情景模拟法在预防锐器伤教学中的应用效果  

Effect of applying scenario simulation in the teaching of sharps injury prevention

作　　者：刘佳[1] 严彬[1] 钱文静[1] 吴贝妮[1] 黄晓虹[1] 姚丽花[1] Liu Jia;Yan Bin;Qian Wenjing;Wu Beini;Huang Xiaohong;Yao Lihua(Operating Room, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China)

机构地区：[1]上海交通大学医学院附属瑞金医院手术室,上海200025

出　　处：《中华现代护理杂志》2019年第28期3682-3686,共5页Chinese Journal of Modern Nursing

基　　金：2018年度上海交大医学院护理科研重点项目(Jyhz1811).

摘　　要：目的分析情景模拟法在预防锐器伤教学中的应用效果,评价其相较传统教学法的优势。方法采用方便抽样法,将2018年7月—2018年12月在上海交大医学院附属瑞金医院手术室实习的120名护生作为研究对象,按实习批次分为观察组(67名)和对照组(53名)。对照组由带教老师采用理论授课形式统一在教室内进行锐器伤防范与职业防护教学;观察组由带教老师采用情景模拟训练教学模式进行锐器伤教学;实习时间共4周。实习结束后,比较两组护生锐器伤防护态度正向率、锐器伤防护知识知晓率、锐器伤防护行为得分、操作考试得分和理论考试得分。结果两组护生的锐器伤防护态度正向率均为100%。观察组的常用锐器伤防护措施、发生锐器伤后处置方法知晓率高于对照组,差异有统计学意义(P<0.05)。观察组的污物处理、专科操作、伤后处置维度得分高于对照组,锐器伤自我防护行为总得分高于对照组,差异均有统计学意义(P<0.05)。观察组的操作考试成绩高于对照组,但理论考试成绩低于对照组,差异均有统计学意义(P<0.05)。结论采用情景模拟法进行锐器伤预防教学可以提高实习护生的锐器伤防护知识水平,增强自我防护行为和伤后处置能力,同时能够提高实习护生的专科操作技能。Objective To explore the effects of scenario simulation in the teaching of preventing sharp injuries and to evaluate its advantage compared with the traditional teaching method. Methods Using convenient sampling method, 120 nursing students who practiced in the Operating Room of Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from July 2018 to December 2018 were selected and divided into the observation group (n=67) and control group (n=53) according to their batches of practice. In the control group, sharps injury prevention and occupational protection were taught in the classroom by the instructor in the form of theoretical teaching;in the observation group, sharps injury was taught by the instructor in the mode of scenario simulation training;the internship lasted for 4 weeks. After the internship, the positive rate of attitude towards sharps injury protection, the awareness rate of knowledge about sharps injury protection, the score of sharps injury protection behavior, the score of operation examination and the score of theoretical examination were compared between the two groups. Results The positive rate of protective attitude towards sharps injury was 100% in both groups. The awareness rate of the common protective measures and disposal methods of sharps injury in the observation group was higher than that in the control group, and the difference was statistically significant (P<0.05). The scoring of dirt treatment, specialist operation and post-injury disposal dimensions in the observation group were higher than that in the control group, and the total score of sharps injury self-protection behavior was higher than that in the control group, the difference was statistically significant (P<0.05). The results of operation examination in the observation group were higher than those in the control group, but the results of theoretical examination in the observation group were lower than those in the control group, with statistical significance (P<0.05). Conclusions Applying sce

关 键 词：手术室 学生 护理 情景模拟 实习护生 锐器伤 针刺伤 护理教学 

分 类 号：R47-4[医药卫生—护理学] G642[医药卫生—临床医学]