信息化的巡回教学模式在连续性肾脏替代治疗进修护士教学中的应用效果研究  

The application of information-based circuit teaching model for refresher nurses in continuous renal replacement therapy

作　　者：代明金[1,2] 王芳 陈志文[1,2] 林丽 唐雪[1,2] 张凌 DAI Mingjin;WANG Fang;CHEN Zhiwen;LIN Li;TANG Xue;ZHANG Ling(Department of Nephrology,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;West China School of Nursing,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院肾脏内科,成都610041 [2]四川大学华西护理学院,成都610041

出　　处：《华西医学》2020年第6期701-704,共4页West China Medical Journal

基　　金：四川大学华西护理学科发展专项基金项目(HXHL19066)。

摘　　要：目的探讨基于信息化的巡回教学模式在连续性肾脏替代治疗(continuous renal replacement therapy,CRRT)进修护士教学中的应用效果。方法选取四川大学华西医院2016年1月-2019年12月CRRT进修护士作为研究对象。将2016年1月-2017年12月CRRT进修护士作为对照组,采取常规教学方式;2018年1月-2019年12月CRRT进修护士作为试验组,采用信息化结合巡回教学模式进行教学培训。进修6个月后,比较两组的理论成绩、操作成绩、带教满意度及不良事件发生情况。结果共纳入CRRT进修护士112人。其中,对照组52人,试验组60人。试验组理论成绩(t=-2.421,P=0.017)、操作成绩(t=-2.305,P=0.023)、带教满意度[包括教学效果(t=-4.067,P<0.001)、操作技能(t=-5.013,P<0.001)、教学模式(t=-5.589,P<0.001)、教学内容(t=-2.586,P<0.001)]得分均高于对照组。护理不良事件发生情况,对照组(4例)和试验组(1例)比较,差异无统计学意义(校正χ^2=1.169,P=0.280)。结论信息化的巡回教学模式在CRRT进修护士带教中取得了良好的效果,有利于提高CRRT进修护士的岗位胜任能力。Objective To explore the application effect of information-based circuit teaching mode for training refresher nurses in continuous renal replacement therapy(CRRT).Methods CRRT refresher nurses studied in West China Hospital of Sichuan University from January 2016 to December 2019 were selected.The CRRT refresher nurses who were selected as the control group(studied from January 2016 to December 2017)accepted the conventional teaching method.The CRRT refresher nurses who were selected as the test group(studied from January 2018 to December 2019)accept the information-based combined with circuit teaching mode for teaching and training.After 6 months of training,the theoretical performance,operation performance,teaching satisfaction and the incidence of adverse events were compared between the two groups.Results A total of 112 CRRT refresher nurses were enrolled.Among them,there were 52 nurses in the control group and 60 in the test group.The scores of theory achievement(t=−2.421,P=0.017),operation achievement(t=−2.305,P=0.023)and teaching satisfaction[including teaching effect(t=−4.067,P<0.001),operation skill(t=−5.013,P<0.001),teaching mode(t=−5.589,P<0.001)and teaching content(t=−2.586,P<0.001)]of refresher nurses in the test group were higher than those in the control group.There was no significant difference between the control group(4 cases)and the test group(1 case)in the occurrence of adverse nursing events(adjustedχ^2=1.169,P=0.280).Conclusion The information-based circuit teaching mode has achieved good results in the teaching of CRRT refresher nurses,which is conducive to improving the post competency of CRRT refresher nurses.

关 键 词：连续性肾脏替代治疗 信息化 巡回教学 进修护士 岗位胜任能力 

分 类 号：R47-4[医药卫生—护理学] C975[医药卫生—临床医学]