【摘要】 目的 构建家庭访视虚拟仿真实验教学系统，并验证其在护理本科教学中的应用效果。方法 基于能力导向教育理念，由护理教学研究团队主导，联合技术开发团队，基于前期调研结果，构建符合教学需求的多元化案例库，开发“访视前—访视中—访视后”三阶段闭环训练系统。采用虚实结合教学模式，对63名护理本科生实施教学，通过系统自动采集数据、问卷调查及对10名学生的访谈评价效果。结果 绝大部分学生对家庭访视虚拟仿真教学系统的教学策略、能力提升与知识迁移给予了积极评价，且全部学生认为其优于传统教学。质性访谈显示，系统有效强化了沟通技巧并缓解了实践紧张情绪，同时提出使用设备眩晕的问题及界面优化等需求。结论 该系统通过动态场景与智能交互设计，取得了较好的教学效果与满意度，实现了从知识传递到能力培养的教学模式转变。更多还原

【Abstract】 Objective To develop a virtual simulation experimental teaching system for home visits and evaluate its effectiveness in undergraduate nursing education. Methods Guided by the competency-oriented educational philosophy,a multidisciplinary team comprising nursing educators and software engineers built a three-stage closedloop training system(pre-visit,during-visit,post-visit) grounded on real community cases. Sixty-three junior nursing undergraduates completed the programme under a “virtual-plus-real” pedagogy. Learning outcomes were assessed via automatically recorded system data,a self-developed teaching-effect questionnaire,and semi-structured interviews with10 students. Results The majority of students provided positive evaluations of the teaching strategies,skill enhancement,and knowledge transfer achieved through the virtual simulation teaching system for home visits. All students considered it superior to traditional teaching methods. Qualitative interviews revealed that the system effectively strengthened communication skills and alleviated practice anxiety,while also highlighting issues such as virtual reality(VR) device-induced dizziness and the need for interface optimization. Conclusion Through dynamic scenarios and intelligent interactive design,this system achieved favorable teaching outcomes and user acceptance,and realized a pedagogical shift from knowledge transmission to competency development.更多还原