[摘要] 目的 探讨PBL综合教学法与多种教学手段相结合在呼吸重症监护室(RICU)护理临床实习中的实践与探讨应用效果。 方法 纳入2013年9月～2016年3月在新疆医科大学附属中医医院RICU实习的护生87名，采用信封法分为试验组和对照组，对照组43名采取原有的传统带教模式，试验组44名采取PBL教学方法，实习结束后对学生进行理论和操作出科考试、教师对护生进行教评，并通过问卷调查实习生实习前、后对重症监护室的认识、兴趣度、及学习效果作对比。结果 试验组出科考试、护生的教评成绩均高于对照组(P < 0.05)，问卷调查中学生反映实习后对重症监护室的认识、兴趣度、及学习收获等方面均优于实习前。 结论 PBL综合教学法可减轻学生在RICU实习的压力，让学生能够充分接触患者，增加动手机会，丰富实习内容，提高学习积极性，充分提升学生学习兴趣。

    [关键词] PBL教学法；呼吸重症监护室；护理；教学方法；临床实习

    [中图分类号] G642 [文献标识码] A [文章编号] 1673-7210(2017)07(a)-0137-04

    [Abstract] Objective To explore the application effect of PBL teaching method combined with a variety of teaching methods in the clinical internship of Respiratory Intensive Care Unit (RICU) nursing. Methods 87 nursing students were enrolled in the RICU of Traditional Chinese Medicine Hospital Affiliated to Xinjiang Medical University from September 2013 to March 2016. They were divided into experimental group (44 cases) and control group (43 cases) by envelope method. The control group was received the traditional teaching mode ......