基于深度教学理念在眼战伤早期急救护理教学中的应用研究

目的 探讨深度教学理念引导下的眼战伤早期急救护理教学应用效果。方法 64名参加眼战伤早期急救护理培训的眼科护士被分为两组，对照组26人，观察组38人。对照组理论部分采用清单式自主学习，操作技能采用传统示教法；观察组基于深度教学的理念，从促进理解、启发反思、沉浸式体验3个维度进行教学设计并实施理论和实践教学。对比分析两组护士一般资料和实施前、后理论成绩，操作成绩及护士核心能力得分情况。采用SPSS 22.0进行t检验和卡方检验。结果 两组护士在年龄、眼科工作年限、学历、职称等一般资料上差异无统计学意义。实施前两组护士理论成绩、操作成绩和护士核心能力得分比较差异均无统计学意义；实施后观察组护士理论成绩（90.13±5.87） vs. （81.73±4.68），P<0.001]，两项操作成绩（95.63±2.81） vs. （87.31±4.51），P<0.001]；（96.24±2.74） vs. （89.08±4.50），P<0.001]均优于对照组；观察组护士核心能力量表的评判性思维得分（34.00±1.93） vs. （30.58±3.01），P<0.001]和临床护理能力得分（32.13±1.65） vs. （28.35±2.28），P<0.001]优于对照组。结论 基于深度教学理念的教学模式有助于提升眼科护士关于眼战伤早期急救的相关知识、急救技能、临床反思及护理能力，利于提高军队临床护士的思想觉悟和练兵备战意识。

Application of the deep teaching concept in early emergency nursing teaching for eye battle injuries

Objective To investigate the application effect of early emergency nursing teaching for eye battle injuries guided by the deep teaching concept.Methods A total of 64 ophthalmic nurses who participated in early emergency nursing training for eye battle injuries were divided into control group with 26 nurses and observation group with 38 nurses. For the control group, list-based self-directed learning was used for theoretical teaching, and the traditional demonstration teaching method was used for the teaching of operational skills; for the observation group, the deep teaching concept was used for teaching design from the aspects of promoting understanding, inspiring reflection, and providing immersive experience, and it is also used to implement theoretical and practical teaching. The two groups were compared in terms of general information, theoretical scores, operational skill scores, and core competency scores before and after implementation. SPSS 22.0 was used for the t-test and the chi-square test.Results There were no significant differences between the two groups in the general information including age, years of working in ophthalmology, education background, and professional title. Before implementation, there were no significant differences between the two groups in theoretical score, operational skill score, and core competency score, and compared with the control group after implementation, the observation group had significantly better theoretical score (90.13±5.87) vs. (81.73±4.68), P<0.001] and scores of two operational skills (95.63±2.81) vs. (87.31±4.51), P<0.001; (96.24±2.74) vs. (89.08±4.50), P <0.001]. Compared with the control group in terms of Competency Inventory for Registered Nurse, the observation group had significantly better scores of critical thinking (34.00±1.93) vs. (30.58±3.01), P<0.001] and clinical nursing ability (32.13±1.65) vs. (28.35±2.28), P<0.001].Conclusions The teaching method based on the deep teaching concept helps to enhance the knowledge, emergency skills, clinical reflection, and nursing abilities of ophthalmic nurses in the early emergency treatment of eye battle injuries and can improve the ideological awareness and training readiness of military clinical nurses.