目的 了解护理研究生对大语言模型的应用和看法，为规范使用大语言模型提供指导。方法 采用描述性质性研究方法，通过目的抽样结合滚雪球抽样法于2025年2-3月选取医院或学校工作或学习并具有大语言模型应用经历的的护理研究生进行一对一半结构式访谈，使用内容分析法对访谈资料进行分析、归纳并提炼主题。结果 共提炼出4个主题：大语言模型应用场景(科研应用、临床实践应用、工作生活应用)；外部影响因素(制度支持、价格因素、技术教育与培训)；大语言模型应用问题(技术障碍、结果准确性不足)；大语言模型应用顾虑(隐私安全风险、学术诚信思考、对创新能力影响)。结论 大语言模型帮助护理研究生获取多元知识，但过度依赖会不利于其创新能力的培养，阻碍未来职业价值的实现。

Objective To explore nursing postgraduates’ application and perception of large language models (LLMs),so as to provide guidance for standardized LLM usage.Methods With descriptive qualitative methodology,purposive and snowball sampling were employed to select nursing postgraduates working/studying in hospitals or universities during February-March 2025.Semi-structured interviews were conducted and analyzed through content analysis to identify themes.Results 4 themes emerged:LLM application scenarios (research,clinical practice,daily work/life);external influencing factors (institutional support,cost considerations,technical education/training);application challenges (technical barriers,output accuracy limitations);usage concerns (privacy/security risks,academic integrity issues,innovation capability impacts).Conclusions While LLMs facilitate multidisciplinary knowledge acquisition,over-reliance may hinder students’ innovation capacity and compromise the realization of professional value in the future.

R47

天津市医学重点学科（专科）建设项目（TJYXZDXK-011A）；天津医科大学医院管理创新研究项目（2023YG12）