Nursing Teaching Plan on Manual Sputum Elimination for One Child Patient with Pneumonic Cough and Dyspnea Based on Case-Based Teaching Method

XIAO Hong; CHEN Jing; YAO Xin; HOU Xiuyun; DU Na; CUI Yuhong

doi:10.12209/CAIM202605190010

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Nursing Teaching Plan on Manual Sputum Elimination for One Child Patient with Pneumonic Cough and Dyspnea Based on Case-Based Teaching Method

更新时间：2026-07-23

- Nursing Teaching Plan on Manual Sputum Elimination for One Child Patient with Pneumonic Cough and Dyspnea Based on Case-Based Teaching Method
- Clinical Archives of Integrative Medicine (2026)
- 作者机构：
  
  1.北京市昌平区中西医结合医院儿科，北京， 102208
  2.北京市昌平区百善社区卫生服务中心中医科，北京， 102206
  3.北京市昌平区中西医结合医院护理部，北京， 102208
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202605190010
  CLC：
- Received：19 May 2026，
  
  Revised：2026-06-09，
  
  Accepted：10 June 2026，
  
  Online First：23 July 2026，
- 稿件说明：
移动端阅览
XIAO Hong, CHEN Jing, YAO Xin, et al. Nursing Teaching Plan on Manual Sputum Elimination for One Child Patient with Pneumonic Cough and Dyspnea Based on Case-Based Teaching Method[DB/OL].Clinical Archives of Integrative Medicine, 2026.
DOI：

XIAO Hong, CHEN Jing, YAO Xin, et al. Nursing Teaching Plan on Manual Sputum Elimination for One Child Patient with Pneumonic Cough and Dyspnea Based on Case-Based Teaching Method[DB/OL].Clinical Archives of Integrative Medicine, 2026. DOI： 10.12209/CAIM202605190010.

摘要

本文探讨案例教学法在“手法排痰”中医护理技术教学中的应用效果。以肺炎喘嗽、痰热壅肺证患儿的真实护理案例为教学载体，设置2学时教学课程，依托“案例导入—分析决策—演示练习—总结反思”的标准化教学流程，融合以问题为导向教学、示范教学及小组实操训练等多种教学模式，重点培养学员的中医辨证施护思维与手法排痰实操能力。教学结果显示，学员可准确把握痰热壅肺证辨证要点，规范完成背部拍击、辅助催咳等排痰操作。案例教学法可有效激发学员学习主动性，促进中医理论与中医护理技术的有机融合，切实提升学员的临床思辨与问题处置能力。

Abstract

This paper explores the application effect of case-based teaching method in the teaching of TCM nursing technique of manual sputum elimination. Taking a real nursing case of a child patient with pneumonic cough and dyspnea of phlegm heat obstructing lung syndrome as the teaching carrier， a 2-hour teaching course is designed. Relying on the standardized teaching procedure of "case introduction—analysis and decision-making—demonstration and practice—summary and reflection"， multiple teaching modes including problem-based learning， demonstration teaching and group practical training are integrated to focus on cultivating trainees' thinking of syndrome differentiation-based nursing and practical operation ability of manual sputum elimination. The teaching results show that trainees can accurately grasp the key points of syndrome differentiation for phlegm heat obstructing lung syndrome and standardly complete sputum elimination operations such as back percussion and assisted cough induction. The case-based teaching method can effectively stimulate trainees' learning initiative， promote the organic integration of TCM theories and TCM nursing techniques， and substantially improve trainees' clinical critical thinking and problem-solving ability.

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references

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