引导性反思日志在肝胆外科护理实习生中的应用价值  

Application Value of Guided Reflection Log in Nursing Interns of Hepatobiliary Surgery

作　　者：姜丽辉 林枫君 JIANG Lihui;LIN Fengjun(Department of Hepatobiliary Pancreatic Spleen Surgery,Yantai Affiliated Hospital of Binzhou Medical University,Yantai Shandong 264000,China;Department of Urology,Yantai Affiliated Hospital of Binzhou Medical University,Yantai Shandong 264000,China)

机构地区：[1]滨州医学院烟台附属医院肝胆胰脾外科,山东烟台264000 [2]滨州医学院烟台附属医院泌尿外科,山东烟台264000

出　　处：《中国继续医学教育》2024年第3期115-119,共5页China Continuing Medical Education

摘　　要：目的研究引导性反思日志在肝胆外科护理实习生中的应用价值。方法选取2021年7月—2022年7月在滨州医学院烟台附属医院肝胆外科护理的实习生60名,按照随机数字表法将其分为对照组和观察组,2组各30名,对照组采用传统的带教模式,观察组在对照组的基础上采用引导性反思日志的带教模式。在肝胆外科一个月实习结束后对比2组实习生的思维能力、书写护理文书的能力、理论知识、操作模拟考试、临床带教效果以及实习满意度。结果观察组分析能力[(45.10±2.83)分]、开放思维[(40.75±2.43)分]、认知成熟度[(45.17±2.32)分]、求知欲望[(43.85±2.57)分]高于对照组分析能力[(40.48±2.73)分]、开放思维[(35.96±2.51)分]、认知成熟度[(38.15±2.18)分]、求知欲望[(36.48±2.86)分],差异有统计学意义(P<0.001);观察组书写护理文书的能力[(85.64±3.96)分]、理论知识[(95.73±5.04)分]、操作模拟考试[(91.50±3.91)分]高于对照组书写护理文书的能力[(81.31±3.20)分]、理论知识[(88.09±3.28)分]、操作模拟考试[(85.87±3.47)分],差异有统计学意义(P<0.001);观察组临床思考能力[(10.08±2.03)分]、人际沟通与交往[(11.13±1.48)分]、循证能力[(10.41±1.96)分]高于对照组临床思考能力[(8.01±2.14)分]、人际沟通与交往[(9.28±1.57)分]、循证能力[(8.28±1.32)分],差异有统计学意义(P<0.001);观察组带教满意度(93.33%)高于对照组(73.33%),差异有统计学意义(P<0.05)。结论采用引导性反思日志进行护理带教,可以让实习生主动地思考,提高自主思考的能力和对带教老师的满意度,使临床带教效果和实习效果得到提升。Objective To study the application value of guided reflection log in nursing interns of hepatobiliary surgery.Methods A total of 60 interns of hepatobiliary surgery nursing in Yantai Affiliated Hospital of Binzhou Medical University from July 2021 to July 2022 were selected.They were randomly divided into control group and observation group according to the method of random number table.There were 30 cases in each group.The control group was given the traditional teaching mode,and the observation group was given the guided reflection log teaching mode on the basis of the control group.After the one-month practice in hepatobiliary surgery,the two groups of interns were compared in terms of thinking ability,nursing writing ability,theoretical knowledge,operation simulation exam,clinical teaching effect and internship satisfaction.Results The observation group's analytical ability[(45.10±2.83)points],open thinking[(40.75±2.43)points],cognitive maturity[(45.17±2.32)points],and desire to learn[(43.85±2.57)points]were higher than those of the control group's analytical ability[(40.48±2.73)points],open thinking[(35.96±2.51)points],cognitive maturity[(38.15±2.18)points],and desire to learn[(36.48±2.86)points],and the differences were statistically significant(P<0.001).The ability of the observation group to write nursing documents[(85.64±3.96)points],theoretical knowledge[(95.73±5.04)points],and operational simulation test[(91.50±3.91)points]were higher than those of the control group[(81.31±3.20)points],theoretical knowledge[(88.09±3.28)points],and operational simulation test[(85.87±3.47)points],with statistical significance(P<0.001).The clinical thinking ability[(10.08±2.03)points],interpersonal communication and interaction[(11.13±1.48)points],and evidence-based ability[(10.41±1.96)points]of the observation group were higher than those of the control group[(8.01±2.14)points],interpersonal communication and interaction[(9.28±1.57)points],and evidence-based ability[(8.28±1.32)points],with statistical

关 键 词：引导性反思日志 肝胆外科 护理实习生 应用价值 带教老师 带教效果 满意度 

分 类 号：G642[文化科学—高等教育学]