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北京市健宫医院 普外肿瘤科, 北京, 100054
李瑾, E-mail: 895471800@qq.com
收稿:2025-06-30,
修回:2025-07-20,
录用:2025-07-28,
网络出版:2025-10-15,
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王晓明, 李瑾. 基于PBL模式1例直肠癌Miles护理教学查房[DB/OL].中西医结合临床案例库, 2025.
WANG Xiaoming, LI Jin. Nursing Teaching Rounds Based on PBL Mode for a Rectal Cancer Miles Surgery Patient[DB/OL].Clinical archives of integrative medicine, 2025.
王晓明, 李瑾. 基于PBL模式1例直肠癌Miles护理教学查房[DB/OL].中西医结合临床案例库, 2025. DOI: 10.12209/CAIM202506300004.
WANG Xiaoming, LI Jin. Nursing Teaching Rounds Based on PBL Mode for a Rectal Cancer Miles Surgery Patient[DB/OL].Clinical archives of integrative medicine, 2025. DOI: 10.12209/CAIM202506300004.
本文总结直肠癌Miles手术(腹会阴联合直肠癌根治术)因涉及永久造口、术后并发症多,对护理专业性要求高。传统护理教学以知识灌输为主,学生实践与临床思维能力培养不足。本研究基于问题导向学习(PBL)模式,通过设计真实临床问题,引导护理学生在探究中掌握直肠癌Miles手术护理要点,提升其临床决策与实践能力。
This article summarizes the nursing challenges of Miles surgery (abdominoperineal resection) for rectal cancer, which involves permanent stoma and multiple postoperative complications, demanding high nursing expertise. Traditional nursing education often relies on knowledge indoctrination, lacking emphasis on practical skills and clinical thinking. This study adopts a Problem-Based Learning (PBL) approach, designing authentic clinical scenarios to guide nursing students in mastering key care points for Miles surgery patients. Through inquiry-based learning, students enhance their clinical decision-making and practical competencies.
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