基础医学与临床 ›› 2025, Vol. 45 ›› Issue (9): 1258-1260.doi: 10.16352/j.issn.1001-6325.2025.09.1258

• 医学教育 • 上一篇    

师承病案教学应用于护理学专业中医方剂教学中的效果评价

石玥, 杨丹*, 吴群励, 景光婵, 刘奕, 孙青, 史晓虎   

  1. 中国医学科学院 北京协和医学院 北京协和医院 中医科,北京 100730
  • 收稿日期:2025-05-23 修回日期:2025-07-09 发布日期:2025-08-27
  • 通讯作者: *jsj000jsj@163.com
  • 基金资助:
    北京协和医学院校级本科教育教学改革项目(2023zlgl015)

Evaluation of apprenticeship case-based teaching in traditional Chinese medicine formulas instruction for nursing

SHI Yue, YANG Dan*, WU Qunli, JING Guangchan, LIU Yi, SUN Qing, SHI Xiaohu   

  1. Department of Traditional Chinese Medicine, Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730, China
  • Received:2025-05-23 Revised:2025-07-09 Published:2025-08-27
  • Contact: *jsj000jsj@163.com

摘要: 目的 探讨“师承病案教学”在护理专业中医(TCM)方剂教学中的应用效果。方法 以北京协和医学院2023级护理本科生135人为对象,采用类实验设计,随机分为实验组(采用师承病案教学法)与对照组(采用常规教学法),通过课堂讲授与闭卷测验评估教学成效。测验内容涵盖8个代表性方剂的适应证与辨证要点。结果 实验组在多数试题中正确率高于对照组,其中麻黄汤、小柴胡汤、大承气汤、六味地黄丸及八正散相关题目差异显著(P<0.05)。结论 研究结论表明,师承病案教学法可有效提升学生对中医方剂辨证要点的掌握与临床思维能力,具有较高的教学实用价值,值得在中医药课程中进一步推广。

关键词: 师承, 病案教学, 中医(TCM)教学, 中医(TCM)方剂学, 护理

Abstract: Objective To explore the effectiveness of the “apprenticeship case-based teaching” method in the instruction of traditional Chinese medicine (TCM) formulas for nursing students. Methods A quasi-experimental study was conducted with 135 undergraduate nursing students from the 2023 cohort at Peking Union Medical College. Participants were randomly assigned to an experimental group (receiving apprenticeship case-based teaching) or a control group (receiving conventional teaching). Teaching effectiveness was evaluated through classroom instruction followed by a routine test. The test covered the indications and key diagnostic points of eight representative TCM formulas. Results The experimental group overruns the control group on most test items. Statistically significant differences (P<0.05) were observed in questions related to Ma Huang Tang, Xiao Chai Hu Tang, Da Cheng Qi Tang, Liu Wei Di Huang Wan, and Ba Zheng San. Conclusions The apprenticeship case-based teaching method significantly enhances students'learning gain about key diagnostic principles in TCM formulas and improves capacity building of clinical reasoning. This method should be shared by schools of nursing in the teaching reformation of TCM curriculum.

Key words: apprenticeship, case-based teaching, traditional Chinese medicine (TCM) teaching, science of TCM of formulas, nursing

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