Study on the Application of Situational Teaching Method with PBL in Clinical Teaching of Ectopic Pregnancy

摘要

Objective: Situational teaching method with PBL is applied in the clinical teaching of patients with ectopic pregnancy. Its clinical curative effect is discussed and analyzed. Methods: A total of 100 nursing students in our hospital were randomly assigned to two groups: the observation group and the control group. There were 50 cases in each group. The interns in the control group used the conventional teaching methods. The observation group used the situational teaching method with PBL. The improvement effect and satisfaction of the control group and the observation group were analyzed. Results: Compared with the control group, the clinical knowledge and operation ability of the interns in observation group were all higher, and the teaching effect of the two groups was significant (P<0.05). Compared with the control group, the observation group had higher satisfaction with clinical nursing teaching, teacher and patients, and the difference between groups was greater (P<0.05). Conclusion: The situational teaching method with PBL has obvious application effect in the teaching of clinical ectopic pregnancy. It has more significant clinical effect than the conventional teaching method. It has wide application value in clinical practice and is worthy of promotion. As a common acute abdomen in obstetrics and gynecology, ectopic pregnancy is characterized by high prevalence, acute onset, and high risk. Therefore, timely and correct diagnosis and treatment of ectopic pregnancy is the essential skill that obstetricians must master. They can also be diagnosed or excluded when other specialists in surgery, internal medicine, etc. perform differential diagnosis of abdominal pain. As a key subject in the syllabus of obstetrics and gynaecology, ectopic pregnancy requires students to master and cope, However, because most of the ectopic pregnancy patients in clinical practice are emergency care and involve "privacy", it is difficult for teachers to provide students with real cases in the probation, and it is impossible to integrate theoretical content of the classroom into clinical practice. The ectopic pregnancy care work of obstetrics and gynecology is more complicated, coupled with the boring and cumbersome nursing knowledge, which brings great difficulties to the clinical teaching work. Therefore, nursing students have obvious obstacles in learning related knowledge and cannot successfully and efficiently achieve learning goals. At the same time, the pathophysiological changes of ectopic pregnancy cause most medical operations to involve genital organs in female patients. As medical workers, they need to provide satisfactory medical services, but as the teachers in teaching hospitals, they should also meet students' requirements and complete teaching practice according to the syllabus, to ensure the quality of teaching. There are contradictions between these two requirements. There are many defects and inconveniences in the implementation, especially the lack of a series of steps, such as students' participation in the learning process and interaction with the patients. However, it is a new trend to successfully conduct teaching work, ensure the cultivation of qualified medical students, and develop new teaching methods. PBL takes the problem as a basic method of teaching, to make students get into the actual state of learning problems, motivate students' learning motivation and interest, and actively cultivates students to find problems and problem solving skills, teamwork capabilities. It has become a new type of teaching method widely used in the world. A discussion group composed of several students and a guide teacher is mainly used. Students think, ratiocinate and analyze around the questions, so that teachers guide students to complete the teaching goals, targeted to improve nursing students' ability to innovate and self-learning ability. With the deepening reform of higher education teaching research, PBL teaching method can not