护士标准化病人在自缢与噎食急救护理技能培训中的应用  

Appfication of nurse as standardized patients in hanging and choking rescue care training

作　　者：夏志春[1] 梁云海[1] 罗添云[2] 林建葵[3] 蔡红涛[4] 杨勇[5] 曾钢[3] 

机构地区：[1]广州市脑科医院临床质控中心,510370 [2]广州市脑科医院中医精神科,510370 [3]广州市脑科医院护理部,510370 [4]广州市脑科医院精神障碍科,510370 [5]广州市脑科医院成人精神科,510370

出　　处：《中华现代护理杂志》2015年第7期781-785,共5页Chinese Journal of Modern Nursing

基　　金：广州市卫生局医药卫生科技项目

摘　　要：目的：探讨护士标准化病人（ NSP）在低年资护士自缢、噎食急救护理技能培训中的应用方法及效果。方法参考华西医院筛选NSP的标准筛选出4名NSP,以60名广州市脑科医院护龄在3年内的护士为研究对象,采用随机对照的研究方法分为研究组30名与对照组30名。研究组使用NSP进行培训,对照组使用常规方法进行培训,用教育环境评估量表（ DREEM）、理论和技能考核成绩及满意度评价两组培训效果。结果两组护士干预后急救理论考试成绩均较干预前提高,差异有统计学意义（P〈0.05）,且研究组成绩高于对照组,但差异无统计学意义（P〉0.05）。研究组护士DREEM量表总分、对学习、对教师和对学术的自我认知评分均高于对照组,差异有统计学意义（ t 值分别为7.086,9.443,10.462,8.620；P〈0.05）。研究组噎食急救护理技能考核成绩高于对照组,差异有统计学意义（t=2.759,P〈0.05）,但自缢急救护理技能成绩比较差异无统计学意义（P〉0.05）。两组护士对急救技能培训应用NSP的满意度比较差异无统计学意义（P〉0.05）。结论在急救护理技能培训中应用NSP可以改善教育环境,提高护士的噎食急救护理技能水平,但在提高理论考核成绩、自缢急救护理技能方面与常规培训方法相比无明显优势。Objective To explore the methods and effectiveness of using nurses as standardized patient （ NSP） in junior nurses′hanging and choking rescue care training. Methods This study selected four nurses as NSPs, based on Huaxi Hospital′s NSP screening criteria. A total of 60 nurses whose psychiatric nursing age were beyond three years were randomly divided into experimental group and control group, with 30 members each. The nurses in the experimental group were treated with NSP method, while the control group was trained in the regular way. After that, the effects of training were evaluated by Dundee Ready Education Environment Measure （ DREEM ） . The theory and clinical skills examination and training satisfaction were surveyed. Results The theory test scores of the two groups after training were significantly higher than those before training （P〈0. 05）, and the scores of the experimental group was higher than that of the control group, but there was no significant difference （P〉0. 05）. The total score of DREEM, and the perception of learning, course organizers and academic self-perception score of DREEM of the experimental group were significantly higher than those of the control group （t=7. 086, 9. 443, 10. 462, 8. 620, respectively;P〈0. 05）. The score of choking rescue skills of the experimental group was significantly higher than that of the control group （ t=2. 759,P〈0. 05）. But the score of hanging rescue skills of the experimental group was not significantly higher than that of the control group （P〉0. 05）. There was no significant difference in the satisfaction between the two groups （P〉0. 05）. Conclusions The application of NSP in hanging and choking rescue care training can improve the teaching environment, increase nurses′choking rescue care skills, but no difference is found in the theory examination and hanging rescue care skills between the two groups.

关 键 词：教育 护理 急救 护士标准化病人 自缢 噎食 

分 类 号：R473.74[医药卫生—护理学]