老年ICU多学科联合护理培训教学模式的建立与实践  

Establishment and practice of the teaching mode of multidisciplinary collaboration on nursing training among elderly patients in ICU

作　　者：刘志英[1] 龚竹云[2] 涂国红[3] 高艳红[4] 侯惠如[1] 

机构地区：[1]解放军总医院南楼护理部,北京100853 [2]解放军总医院外科监护室,北京100853 [3]解放军总医院心脏监护室,北京100853 [4]解放军总医院呼吸监护室,北京100853

出　　处：《中华现代护理杂志》2013年第25期3115-3117,共3页Chinese Journal of Modern Nursing

基　　金：全军医学科技＂十二五＂科研项目（11BJZ18）

摘　　要：目的 探讨适合于老年ICU护理人员在职培训的模式,以提高ICU护士对老年多种疾病危重患者综合救治和护理能力.方法 组织老年心脏ICU、呼吸ICU和外科重症ICU护士联合培训教学,每3个月为1个周期,每月由各个ICU轮流负责,分别对培训前后护理人员的急救理论及技能进行满意率评价,并对其培训前后考核成绩进行比较.结果 联合护理培训教学模式建立后,患者及家属对护士理论及技能满意率分别为96.6％,95.2％,高于培训前83.7％,86.3％；医生分别为95.5％,93.7％,高于培训前80.9％,84.6％；护理人员分别为98.7％,97.6％,高于培训前85.7％,87.6％；差异均有统计学意义（x2值分别为8.900,4.395,5.224,4.940,12.890,7.680;P ＜0.05）.护理人员急救理论成绩培训前为（59.2±4.2）的分低于培训后（89.7±3.7）分,急救操作技能培训前为（63.8±4.6）分,低于培训后的（90.3±5.3）分,考核成绩明显提高,差异均有统计学差异（t值分别为-59.12,-41.06；P＜0.01）.结论 老年ICU多学科联合护理培训教学模式的建立,培养了护士多学科综合救治能力,提高了护理工作满意率及危重患者的抢救成功率,实现了人力资源、医疗仪器和信息资源的共享,适合在ICU间开展,值得在临床推广运用.Objective To investigate the on-job training mode suitable for ICU nursing staff for elderly patients,in order to improve the comprehensive treatment and nursing capabihties of ICU nursing staffs in critically ill elder patients with a variety of diseases.Methods Nurses from coronary care unit （CCU）,respiratory intensive care unit （RICU）,and surgery intensive care unit（SICU） were recruited to participated in the training.Every three months were considered as a training cycle,each ICU took responsibility for one-month training program for the participants in turns.Satisfaction rate and examination scores concerning the first aid theory and first aid skills of nurses were evaluate and compared before and after training.Results After receiving the training program,satisfaction rates for the first aid theory and the first aid skills of nurses in patients and their families were 96.6% and 95.2%,and higher than that were 83.7% and 86.3% before the training program; 95.5% and 93.7% among doctors after the training were higher than 80.9% and 84.6% before the training program; 98.7% and 97.6% among nursing staffs after the training were higher than 80.9% and 84.6% before the training program; and these differences were statistically significant between before and after the training （x2 =8.900,4.395,5.224,4.940,12.890,7.680,respectively; P 〈0.05）.The examination score of the first aid theory before the training was （59.2 ± 4.2） and lower than that was （89.7 ± 3.7） after the training,the examination score of the first aid skills of nurses before the training was （63.8 ± 4.6） and lower than that was （90.3 ± 5.3） after the training,these differences were statistically significant between before and after the training （t =-59.12,-41.06,respectively; P 〈 0.01）.Conclusions The establishment of the teaching mode of multidisciplinary collaboration on nursing training among elderly patients in ICU,which can develop the comprehensive treatment and nursing capabilities of ICU nursing staffs

关 键 词：护理教育 老年 ICU 多学科 护理联合培训教学 

分 类 号：R47-4[医药卫生—护理学]