Abstract
This article reviewed the nursing management for a patient with shoulder-hand syndrome, and summarized the nursing ward round teaching practice based on the combination of Case-based Learning (CBL), Problem-based Learning (PBL) and Team-based Learning (TBL) teaching models. The patient was diagnosed with stroke and shoulder-hand syndrome of stirring wind due to yin deficiency. The patient presented with left-side limb dysfunction, difficulty in lifting upper limbs, left shoulder joint pain, hand swelling and pain, unsteady walking, weakened sensation, and limited mobility. According to the patient's condition, treatment plan and individualized nursing problems, integrated traditional Chinese and Western medicine nursing interventions for pain, sleeping quality, physical and emotional disorders were carried out. Through the transformation from the traditional teaching mode (LBL) to the triple teaching model (CBL+PBL+TBL), this study integrated the ideological and political education into the whole process of nursing ward round teaching, and aimed to improve the quality of clinical nursing teaching and the quality of specialized nursing services. (本文回顾1例肩手综合征患者的护理措施, 总结基于三联教学模——基于案例学习(CBL)、基于问题学习(PBL)、基于团队学习(TBL)的护理教学查房实践。患者诊断为中风合并肩手综合征, 证属阴虚风动, 左侧肢体活动不利, 上肢抬举费力, 左肩关节疼痛, 手肿胀疼痛, 下肢行走不稳, 感觉减弱, 肢体活动受限。根据患者病情、治疗及个性化问题, 从疼痛、睡眠、躯体障碍及情志方面开展个性化中西医结合护理。干预后患者血压控制良好, 失眠症状好转, 睡眠质量提升, 左上肢可轻微抬举, 手指可轻微屈伸, 左肩关节疼痛、手肿胀疼痛均缓解。本文从传统授课模式(LBL)向三联教学模式(CBL + PBL + TBL)的转变融合, 以思政教育贯穿于整个教学之中, 对提升临床护理教学质量与专科护理服务水平具有积极意义。)