皮肤损伤多中心研究前混合模式和视频播放模式培训参研护士的效果比较  

Effects of Two Training Methods in Nurses Before Participating in Multicenter Study of Skin Injury in the Elderly

作　　者：蒋琪霞 陈倩竹[2] 赵静[3] 陈德凤[4] 封海霞[5] 潘晓虹[6] 洪艳燕[7] 俞萍[8] 黄仕明 王春立 马芳[11] 徐芳芳[12] 于秀娟[13] JIANG Qi-xia;CHEN Qian-zhu;ZHAO Jing;CHEN De-feng;FENG Hai-xia;PAN Xiao-hong;HONG Yan-yan;YU Ping;HUANG Shi-ming;WANG Chun-li;MA Fang;XU Fang-fang;YU Xiu-juan(Dept.of Burn and Plastic Surgery,General Hospital of Eastern Theater Command,Nanjing 210002,China;Dept.of Orthopedics,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China;Outpatient Treatment Room,Jiangsu Provincial People’s Hospital,Nanjing 210009,China;Dept.of Gastro-intestinal Fistula Hernia Surgery,People’s Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China;Dept.of Nursing Administration,Zhongda Hospital Affiliated to Southeast Hospital,Nanjing 210009,China;Jingzhou Central Hospital,Jingzhou 434000,China;Nanjing Hospital of Chinese Medicine,Nanjing 210000,China;Dept.of Intensive Care Medicine,the Second People’s Hospital of Wuxi,Wuxi 214002,China;Dept.Nursing Administration,Affiliated Hospital of Zunyi Medical Univeristy,Zunyi 630005,China;Specialist Care Center of Ostomy,Shenzhen Hospital of Southern Medical University,Shenzhen 518000,China;Specialist Care Clinic of Ostomy,the Fourth Affiliated Hospital of China Medical University,Shenyang 110032,China;Wound and Ostomy Clinic,the First People’s Hospital of Hefei,Hefei 230061,China;Wound and Ostomy Clinic,the Second People’s Hospital of Lianyungang,Lianyungang 222000,China)

机构地区：[1]中国人民解放军东部战区总医院烧伤整形科,江苏南京210002 [2]重庆医科大学附属第一医院骨科,重庆400016 [3]江苏省人民医院门诊治疗室,江苏南京210009 [4]广西壮族自治区人民医院胃肠疝肠瘘外科,广西南宁530021 [5]东南大学附属中大医院护理部,江苏南京210009 [6]荆州市中心医院,湖北荆州434000 [7]南京市中医院,江苏南京210000 [8]无锡市第二人民医院重症医学科,江苏无锡214002 [9]遵义医科大学附属医院护理部,贵州遵义630005 [10]南方医科大学深圳医院伤口中造口护理专科,广东深圳518000 [11]中国医科大学附属第四医院造口伤口护理门诊,辽宁沈阳110032 [12]合肥市第一人民医院伤口造口门诊,安徽合肥230061 [13]连云港市第二人民医院伤口造口门诊,江苏连云港222000

出　　处：《护理学报》2022年第13期17-20,共4页Journal of Nursing（China）

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

摘　　要：目的探讨多中心研究前混合模式和视频播放模式培训不同地区参与研究的三级甲等医院护士掌握老年人四类皮肤损伤知识的效果,为选择适宜方法培训参研人员提供依据。方法招募入选19个省、自治区和直辖市的34所医院为多中心研究单位,各医院按照调研工作量和纳排标准纳入参研护士,共计766名自愿选择了A和B培训方法,A组523名接受在线培训结合培训视频播放混合模式培训,B组243名接受培训视频播放模式培训。培训内容一致,包含4种皮肤损伤定义、分类标准和检查方法等内容。项目组根据培训内容设计包含20张老年人四类皮肤损伤照片为题干的60个问题试卷,于培训1周后,通过微信将在线考试卷链接推送至参训护士。2组参训护士通过手机独立答题,并在1 h内在线提交。满分为100分,统计2组参训率和参考率及平均得分。结果A、B 2组护士参训率和参考率均为100%,2组总平均得分相近,四类皮肤损伤的平均得分差异也无统计学意义(均P>0.05)。结论2种培训方法均有满意的参训率和参考率,培训效果相近,适用于多中心研究前不同地区医院参研护士的在职培训。Objective To explore the effect of two training methods on four types of skin injuries in the elderly for nurses from tertiary grade A hospitals in different regions before participating in multicenter study,and to provide reference for selecting appropriate training methods.Methods Thirty-four tertiary grade A hospitals in 19 provinces,or autonomous regions or municipalities were recruited as multicenter study units.A total of 766 nurses as participants were included and divided into group A and B.Nurses(n=523)in group A received online training combined with video training,and those(n=243)in group B the video training.The training content was the same in the two groups,including four types of skin injuries,stages(category),judgment basis and examination methods.A test paper of 60 questions including 20 photos of four types skin injuries in the elderly were used for evaluating the training effect through Wechat one week after the training,and nurses were required to submit the paper online within 1 hour.The rate of participating in the training and the test,and the average score was observed.Results All the nurses completed the training and online examination.The total average score and the average score of four types of skin injuries in the elderly in the two groups showed no statistical significance(all P>0.05).Conclusion The two training methods have similar effects and are appropriate for in-service training for nurses from hospitals in different regions before the multicenter study.

关 键 词：在职培训 伤口和损伤 老年人 护士 

分 类 号：R473.6[医药卫生—护理学]