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目的:探讨情景模拟教学结合翻转课堂对消化内科护理实习生带教的效果。方法:将2019年在上海交通大学医学院附属仁济医院消化内科实习的本科护生40人作为对照组,2020年在本院消化内科实习的本科护生40人作为研究组。对照组采用传统临床带教,研究组采用情景模拟结合翻转课堂教学。3个月临床带教结束后进行理论和护理操作技能考核,采用问卷调查评估临床护理带教教学效果和教学质量满意度。采用SPSS 22.0统计分析软件进行n t检验和卡方检验。n 结果:研究组理论和护理操作技能考核成绩均高于对照组,差异有统计学意义(n P<0.001)。研究组在提高护理操作技能水平、提高自主学习能力、提高护患沟通能力、提高应变能力、提高整体分析能力、增强人文关怀意识、培养团队精神、培养临床思维能力方面均优于对照组,差异有统计学意义(n P<0.001)。研究组实习护生对情景模拟结合翻转课堂教学模式的满意率为100.00%(40/40),对照组实习护生对传统临床带教模式的满意率为70.00%(28/40),差异有统计学意义(n P<0.001)。n 结论:情景模拟教学结合翻转课堂能提高消化内科实习护生理论和护理操作技能水平,提高实习护生的临床护理教学效果和满意度,值得应用推广。“,”Objective:To explore the effect of scenario simulation teaching combined with flipped classroom teaching for nursing interns in the department of gastroenterology.Methods:A total of 40 undergraduate nurses of 2019 from the Department of Gastroenterology of Renji Hospital, Shanghai Jiao Tong University School of Medicine were selected as the control group, and 40 undergraduate nurses of 2020 were selected as the research group. The control group adopted the traditional clinical teaching mode, and the research group adopted the scenario simulation combined with flipped classroom teaching mode. After 3 months of clinical teaching, theoretical and nursing operational assessment were performed on the nurses, and questionnaire survey was used to evaluate the teaching effect of clinical nursing teaching and the satisfaction of teaching quality. SPSS 20.0 was used for n t test and chi-square test.n Results:The theoretical and nursing operation skills assessment scores of the research group were higher than those of the control group, and the difference was statistically significant (n P<0.001). The research group was significantly better than the control group in improving nursing operation skills, improving autonomous learning ability, improving nurse-patient communication ability, improving response ability, improving overall analysis ability, enhancing humanistic care awareness, cultivating team spirit, and cultivating clinical thinking ability(n P<0.001). The satisfaction rate of the practice nurses in the study group with the scenario simulation combined with the flipped classroom teaching was 100.00%, and that in the control group with the traditional clinical teaching mode was 70.00%, with statistical significance (n P<0.001).n Conclusion:Scenario simulation teaching combined with flipped classroom can improve the theoretical foundation and operational skills of practical nurses in the department of gastroenterology, and improve the clinical nursing teaching effect and satisfaction of practical nurses, which is worthy of application and promotion.