CAJ | 학술논문

目的：探讨和评价以问题为导向的教学法（problem-based learning，PBL）对护理专业护生临床学习效果的影响。方法检索2013年11月之前中国知网、万方数据、维普、PubMed、Proquest、Google schoolar等数据库，收集关于PBL教学法对比传统教学法在护理临床教学中应用的随机对照试验，应用Revman5.0进行meta分析。结果最终纳入文献11篇。Meta分析结果显示，与传统教学法相比，PBL教学法可以提高护生综合考试成绩、自学能力、操作能力、评判性思维，但在理论成绩、学习兴趣及协作能力培养方面效果不显著,同时也增加了护生的学习负担。结论 PBL教学法是一种较为科学的带教方法，能促使护生主动、探索性学习，提高临床带教效果。但鉴于研究中纳入文献考核标准各异，文献质量有别，未来有必要制订统一评价标准，并开展设计更为严谨的随机对照试验来验证PBL的效果。
목적：탐토화평개이문제위도향적교학법（problem-based learning，PBL）대호리전업호생림상학습효과적영향。방법검색2013년11월지전중국지망、만방수거、유보、PubMed、Proquest、Google schoolar등수거고，수집관우PBL교학법대비전통교학법재호리림상교학중응용적수궤대조시험，응용Revman5.0진행meta분석。결과최종납입문헌11편。Meta분석결과현시，여전통교학법상비，PBL교학법가이제고호생종합고시성적、자학능력、조작능력、평판성사유，단재이론성적、학습흥취급협작능력배양방면효과불현저,동시야증가료호생적학습부담。결론 PBL교학법시일충교위과학적대교방법，능촉사호생주동、탐색성학습，제고림상대교효과。단감우연구중납입문헌고핵표준각이，문헌질량유별，미래유필요제정통일평개표준，병개전설계경위엄근적수궤대조시험래험증PBL적효과。
Objective To investigate and analyze the effects of problem-based learning used in clinical nursing education. Method The research papers on the effect of problem-based learning used in clinical nursing education were retrieved via CNKI, Wanfang,VIP,PubMed,ProQuest and Google scholar websites and then analyzed by Revman5.0 software.Results Totally 11 RCTs were included.Meta-analysis showed that PBL could significantly promote students’examination scores,self-study ability, critical thinking and clinical skill,but insignificantly improved the effect in improvement of their theory learning,interest and ability in cooperation.Conclusions PBL is a scientific clinical teaching method,which can stimulate students’initiative and exploratory learning and enhance effects of clinical teaching.Meanwhile,we suggest formulating evaluation criteria and implementing rigorous RCT designs in the future.