精准扶贫视阈下对二级医院重症监护室实施帮扶的效果  

Precise aid to ICUs of secondary hospitals under the vision of precise poverty relief

作　　者：孙广晓 蒙莉萍[1] 白芳 王丹心[1] 徐立[1] 符燕妹[1] Sun Guangxiao;Meng Liping;Bai Fang;Wang Danxin;Xu Li;Fu Yanmei(ICU,The First Affiliated Hospital of Hainan Medical College,Haikou 570172,China)

机构地区：[1]海南医学院第一附属医院创伤ICU,海南海口570102

出　　处：《护理学杂志》2020年第4期50-53,共4页Journal of Nursing Science

基　　金：海南省教育厅资助项目(HnKy2017-28)。

摘　　要：目的探讨精准帮扶对基层医院重症监护护士核心能力的效果。方法成立帮扶小组,对海南省3所二级医院重症监护室精准扶贫,根据需求制订及实施帮扶计划,提升基层医院重症监护护士核心能力。结果3所二级医院ICU护士核心能力精准帮扶前后总分均值分别为271.35±22.69、321.65±24.68,差异有统计学意义(均P<0.01),在专业知识及技能、患者安全及权益、职业道德、团队合作、个人及专业发展能力维度上帮扶前后得分比较,差异有统计学意义(均P<0.01)。精准帮扶后二级医院ICU护士理论、技能成绩及达标率显著高于帮扶前(均P<0.01)。结论精准帮扶对基层医院重症监护护士核心能力的提高具有积极的推动作用。Objective To explore the effect of precise aid program to ICUs of secondary hospitals on the core competence of intensive care nurses in primary hospitals.Methods A help group was set up to precisely deliver aids to the intensive care units of three secondary hospitals in Hainan Province.According to needs assessment,a help plan was formulated and implemented to enhance the core competence of intensive care nurses in the 3 primary hospitals.Results The total competence scores of the ICU nurses in the three secondary hospitals averaged 355.73±41.41(before aids)and 355.73±41.41(after aids),respectively,and there was statistical difference in before-after measurements(P<0.01 for all).There were statistical differences in the before-after scores of professional knowledge and skills,patient safety and rights,professional ethics,teamwork and individual and professional development(P<0.01 for all).After aids,nurses also scored significantly higher in theory,and skill exams than before aids,and the rate of nurses reaching target scores improved significantly from before(P<0.01 for all).Conclusion Precise aid to ICUs of secondary hospitals has a positive effect on the improvement of core competence of intensive care nurses in primary hospitals.

关 键 词：精准扶贫 帮扶 重症监护室 护士 核心能力 三级甲等医院 基层医院 专业知识 专业技能 

分 类 号：R47[医药卫生—护理学] C931.3[医药卫生—临床医学]