医联体内非糖尿病专科护士胰岛素注射优化培训的实践与评价  

Application and evaluation of optimized insulin injection training program for non-diabetic nurse specialists in a medical alliance

作　　者：陈敏华[1] 蓝雪芬 陈琴芬[1] 毛细花 刘良红[2] 施赵维 季晓珍[2] CHEN Minhua;LAN Xuefen;CHEN Qinfen;MAO Xihua;LIU Lianghong;SHI Zhaowei;JI Xiaozhen(Nursing Department,Lishui City People's Hospital,Lishui,Zhejiang province,323000,China)

机构地区：[1]丽水市人民医院护理部,浙江省丽水市323000 [2]丽水市人民医院内分泌科,浙江省丽水市323000 [3]丽水学院护理系

出　　处：《中国护理管理》2021年第11期1666-1670,共5页Chinese Nursing Management

基　　金：丽水市公益性技术应用研究自筹项目(2019SJZC10);浙江省医药卫生科技计划项目适宜技术培育推广计划(2020ZH079)。

摘　　要：目的:构建医联体内非糖尿病专科护士胰岛素注射优化培训方案,并评价其实施效果。方法:采用Miller金字塔模型设计培训方案,以柯氏评估模型评价培训效果,采用便利抽样法于2020年4月选取医联体内426位非糖尿病专科护士为培训对象,对其开展胰岛素注射优化培训,培训前后对培训效果进行动态评价和追踪。结果:医联体内非糖尿病专科护士对培训的满意度较高,培训前后胰岛素注射知信行问卷得分、操作得分、学员自评及护士长评价问卷得分、轮换法关键点错误发生率的差异具有统计学意义(P<0.05)。结论:医联体内非糖尿病专科护士胰岛素注射优化培训能有效提高其胰岛素注射水平,值得临床应用和推广。Objective:To construct an optimized insulin injection training program for non-diabetic nurse specialists in a medical alliance,and to evaluate training effects.Methods:We used Miller Pyramid Model to design the training program.We also used Kirkpatrick Model to evaluate the training effects.Totally 426 non-diabetic nurse specialists in the medical alliance were selected as the training subjects.Training effects were evaluated and tracked before and after the training.Results:The training satisfaction of non-diabetic nurse specialists in the medical alliance was high.There were significant differences in the scores of knowledge,attitude and practice,injection skills,self-evaluation,head nurses'evaluation,and the number of wrong key rotation points of insulin injection before and after the training(P<0.05).Conclusion:The training of non-diabetic nurse specialists in the medical alliance can effectively optimize their insulin injection skill level.

关 键 词：医联体 非糖尿病专科护士 胰岛素注射 培训 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]