PBL与CBL相结合的教学方法在甲状腺手术配合教学中的应用

目的：探讨以问题为导向教学法（ Problem－Based Learning， PBL）和案例教学法（ Case－based learning， CBL）相结合的教学方法在甲状腺手术配合教学中的应用效果。方法选择第二军医大学2010、2011级护理本科专业学员作为研究对象，其中实验组40名学员，采用PBL与CBL相结合的教学法进行教学；对照组40名学员，采用传统教学模式进行教学。结果实验组学员的手术配合考核成绩明显优于对照组学员，同时在学习兴趣、分析与解决问题能力、手术配合度及教学满意度四个方面明显优于对照组学员。结论 PBL和CBL联合应用的教学方法在甲状腺手术配合教学中可行性强，可以显著提高临床教学效果和学员操作技能，值得提倡和推广。

Application of PBL and CBL Teaching Methods in Thyroid Surgery Cooperation Teaching

Objective To evaluate the feasibility and efficiency of PBL ( Problem-Based Learning, PBL) and CBL (Case -based learning, CBL) teaching methods in thyroid surgery cooperation teaching.Methods Eighty nursing undergraduates of the Second Military Medical University were randomized to the experimental group and the control group.Forty students in the experimental group were taught with PBL and CBL teaching methods, and the remaining forty students in the control group were taught with the traditional teaching method.Results Significant improvements of thyroid surgery cooperation examination were observed in the students in the experimen-tal group.Moreover, learning interest, problem-solving skills, surgery cooperation and teaching satisfaction were improved significantly in the experimental group.Conclusion PBL and CBL teaching methods matched well in thyroid surgery cooperation teaching.The combination teaching method could improve the teaching efficiency and operating skills.In this regard, it could be popularized in surgery cooperation teaching.