不同教学方法对护生鼻胃管置入影响的探讨  

The Influence of Different Teaching Method on Nursing Students with Nasogastric Indwelling Catheter

作　　者：富爽[1] 

机构地区：[1]西安外事学院医学院,陕西西安710077

出　　处：《中国医学创新》2014年第27期85-88,共4页Medical Innovation of China

基　　金：陕西省科技厅基金资助(2013JM4062)

摘　　要：目的:探讨不同教学方法对护理学生鼻胃管置入的影响,以提高教学质量,服务于患者。方法:随机抽样某学院护理专业学生506名,按随机数字表法分为两组,分别运用不同教学方法置入鼻胃管,对照组250例采用常规传统护理教学方法。试验组256例采用设计适合测量量表,先问卷调查评估,选取理想可示教护生示范教学,在教学中注重要点、难点的讲解,强调手法及学生感知的体验;再强化运用模拟练习方法教学方法,对置入有困难的护理学生再进行有针对性的教学干预。对护理学生及被操作者的自我认知、自我感受、置管成功率等进行分析。结果:试验组护生置管成功率为96.9%,对照组为45.2%,差异有统计学意义(P<0.01)。治疗后,两组的自我认知、自我感受及恐惧评分比较差异均有统计学意义(P<0.05)。结论:采用的设计适合测量量表问卷调查,正确掌握护生状态焦虑及置管前、中、后进行知、信、行认知干预,尤其对鼻胃管置入中度以上有恐惧因素的护生示范教学干预方法,可显著提高护生成功置管概率,改善恐惧状态,高质量完成教学目标。Objective：To explore different teaching method on nursing students of nasogastric indwelling catheter, in order to improve the teaching quality,serve the patients.Method：506 college nursing students were selected by random sampling,they were randomly divided into two groups,nasogastric tube was placed with different teaching methods. The control group（n=250）used conventional nursing traditional teaching methods. The experimental group（n=256） was design suitable for measuring scale,questionnaire assessed,ideal teach nurse students were select,demonstration teaching,pay attention to the key points and difficulties in the teaching of interpretation,the emphasis on methods and students’ perception of experience. Used simulating practice teaching methods,strengthened the placement have difficulty of targeted teaching intervention for nursing students. Self-awareness,self feeling and success rate of catheter,etc of nursing students and the operator were analyzed.Result：The indwelling catheter success rate of the experimental group was 96.9%,the control group was 45.2%,the difference was statistically significant（P〈0.01）. After treatment,self-awareness,self feelings and fears score of two groups comparison difference had statistical significance（P〈0.05）. Conclusion：Correct grasp state anxiety of nursing students and catheter before,during and last in the relevant line, letter,cognitive intervention,especially for nasogastric indwelling catheter above moderate state anxiety factors of nursing students demonstration teaching intervention methods,can significantly increase the probability of success,nurses quality achieve the teaching goal.

关 键 词：鼻胃管置入法 护理学生 恐惧因素 

分 类 号：R47-4[医药卫生—护理学] G642[医药卫生—临床医学]