培训者培训模式在护士静脉治疗培训中的应用  

The effect of Training of Trainers on the intravenous therapy management

作　　者：刘传红[1] 屈清荣[1] 孙巧枝[2] 

机构地区：[1]郑州大学第一附属医院护理部,郑州市450052 [2]郑州大学第一附属医院肿瘤科,郑州市450052

出　　处：《中国护理管理》2015年第9期1114-1117,共4页Chinese Nursing Management

基　　金：2010年度国家临床重点专科建设项目(卫办医政函﹝2011﹞872号)

摘　　要：目的 :探讨培训者培训(TOT)模式对静脉治疗质量的影响。方法 :在静脉治疗管理中采用TOT培训模式,对培训前后护士静脉治疗相关理论知识和技能考核合格率及静脉治疗综合管理水平进行评价。结果 :经过培训后静疗教练理论合格率由70.3%提升到92.9%,技能合格率由90.8%提升到98.9%;全院首次静脉穿刺成功率由95.9%提升到97.9%,头皮钢针使用率由57.3%下降到49.2%,外周静脉留置针使用率由36.0%提升到42.5%,PICC使用率由4.1%提升到5.2%,静脉治疗并发症发生率由12.2%下降至6.3%,以上指标在培训前后差异均有统计学意义(P<0.05)。结论 :TOT培训模式为医院培养了一批优秀的静疗教练,进而带动了全院整体静脉治疗水平的提高。Objective： To explore the effect of Training of Trainers（TOT） to the quality of intravenous therapy. Methods： We used TOT training model in the intravenous therapy management. The evaluation indexes were the related theoretical knowledge and skills examination pass rates and comprehensive management ability before and after TOT training. Results： Theoretical examination pass rate of intravenous trainer after training increased from 70.3% to 92.9%. The skill examination pass rate increased from 90.8% to 98.9%. The first time success rate of venous puncture was improved from 95.9% to 97.9%. The scalp steel utilization rate fell from 57.3% to 49.2%. The Peripheral venous short catheter utilization rate increased from 36.0% to 42.5%. The PICC utilization rate increase from 4.1% to 5.2%. The venous complications dropped from 12.2% to 6.3% after the training. All the above index differences were statistically significant（P〈0.05）. Conclusions： TOT training model could cultivate excellent intravenous therapy trainers for the hospital and improve the intravenous therapy level of the whole hospital.

关 键 词：培训者培训 在职培训 静疗教练 输注 静脉内 管理 

分 类 号：R47[医药卫生—护理学]