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Volume 10,Issue 4

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20 December 2025

Practice and Effects of Case-Oriented Blended Learning in the Teaching of Perioperative Fluid Management for Nurse Anesthetists

Yikang Zhao1 Xin Li1 Meng Cao1 Shengnan Liu*
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1 Department of Anesthesiology, Shaanxi Provincial People’s Hospital, Xi’an 710000, Shaanxi, China
APM 2025 , 10(4), 42–49; https://doi.org/10.18063/APM.v10i4.1024
© 2025 by the Author. Licensee Whioce Publishing, Singapore. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Objective: To investigate the application effect of case-oriented blended teaching in perioperative fluid management education for anesthesia nurses, and to provide practical evidence for improving the core professional competencies of anesthesia nurses. Methods: Eighty anesthesia nurses who rotated through the Department of Anesthesiology of our hospital from January to December, 2023 were selected as the research subjects and randomly divided into a control group (n = 40) and an observation group (n = 40) using a random number table. The control group received traditional lecture-based teaching, while the observation group received case-oriented blended teaching. The theoretical assessment scores, practical examination scores, clinical decision-making ability ratings, and teaching satisfaction were compared between the two groups after the instruction. Results: The theoretical examination scores (89.65 ± 5.32) and practical examination scores (91.23 ± 4.18) in the observation group were significantly higher than those in the control group (78.34 ± 6.75) and (80.56 ± 5.89) respectively, with statistically significant differences (p < 0.05). The scores and total score of all dimensions of clinical decision-making ability in the observation group were higher than those in the control group. Among them, the scores of problem identification (18.76 ± 2.13) points vs. (14.32 ± 2.56), plan formulation (17.89 ± 1.98) vs. (13.15 ± 2.34), implementation evaluation (19.02 ± 2.05) vs. (14.56 ± 2.47), and total score (55.67 ± 5.23) vs. (42.03 ± 6.18) were all statistically significant (p < 0.05). The teaching satisfaction rate of the observation group was 97.50% (39/40), which was significantly higher than that of the control group (77.50%, 31/40), and the difference was statistically significant (p < 0.05). Conclusion: Case-oriented blended teaching can effectively enhance the theoretical knowledge, operational skills, and clinical decision-making ability of anesthesia nurses in perioperative fluid management, as well as improve teaching satisfaction. It is worthy of promotion and application in clinical teaching.

Keywords
Case-oriented teaching
Blended teaching
Anesthesia nurses
Perioperative fluid management
Teaching effectiveness
Funding
Shaanxi Provincial People’s Hospital, Construction and Application of a PACU Infusion Safety Management Scheme Based on the FMEA Model (Project No.: 2023HL-41)
Shaanxi Provincial People's Hospital: Mechanism study of HSP90-regulated DRP1 acetylation leading to endothelial cell mitochondrial dynamics imbalance promoting atherosclerosis progression(Project No.: 2025JC-YBQN-1163)
Mechanism study of atorvastatin exerting direct vascular endothelial protective effects(Project No.: 2023YJY-28)
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