自我指导手册结合一对一培训对神经外科患者照顾者的知识与实践影响的研究  

Study on the effect of self-guidance manual combined with one-to-one training on the knowledge and practice of caregivers of neurosurgery patients

作　　者：张莉[1] Zhang Li(Department of Neurosurgery,the First Hospital of China Medical University,Shenyang 110001,China)

机构地区：[1]中国医科大学附属第一医院神经外科,沈阳110001

出　　处：《中国实用护理杂志》2020年第5期327-330,共4页Chinese Journal of Practical Nursing

摘　　要：目的评估自我指导手册结合一对一培训对神经外科患者照顾者的知识与实践的影响。方法选取中国医科大学附属第一医院神经外科二病区住院的患者及其照顾者90对,按照随机数字表法分成研究组与对照组各45对。研究组采取自我指导手册结合一对一培训方式对患者的照顾者进行培训,对照组采取自我指导手册方式对患者照顾者进行培训。记录2组的人口统计学,根据照顾护理人员实践测试记录2组在培训前和培训后的完成6个项目的次数,并进行比较。结果研究组照顾者在干预3个月后正确的翻身叩背、正确的皮肤护理、正确的功能锻炼、正确的气管切开护理、正确的卫生洗手率分别为94.6%(35/37)、94.6%(35/37)、86.5%(32/37)、67.6%(25/37)、59.5%(22/37),对照组分别为27.3%(9/33)、21.2%(7/33)、24.2%(8/33)、39.4%(13/33)、27.3%(9/33),2组比较差异有统计学意义(χ^2值为5.58~39.14,均P<0.05)。结论通过指导手册结合一对一培训的方式能够显著提高神经外科患者照顾者的知识与技能。Objective To assess the impact of self-guidance manual combined with one-to-one training on the knowledge and practice of caregivers of patients in neurosurgery.Methods Ninety pairs of inpatients and their caregivers in the second Neurosurgery Ward of the First Hospital of China Medical University were randomly selected and divided into two groups,the control group and the research group.The research group trained caregivers with self-guidance manual combined with one-to-one training,while the control group trained caregivers with self-guidance manual.The demographic data of the two groups were recorded.According to the practice test of nursing staff,the number of completed 6 items before and after the training was recorded and compared between the two groups.Results The study group's caregiver correctly turned over the buckle after 3 months of intervention,correct skin care,correct functional exercise,correct tracheotomy care,and the number of people who correctly sanitized their hands were 35(94.6%,35/37),35(94.6%,35/37),32(86.5%,32/37),25(67.6%,25/37),22(59.5%,22/37).The control caregiver correctly turned over the buckle back after 3 months of intervention,correct skin care,correct functional exercise,correct tracheotomy care,and the number of correct hygiene hands washing was 9(27.3%,9/33),7(21.2%,7/33),8(24.2%,8/33),13(39.4%,13/33),9(27.3%,9/33).There was a statistically significant difference between the two(χ^2 value was 5.58-39.14,P<0.05).Conclusion Guidance manual combined with one-to-one training can significantly improve the knowledge and skills of caregivers of neurosurgery patients.

关 键 词：卧床 陪护 神经外科 培训 

分 类 号：R473[医药卫生—护理学]