52所医院参研护士识别老年皮肤损伤知识现况及培训效果  

Current situation and training effect on identifying skin injuries of the elderly by nurses in 52 hospitals

作　　者：蒋琪霞[1] 王祖晶 康宙清 王学红 张燕双 潘迎春[6] 高艳红 彭青[8] 陈锐[9] 王光扬 赵会莲 孙颖[12] 王敏 刘相云 朱冬梅 JIANG Qi-xia;WANG ZU-jing;KANG Zhou-qing;WANG Xue-hong;ZHANG Yan-shuang;PAN Ying-chun;GAO Yan-hong;PENG Qing;CHEN Rui;WANG Guang-yang;ZHAO Hui-lian;SUN Ying;WANG Min;LIU Xiang-yun;ZHU Dong-mei(Department of Burns and Plastic Surgery,General Hospital of Eastern Theater Command,PLA,Nanjing 210002,Jiangsu,China;Department of Gastrointestinal Surgery,Suzhou Municipal Hospital,Suzhou 215000,Jiangsu,China;Health Management Center,Jin Qiu Hospital of Liaoning Province,Liaoning 110016,Shenyang,China;Nursing Department,Suqian First People's Hospital of Nanjing Drum Tower Hospital Group,Suqian 223800,Jiangsu,China;Nursing Department of Changshu No.2 People's Hospital,Changshu215500,Jiangsu,China;Nursing Department,Anqing First People's Hospital,Anqing 246003,Anhui,China;Nusing Department of Inner Mongolia Xing'an Meng People's Hospital,Ulanhot 137400,Nei Mongol,China;Wound Care Center of Outpatient Department,General Hospital of Eastern Theater Command,PLA,Nanjing 210002,Jiangsu,China;Hospital Management Office,Jiujiang No.1 People's Hospital,Jiujiang 332001,Jiangxi,China;Wound and Ostomy Care Center,The First People's Hospital of Honghe State,Honghe 661199,Henan,China;Department of Surgery,The Fifth People's Hospital of Qujing,Qujing 655000,Yunnan,China;Wound Stoma Clinic,The First People's Hospital of Huai'an,Huaian 223300,Jiangsu,China;General Surgery,Xi'an Trade Union Hospital,Xi'an 710000,Shaanxi,China;Wound Diagnosis and Treatment Center of Gaomi Municipal Hospital,Gaomi 265100,Shandong,China;Nursing Department,General Hospital of Eastern Theater Command,PLA,Nanjing 210002,Jiangsu,China)

机构地区：[1]东部战区总医院(原南京军区南京总医院)烧伤整形科,南京210002 [2]苏州市立医院胃肠外科,苏州215000 [3]辽宁省金秋医院伤口造口门诊,沈阳110016 [4]南京鼓楼医院集团宿迁医院护理部,宿迁223800 [5]常熟第二人民医院护理部,常熟215500 [6]安庆市第一人民医院护理部,安庆246003 [7]兴安盟人民医院护理部,兴安盟137400 [8]东部战区总医院(原南京军区南京总医院)门诊部伤口护理中心,南京210002 [9]九江市第一人民医院医院管理办公室,九江332000 [10]红河州第一人民医院伤口造口治疗中心,红河661199 [11]曲靖市第五人民医院外科,曲靖655000 [12]淮安市第一人民医院伤口造口门诊,淮安223300 [13]西安工会医院普外科,西安710000 [14]高密市市立医院伤口诊疗中心,高密265100 [15]东部战区总医院(原南京军区南京总医院)护理部,南京210002

出　　处：《医学研究生学报》2022年第6期640-644,共5页Journal of Medical Postgraduates

基　　金：军队保健专项课题(21BJZ38);上海王正国创伤医学发展基金会课题(WZGF20200101)。

摘　　要：目的老年人是皮肤损伤的高发群体,护士对皮肤损伤的识别能力是有效护理的关键,如何提高护士的识别能力是一个研究重点。文章分析、比较52所医院中参研护士掌握老年人皮肤损伤知识现况和培训效果。方法课题组对来自全国52所参与多中心研究医院的1067名参研护士先线上测评其皮肤损伤知识,再采用线上统一培训和组织受训护士在1 h内对20张皮肤损伤照片为题干的60个问题进行在线答题和提交。采用统计软件分析结果。结果参研护士培训前得分(79.76±9.14)分,培训后得分(93.07±7.10)分,差异有统计学意义(P<0.01),≥90分优秀率83.13%,较培训前提高了25.21%。其中三级医院护士得分明显高于二级医院(P<0.01)。结论52所医院参研护士在培训前的皮肤损伤相关知识得分均偏低,线上培训可作为多中心研究中有效的同质化培训方法,能提升护士的相关知识水平。Objective The elderly are the people with high prevalence of skin injuries.The nurses'identification ability of skin injuries is the key to effective nursing.To improve nurses'identification ability is animportant research.The article aims to analyze and compare the current situation of identifying skin injuries and training effects among nurses in 52 hospitals.Methods A total of 1067 nurses from 52 hospitals in China have examined their skin injuries knowledge online firstly.After an online training,the nurses were requested to online answer 60 questions based on 20 skin injurys photos within 1 hour.Statistical software was used to analyze the results.Results The scores of nurses participating in the research before training were 79.76±9.14 and after training were 93.07±7.10.The difference was statistically significant(P<0.01).The excellent rate of 90 points and more was 83.13%,which was 25.21%higher than that before training.The scores of nurses in tertiary hospitals were significantly higher than those in secondary hospitals(P<0.01).Conclusion The scores of skin injurys knowledge of nurses in 52 hospitals before training were low.Online training and assessment can be used as an effective homogeneous training method in multi center research,and is beneficial to improve the level of nurses'related knowledge.

关 键 词：在职培训 多中心研究 伤口和损伤 皮肤护理 老年人 

分 类 号：R322.99[医药卫生—人体解剖和组织胚胎学]