真实案例的OSCE教学法在老年患者跌倒护理临床教学中的应用

doi:10.3760/cma.j.cn441417-20250817-22034

国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (22): 3870-3872.DOI: 10.3760/cma.j.cn441417-20250817-22034

• 临床带教 • 上一篇

真实案例的OSCE教学法在老年患者跌倒护理临床教学中的应用

王红霞¹ 关海玲¹ 吴玉玲² 刘向力³ 何建茹⁴

¹广州中医药大学第五临床医学院广东省第二中医院老年心脑病科，广州 510095；²广州中医药大学第五临床医学院广东省第二中医院护理部，广州 510095；³广州中医药大学第五临床医学院广东省第二中医院肺病科，广州 510095；⁴广州中医药大学第五临床医学院广东省第二中医院心血管科，广州 510095

收稿日期:2025-08-17 出版日期:2025-11-01 发布日期:2025-11-21
通讯作者: 胡杏娟， Email：mayhxj@163.com
基金资助:
广州中医药大学高等教育教学改革项目；广东省教育厅广东省本科高校教学质量与教学改革工程建设项目（566）

Application of OSCE teaching with real clinical cases in the clinical nursing education of fall-related adverse events in eldly patients

Wang Hongxia¹, Guan Hailing¹, Wu Yuling², Liu Xiangli³, He Jianru⁴

¹Department of Geriatric Cardiopulmonary Diseases, Guangdong Provincial Hospital of Traditional Chinese Medicine, Fifth Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510095, China; ²Department of Nursing, Guangdong Provincial Hospital of Traditional Chinese Medicine, Fifth Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510095, China; ³Department of Pulmonary Diseases, Guangdong Provincial Hospital of Traditional Chinese Medicine, Fifth Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510095, China; ⁴Department of Cardiovascular Diseases, Guangdong Provincial Hospital of Traditional Chinese Medicine, Fifth Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510095, China

Received:2025-08-17 Online:2025-11-01 Published:2025-11-21
Contact: Hu Xingjian, Email:mayhxj@163.com
Supported by:
Higher Education Teaching Reform Project of Guangzhou University of Chinese Medicine; Project of Quality and Teaching Reform Engineering for Undergraduate Colleges and Universities in Guangdong Province (566) of the Department of Education of Guangdong Province

摘要/Abstract

摘要： 目的　探讨基于临床真实案例的客观结构化临床考核（objective structured clinical examination，OSCE）教学法在老年患者跌倒护理临床教学的应用效果。方法　采用前瞻性实验性研究设计，运用整群随机抽样法选取2024年7月至2025年5月广东省第二中医院实习的60名护生作为研究对象，按随机数字表法分为对照组和试验组，每组30例。其中，对照组女25例，男5例，年龄（20.87±0.49）岁，其中大专26例，本科4例；试验组女25例，男5例，年龄（21.13±0.35）岁，其中大专23例，本科7例。对照组采用传统教学方法，试验组在传统教学方法的基础上实施真实跌倒案例的OSCE式教学。比较两组理论考核、操作技能考核成绩及教学满意度。采用t检验和χ²检验进行统计分析。结果　试验组理论、操作技能考核成绩及教学满意度总分高于对照组［（94.63±2.08）分比（86.7±3.15）分、（91.47±2.8）分比（79.9±3.1）分、（22.23±1.14）分比（16.83±1.53）分］，差异均有统计学意义（t=11.511、15.164、15.505，均P<0.001）。结论　OSCE结合真实案例的教学法可有效提升护生在老年患者跌倒护理中的理论知识、操作技能考核成绩及教学满意度。

关键词: 临床真实案例, 客观结构化临床考核, 教学法, 老年跌倒, 护理临床教学

Abstract:

Objective　To explore the application effect of the objective structured clinical examination (OSCE) teaching method based on real clinical cases in the clinical teaching of fall care for elderly patients. Methods　A prospective experimental research design was adopted. A total of 60 nursing students who were on internship at the Second Hospital of Traditional Chinese Medicine of Guangdong Province from July 2024 to May 2025 were selected as research subjects through cluster random sampling. They were divided into a control group and an experimental group by the random number table method, with 30 cases in each group. The control group comprised 25 females and 5 males, aged 20.87±0.49 years, including 26 with associate degrees and 4 with bachelor's degrees; the experimental group consisted of 25 females and 5 males, aged 21.13±0.35 years, including 23 with associate degrees and 7 with bachelor's degrees. The control group received traditional teaching methods, while the experimental group underwent OSCE-style teaching based on real fall cases in addition to traditional instruction. Theoretical assessment scores, practical skill evaluation results, and teaching satisfaction were compared between the two groups. Data analysis was performed using t-tests and chi-square tests. Results　The total scores of theoretical and operational skills assessment and teaching satisfaction in the experimental group were higher than those in the control group [(94.63±2.08) points vs. (86.7±3.15) points, (91.47±2.8) points vs. (79.9 ±3.1) points, and (22.23±1.14) points vs. (16.83±1.53) points], and the differences were statistically significant (t=11.511, 15.164, and 15.505; all P<0.001). Conclusion　Integrating OSCE teaching with real clinical cases significantly improves nursing students,learning outcomes and satisfaction in the education of fall-related adverse events.

Key words: Real clinical cases, Objective Structured Clinical Examination, instructional method, Geriatric falls, Nursing clinical education

王红霞关海玲吴玉玲刘向力何建茹. 真实案例的OSCE教学法在老年患者跌倒护理临床教学中的应用[J]. 国际医药卫生导报, 2025, 31(22): 3870-3872.

Wang Hongxia, Guan Hailing, Wu Yuling, Liu Xiangli, He Jianru. Application of OSCE teaching with real clinical cases in the clinical nursing education of fall-related adverse events in eldly patients[J]. International Medicine and Health Guidance News, 2025, 31(22): 3870-3872.

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真实案例的OSCE教学法在老年患者跌倒护理临床教学中的应用

Application of OSCE teaching with real clinical cases in the clinical nursing education of fall-related adverse events in eldly patients

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