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通过模拟进行护理赋能以控制经皮内镜下胃造口术的短期并发症:方案研究

Nursing empowerment by simulation in percutaneous endoscopic gastrostomy short-time complication control: Protocol study.

作者信息

Mahmodabadi Anahita Zarei, Zakerimoghadam Masoumeh, Fatah Samerand Ghazi, Sohrabi Ahmad, Dolatabadi Zahra Abbasi

机构信息

The Department of Critical Care Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

The Department of Medical Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Educ Health Promot. 2020 Sep 28;9:236. doi: 10.4103/jehp.jehp_155_19. eCollection 2020.

Abstract

BACKGROUND

Percutaneous endoscopic gastrostomy (PEG) is one of the most suitable methods for long-term nutritional support. In this study, the empowerment of intensive care nurses is examined by a simulation technique to control the short-term complications of PEG.

METHODS

A two-group clinical trial study will be conducted on eighty intensive care nurses in a teaching hospital in Tehran. The study participants will be randomly assigned to one of the two control and intervention groups based on the inclusion criteria. A pretest will be given to both groups using a researcher-made tool. Then, the empowerment package developed by the researcher will be provided to the intervention group in two stages. Next, a posttest will be administered. After this stage, patients' complications with PEG will be observed using a researcher-made checklist. Nurses' performances in both control and intervention groups will be evaluated in terms of preventing and controlling short-term complications up to 1 week after PEG insertion. All of the data collected in this research will be analyzed with statistic tests such as independent -test, standard deviation, T pair, ANOVA, and mean based on the SPSS 16 software.

RESULTS

At present, the research team is designing an empowerment package for nurses and tools needed to evaluate the nurses' empowerment.

CONCLUSION

This study will attempt to design and evaluate the empowerment package of graduate nurses with a cognitive empowerment approach and using a simulation technique to care for patients with PEG and to control their short-term complications.

摘要

背景

经皮内镜下胃造口术(PEG)是最适合长期营养支持的方法之一。在本研究中,通过模拟技术检验重症监护护士的能力,以控制PEG的短期并发症。

方法

将在德黑兰一家教学医院对80名重症监护护士进行两组临床试验研究。研究参与者将根据纳入标准随机分配到两个对照组和干预组之一。使用研究人员自制的工具对两组进行预测试。然后,研究人员开发的赋权方案将分两个阶段提供给干预组。接下来,进行后测试。在此阶段之后,使用研究人员自制的检查表观察患者PEG的并发症。将根据PEG插入后长达1周内预防和控制短期并发症的情况,评估对照组和干预组护士的表现。本研究收集的所有数据将使用统计测试进行分析,如独立检验、标准差、配对T检验、方差分析以及基于SPSS 16软件的均值分析。

结果

目前,研究团队正在为护士设计赋权方案以及评估护士能力所需的工具。

结论

本研究将尝试采用认知赋权方法并使用模拟技术,为护理PEG患者并控制其短期并发症的毕业护士设计和评估赋权方案。

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