实习护生参与式互动安宁疗护培训的效果探讨  

Effects of participatory and interactive hospice care training in nursing interns

作　　者：卓红霞 韩辉武[1,2,3] 曾玉婷 李丽 岳丽青[1,2,3] Zhuo Hongxia;Han Huiwu;Zeng Yuting;Li Li;Yue Liqing(Teaching and Research Department of Clinical Nursing,Xiang ya Hospital,Central South University,Changsha 410008,China)

机构地区：[1]中南大学湘雅医院临床护理学教研室,湖南长沙410008 [2]中南大学湘雅护理学院 [3]国家老年疾病临床医学研究中心(湘雅医院)

出　　处：《护理学杂志》2024年第14期65-69,共5页Journal of Nursing Science

基　　金：中南大学教学学术研究项目(2022jf020);中南大学学位与研究生教育教学改革研究项目(2022JGB072)。

摘　　要：目的对本科实习护生开展基于参与式互动教学理念的安宁疗护培训,评价培训效果。方法采取自愿原则招募在院实习的本科护生作为研究对象,按是否参加安宁疗护培训分为干预组(71人)和对照组(44人)。对照组接受常规临床实践和安宁疗护带教,干预组在常规临床实践的基础上接受基于参与式互动教学理念的安宁疗护培训。临床实践结束后评价效果。结果干预组临终关怀态度得分显著高于对照组(P<0.05);两组护生死亡态度倾向于自然接受,组间差异无统计学意义(P>0.05);培训后干预组94.4%及以上护生对培训效果表示满意或基本满意。结论参与式互动安宁疗护培训得到了护生的认可,有助于改善本科实习护生临终关怀态度和帮助其正确面对患者死亡。Objective To evaluate the effects of hospice care training based on the concept of participatory and interactive teaching in undergraduate nursing interns.Methods Undergraduate nursing interns were recruited voluntarily and divided into an intervention group(n=71)and a control group(n=44)according to whether they were willing to participate in hospice care training.The control group received routine clinical practice and hospice care teaching,while the intervention group received hospice care training based on the concept of participatory and interactive teaching besides routine clinical practice.The training effect was evaluated after clinical practice.Results After the training,the score of the Frommelt Attitudes Toward Care of the Dying Scale Form Bin the intervention group was significantly higher than that of the control group(P<0.05).The death attitude of the interns in the two groups tended to be neutral acceptance,and there wasn′t statistically significant difference between the groups(P>0.05).After the training,the interns in the intervention group were satisfied or basically satisfied with their training effect.Conclusion The participatory and interactive hospice care training is recognized by the undergraduate nursing interns,and it is conducive to improving the attitudes of undergraduate nursing interns toward the care of the dying and helping them face patients′death properly.

关 键 词：实习护生 安宁疗护 死亡态度 临终关怀态度 护理教学 死亡教育 

分 类 号：R47[医药卫生—护理学] G424.4[医药卫生—临床医学]