，教学方法改革势在必行。这不仅能促进教学质量的提高，而且能全面提高学生的素质。

目的 应用奥马哈系统对社区颈椎病患者的健康状况进行调查评估,为颈椎病患者进行社区康复治疗提供依据.方法 选取社区颈椎病患者51例进行家庭访视,应用奥马哈系统评估调查患者的健康状况.结果 社区颈椎病患者的健康问题在奥马哈系统的4个领域都有所分布,颈椎病患者最主要的健康问题在于生理领域(39％)和健康相关行为领域(32.1％).其中最常见的健康问题依次是身体活动(90.2％)、疼痛(88.2％)、心理健康(58.8％).结论 奥马哈系统可全面评估社区颈椎病患者的健康状况,为社区医护人员及时发现患者健康问题提供指引,为颈椎病患者进行社区康复治疗提供依据.

目的 观察蕲艾提取液对肝纤维化大鼠肝组织中TGF-β1、CyclinD1和Bcl-2 mRNA和蛋白表达的影响,探讨其对肝纤维化作用及相关机制.方法 Wister大鼠72只被随机分为正常对照组、肝纤维化模型组、小、中、大剂量蕲艾提取液处理组和丹参对照组,采用猪血清腹腔内注射法构建肝纤维化大鼠模型;采用荧光定量PCR和Western blot检测大鼠肝脏组织TGF-β1、CyclinD1和Bcl-2 mRNA和蛋白表达水平.结果 各蕲艾提取液处理组与肝纤维化模型组相比,肝组织中TGF-β1、CyclinD1和Bcl-2 mRNA和蛋白水平均明显降低,差异有统计学意义(P＜0.05或P＜0.01).结论 蕲艾提取液可显著抑制肝组织中TGF-β1、Cyclin D1 mRNA及其蛋白表达,抑制细胞增殖与活化;同时下调抗凋亡基因Bcl-2的表达,促进肝星状细胞的凋亡,降低细胞外基质合成,从而达到抗纤维化的作用.

随着社会的发展,医学的进步及医学模式的转变,人们对防病治病的认识逐步深化,医疗保健从个体向群体转变,更多人需求防治疾病的措施和方法,而社区卫生服务正是适应这种需要而产生的.在社区卫生服务中,中医护理的整体观念、情志调护、饮食调护、独特的治疗方法、传统与现代相结合的护理技术等在预防保健护理、康复护理等过程中具有独特优势.

中医起居护理是中医护理学的重要组成部分,是中医整体观念和辨证施护方法在护理中的具体应用.我国历代医家十分重视生活起居护理,认为生活起居与健康有密切关系,只有做到顺应四时调阴阳、适应环境避外邪、起居有常宜动静,才能有效促进人们的健康发展,达到防病治病、颐养天年的目的.

在《护理美学》教学中引入微格教学法,与传统教学法相比,微格教学法能细化教学环节,有助于提高教师的教学水平和学生的学习兴趣及能力,提高教学质量.同时有利于塑造护士美好形象和培养“双师型”护理人员.学生对护理美学使用微格教学法的总体评价较高.

Objective To know about humane care ability and find the way to improve humane care quality among undergraduate nursing students. Methods Through self-control general information questionnaire and Nkongho Caring Ability Inventory( CAI),we understood550 student humane care ability from freshman to junior year. Results The CAI aggregate score was significantly lower than the international norm( P 0. 01). Conclusion Humane care ability is at a low level among undergraduate nursing students. Through humane care education to undergraduate nursing students,we found these methods improved their nursing professional skills and humanistic quality,established the nursing humane care conceptTo care for values,to care for the pilot.

整体观及辨证观是中医哲学思想的两个重要特点,这种哲学思想与现代整体护理理念不谋而合.“夯实基础护理,提供优质服务”推动了整体护理模式在我国的应用及发展,而中医哲学思想将为整体护理模式更好的应用及推广提供哲学基础.

目的 观察蕲艾提取液对肝纤维化大鼠肝组织中Smad3、Smad7 mRNA和蛋白表达的影响,探讨其对肝纤维化作用及相关机制.方法 Wister大鼠72只被随机分为正常对照组、肝纤维化模型组、小、中、大剂量蕲艾提取液处理组和丹参对照组,采用猪血清腹腔内注射法构建肝纤维化大鼠模型；病理切片HE染色评价各组大鼠肝组织纤维化程度；采用荧光定量PCR和Western blot检测大鼠肝脏组织Smad3、Smad7 mRNA和蛋白表达水平.结果 各蕲艾提取液处理组与肝纤维化模型组相比,组织病理学上肝纤维化程度显著减轻；肝组织中Smad3 mRNA和蛋白水平均明显降低,Smad7 mRNA和蛋白水平均明显升高,差异有统计学意义.结论 蕲艾提取液可以降低肝纤维化大鼠肝组织Smad3的表达,上调Smad7的表达,从而发挥抗肝纤维化作用.