多元化教学方法在体外膜肺氧合进修护士临床教学中的应用  

Effect of diversified teaching methods in clinical teaching of extracorporeal membrane pulmonary oxygenation training nurses

作　　者：金丹[1] 孙育红 刘培[1] 柏一茉 林芳[1] Jin Dan;Sun Yuhong;Liu Pei;Bai Yimo;Lin Fang(Pulmonary and Critical Care Medicine,China-Japan Friendship Hospital,Beijing 100029,China;Nursing Department,China-Japan Friendship Hospital,Beijing 100029,China)

机构地区：[1]中日友好医院呼吸与危重症医学科,北京100029 [2]中日友好医院护理部,北京100029

出　　处：《中华现代护理杂志》2025年第3期310-313,共4页Chinese Journal of Modern Nursing

基　　金：中国医学科学院呼吸病学研究院青年科学基金。

摘　　要：目的探讨多元化教学方法在体外膜肺氧合(ECMO)进修护士临床教学中的应用效果。方法采用便利抽样法,选取于2019年3月—2023年8月在中日友好医院进修培训ECMO知识的167名院外护士为研究对象。成立ECMO培训教学组,采取"护士长-带教老师-临床指导老师"三级制教学管理模式,实施护理查房教学、情景模拟教学、Workshop教学融合的多元化教学方法。记录进修护士培训前后的理论成绩、培训后的操作成绩、回院后的应用效果和对多元化教学的满意度。结果培训后,进修护士的理论成绩为(76.59±6.88)分,高于培训前的(52.74±6.86)分,差异有统计学意义(P<0.01)。培训后护士操作成绩为(94.10±3.26)分,进修护士对教学的满意度为95.81%(160/167);培训结束后回院应用ECMO时,超过95%的护士认为医护配合程度提高、置管时间缩短、用物准备时间缩短、用物准备完整度提高、能够顺利应对ECMO患者的应急事件。结论多元化教学方法可提高ECMO进修护士的专科综合能力,有助于提高科室教学质量,可在ECMO进修教学中推广应用。Objective To explore the effectiveness of diversified teaching methods in the clinical teaching of nurses training in extracorporeal membrane pulmonary oxygenation(ECMO).Methods From March 2019 to August 2023,167 out-of-hospital nurses who furthered their knowledge of ECMO at China-Japan Friendship Hospital were selected using convenience sampling method.ECMO training and teaching team was set up,adopting a three-tier teaching management model of"nurse leader-teaching instructor-clinical instructor",and implementing a diversified teaching method that integrated nursing rounds teaching,scenario simulation teaching,and Workshop teaching.Theoretical scores before and after training,operational scores after training,application effects after returning to the hospital and satisfaction with diversified teaching were recorded for training nurses.Results After training,the theoretical scores of the training nurses were(76.59±6.88),which were higher than the pre-training scores of(52.74±6.86),and the difference was statistically significant(P<0.01).The post-training nurses'operational score was(94.10±3.26)and the satisfaction of the training nurses with the teaching was 95.81%(160/167).When applying ECMO back to the hospital after the training,more than 95%of the nurses believed that the degree of medical and nursing cooperation increased,the time of tube placement and the preparation time for supplies shortened,the completeness of supplies preparation improved,and they were able to respond successfully to emergency events in ECMO patients.Conclusions Diversified teaching methods can improve the comprehensive specialty competence of ECMO training nurses and help to improve the quality of teaching in the department,which can be promoted and applied in the teaching of ECMO training.

关 键 词：体外膜肺氧合 ICU护士 多元化教学 进修护士 

分 类 号：R47-4[医药卫生—护理学] C975[医药卫生—临床医学]