目的 探讨基于图尔敏模型的案例教学法(case-based learning，CBL)联合研讨式（seminar）教学法在神经系统内科护理教学中的应用效果。 方法 便利抽样选取某医学院2020级护理本科2个教学班的护理生178人作为研究对象，通过抛硬币法将两个教学班随机分为对照组94人和试验组84人，对照组采用传统教学法，试验组在传统教学方法基础上采用基于图尔敏模型的CBL+Seminar教学法。比较两组学生课堂测验神经系统理论成绩、教学满意度、临床推理能力。 结果 试验组学生的理论成绩90.0(80.0,100.0)分、临床推理能力104.0(101.0,113.0)分、教学满意度各维度均明显高于对照组，差异均具有统计学意义（均P＜0.01）。 结论 基于图尔敏模型的CBL+seminar教学法有助于提升学生的理论成绩，提高教学满意度和临床推理能力，为内科护理教学提供了新的思路和方法。

Objective To investigate the application effect of CBL+Seminar pedagogy based on Tourmin model in nervous system nursing teaching. Methods A total of 178 nursing students from 2 teaching classes of 2020 nursing undergraduates in a medical college were selected by the convenience sampling method.The 2 teaching classes were randomly divided into the control group(n=94)and the experimental group (n=84)by the coin flipping method. The control group adopted traditional pedagogy. The experimental group adopted CBL+Seminar pedagogy based on Toulmin model on the basis of traditional pedagogy.The quiz scores of nervous system,teaching satisfaction and clinical reasoning ability were compared between the two groups. Results The quiz score of 90.0(80.0,100.0),clinical reasoning ability of 104.0(101.0,113.0) and teaching satisfaction of the experimental group were significantly higher than those of the control group,and the differences were statistically significant (all P＜0.01). Conclusions The CBL+Seminar pedagogy based on Tourmin model is helpful to improve students’ theoretical achievements,improve teaching satisfaction and clinical reasoning ability,and provide a new method for internal medicine nursing teaching.

R47

皖南医学院校级质量工程（2022jyxm33）； 安徽省省级质量工程（2021jyxm1612）