老干部病房护士紧急救护技能培训及效果分析  

Analysis of effect and skill training on emergency rescue in nurses from elderly cadre ward

作　　者：张一丹[1] 郑伟伟[1] 汪芳[2] 钱晓明[1] 

机构地区：[1]南京军区南京总医院干部病房一科,江苏南京210002 [2]南京军区南京总医院干部病房二科,江苏南京210002

出　　处：《东南国防医药》2013年第5期455-457,共3页Military Medical Journal of Southeast China

基　　金：南京军区医学科技创新资助课题(11MA097)

摘　　要：目的评价老干部病房护士紧急救护技能综合培训的方法及其效果。方法以老干部病房快速反应7个预警项目为组训模块,比较护士培训前后理论、操作技能和案例法情景模拟综合能力考核成绩变化,分析比较不同特征护士培训后案例情景模拟综合能力考核情况,问卷调查护士对培训效果的评价,比较培训前后医师对护士在临床急危重症救护中医护配合满意率。结果培训后护士理论成绩、技能和案例情景模拟综合能力考核成绩显著提高(P<0.05);不同工作年限和训练次数护士案例情景模拟考核成绩比较差异有统计学意义(P<0.05);问卷调查护士认为通过培训提高了临床思维能力(92.5%);培训后医师对临床抢救处置中医护配合满意率由86.89%提升至96.9%(P<0.05)。结论模块化案例法情景模拟综合训练有助于较快提高老干部病房护士紧急救护技能和综合救治能力。Objective To evaluate the methods and effect of comprehensive training for rescue skills module in nurses from elderly cadre ward. Methods Seven warning programs of rapid response were formulated as a group training mode. The examination a- chievements of knowledge, operating skills, and situation simulated exams before and after training, and results of situation simulated ex- aminations among nurses with different characteristic after training were compared. The evaluations of training effects through question- naire by nurses were carried out. The ratio of satisfaction of doctors towards nurses about coordination in emergence rescue before and after training was compared as well. Results Scores of nursing knowledge, skills and situation simulated exams are improved after training （ P 〈 0.05 ）. The difference of examination achievements among different working lifetime groups and training frequency groups has a statistical significance （P 〈 0.05）. The nurses having questionnaires consider the clinic thinking ability has been improved after training （92.5%）. The ratio of satisfaction of doctors has been improved （ P 〈 0.05 ）. Conclusion The situation simulated training with cases in modularization has improved clinic emergence rescue ability of nurses in elderly cadre ward.

关 键 词：干部病房 紧急救护 情景模拟训练 护理 

分 类 号：R472.2[医药卫生—急诊医学]