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情景渗透联合互动训练模式用于低年资护士压疮防治培训的效果

[Effect of using scenario infiltration joint interactive training mode for junior nurse training in the prevention and treatment of pressure sore].

作者信息

Wang Q, Zhou Q, Luo X F, Ma N X, Tong C F, Xue J

机构信息

Department of Burns and Cutaneous Surgery, Burn Center of PLA, the First Affiliated Hospital, Air Force Medical University, Xi'an 710032, China.

出版信息

Zhonghua Shao Shang Za Zhi. 2020 Apr 20;36(4):312-316. doi: 10.3760/cma.j.cn501120-20190108-00001.

Abstract

To explore the application effect of scenario infiltration joint interactive training mode for junior nurse training in the prevention and treatment of pressure sore. A total of 118 junior nurses starting to work in the First Affiliated Hospital of Air Force Medical University from July 2017 to July 2018 met the inclusion criteria and were divided into routine training (RT) group and scenario infiltration joint interactive training (SIJIT) group using the random number table for prospective randomized controlled trial. There were 2 males and 57 females, aged (23.9±1.2) years in RT group and 3 males and 56 females, aged (23.5±1.3) years in SIJIT group. Before the training, nurses in both groups received theory and practical tests for the prevention and treatment of pressure sore with a homemade theory test paper and operation requirements designed by the training group. The training content was drawn up in 3 themes according to the weak points shown in the test. Nurses in RT group were trained in a large classroom with the help of multimedia teaching technique, and one lesson of 2 h targeting one theme was given once a week.Nurses in SIJIT group were trained by using the SIJIT mode, with online self-study for 2 weeks and then multimedia theory and practical teaching, and interaction in scene. After the training, theoretical and practical tests were conducted again in nurses of two groups. Satisfaction scores of nurses for the training mode, training effect, and curriculum design and answers to open questions about the degree of training satisfaction were investigated through homemade questionnaire for satisfaction degree. Homemade training contents and requirements questionnaire designed by the training group was used to understand the demands of nurses for training contents and requirements in 2 groups. Data were statistically analyzed with chi-square test and independent sample test. (1) The theoretical and practical scores on the prevention and treatment of pressure sore before the training were (78±11) and (83±10) points respectively in RT group, similar to (79±11) and (84±10) points in SIJIT group (=0.522, 0.615, >0.05). The theoretical and operational scores on prevention and treatment of pressure score of nurses after the training were (90±8) and (92±5) points in SIJIT group, significantly higher than (82±10) and (85±9) points in RT group (=4.581, 5.259, <0.01). (2) The satisfaction degree scores for training mode, curriculum design, and training effect of nurses in SIJIT group were significantly higher than those in RT group (=5.169, 7.976, 4.463, <0.01). Nurses in the 2 groups were satisfied with the curriculum content, and unsatisfied with the curriculum time and the ways of test. (3) The top demand of the training nurses for curriculum content was the treatment of phase Ⅱ-Ⅲ pressure sore, accounting for 81.36% (96/118). The SIJIT has flexible training mode, and reasonable curriculum design and content, which significantly improves the theoretical and operational levels on prevention and treatment of pressure sore of the training nurses and receives recognition of the training nurses.

摘要

探讨情景渗透联合互动培训模式在低年资护士压疮防治培训中的应用效果。选取2017年7月至2018年7月在空军军医大学第一附属医院开始工作的118名低年资护士,均符合纳入标准,采用随机数字表法分为常规培训(RT)组和情景渗透联合互动培训(SIJIT)组,进行前瞻性随机对照试验。RT组男2名,女57名,年龄(23.9±1.2)岁;SIJIT组男3名,女56名,年龄(23.5±1.3)岁。培训前,两组护士均采用培训组自制的理论试卷及操作要求进行压疮防治理论和实践考核。根据考核中显示的薄弱点,将培训内容拟定为3个主题。RT组护士在大教室借助多媒体教学技术进行培训,每周针对1个主题授课1次,每次2小时。SIJIT组护士采用SIJIT模式进行培训,先在线自学2周,然后进行多媒体理论和实践教学及情景互动。培训后,再次对两组护士进行理论和实践考核。通过自制的满意度调查问卷,调查护士对培训模式、培训效果、课程设计的满意度评分以及对培训满意度开放性问题的回答情况。采用培训组自制的培训内容及要求调查问卷,了解两组护士对培训内容及要求的需求情况。数据采用卡方检验和独立样本检验进行统计学分析。(1)培训前,RT组护士压疮防治理论和实践成绩分别为(78±11)分和(83±10)分,与SIJIT组的(79±11)分和(84±10)分相近(=0.522,0.615,>0.05)。培训后,SIJIT组护士压疮防治理论和操作成绩分别为(90±8)分和(92±5)分,显著高于RT组的(82±10)分和(85±9)分(=4.581,5.259,<0.01)。(2)SIJIT组护士对培训模式、课程设计、培训效果的满意度评分显著高于RT组(=5.169,7.976,4.463,<0.01)。两组护士对课程内容满意,对课程时间和考核方式不满意。(3)培训护士对课程内容的首要需求是Ⅱ-Ⅲ期压疮的治疗,占81.36%(96/118)。SIJIT培训模式灵活,课程设计及内容合理,显著提高了培训护士压疮防治的理论和操作水平,得到培训护士的认可。

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