目的：探究基于“分析、目标、实践、评价和进步”的 5A 教学模式配合动态性反馈在达芬奇机器人手术护理带教中 的应用效果。方法：选取具有 3 年以上工作经验且需要进一步进行针对性培训的手术室护士 98 例，采用简单随机抽样法随 机分配至常规组与 5A 组，每组各 49 例，常规组实施传统规培教学，5A 组实施 5A 教学模式联合动态性反馈教学。比较两 组考评成绩、批判性思维、自我学习能力、医护沟通能力和岗位胜任力。结果：教学后，两组考评成绩、批判性思维能力测 量表评分、自我导向学习倾向量表评分、医护康多学科团队信息传递与沟通评价量表评分和手术室专科护士胜任力问卷评分 均较教学前显著提高（P<0.05），且 5A 组高于常规组（P<0.05）。结论：基于“分析、目标、实践、评价和进步”的 5A 教 学模式联合动态性反馈用于达芬奇机器人手术护理带教，可提升学员专业水平与综合能力，教学效果良好，值得推广应用。

Objective: To explore the efficacy of the“Analysis, Aim, Accomplishment, Assessment, and Advancement”(5A) teaching model combined with dynamic feedback in the clinical training of nurses for Da Vinci robotic surgery. Methods: 98 operating room nurses with over 3 years of clinical experience requiring targeted training were selected. They were randomly divided into the conventional group (n=49) and the 5A group (n=49), the conventional group received traditional standardized training, while the 5Agroup received 5A teaching model combined with dynamic feedback. Assessment outcomes, critical thinking, self-directed learning ability, healthcare communication skills, and job competency were compared between the two groups. Results: After training the two groups of nurses were all gained significant improvements in assessment scores, critical thinking disposition inventory scores, self-directed learning readiness scale scores, interdisciplinary team communication assessment scale scores, and operating room specialist nurse competency questionnaire scores compared with those before training (P<0.05). Notably, the 5A group showed superior outcomes compared to the conventional group (P<0.05). Conclusion: The 5A teaching model combined with dynamic feedback can effectively enhance professional knowledge and comprehensive competencies of nurses in Da Vinci robotic surgical nursing education, which has a satisfactory educational outcomes and can be clinically promoted.

基金项目：陕西省重点研发计划项目（S2020-YF-YBSF-0773） 

Foundation Item: Key R&D Plan Project of Shaanxi Province (S2020-YF-YBSF-0773) 

引用格式：范瑞，边梅，汪静容，等 .5A 教学模式联合动态性反馈在达芬奇机器人护士带教中的应用分析 [J]. 机器人外科学杂志（中英文）， 2025，6（3）：481-486. 

Citation: FAN R, BIAN M, WANG J R, et al. Application of 5A teaching model combine with dynamic feedback in the training of nurses for  Da Vinci robotic surgery [J]. Chinese Journal of Robotic Surgery, 2025, 6(3): 481-486. 

通讯作者（Corresponding Author）：师文（SHI Wen），Email：shiwen0429@163.com

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