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鼻胃管教育干预对护理人员的效果。

Efficacy of a Nasogastric Tube Educational Intervention for Nursing Staff.

机构信息

Department of Surgery, 6614University of Pittsburgh, Pittsburgh, PA, USA.

Magee-Womens Hospital, 6614University of Pittsburgh, Pittsburgh, PA, USA.

出版信息

Am Surg. 2022 Jan;88(1):93-97. doi: 10.1177/0003134820976080. Epub 2020 Dec 19.

Abstract

AIM

We performed a single-center teaching intervention with nursing providers on nasogastric tube (NG tube) clinical practice. The initial purpose of this study was the validation of whether the training was sufficient enough to be retained at a later time point.

METHODS

We performed a prospective pre-post study examining participants' knowledge before, immediately after, and 4 weeks after training in NG tube management. Training was delivered in face-to-face classroom sessions. Knowledge was assessed using a multiple-choice test (pretest, posttest #1and #2).

RESULTS

A total of 137 nursing providers participated in the training intervention. Immediately after training (posttest #1) and again 4 weeks later (posttest #2), participants overwhelmingly recalled and retained the knowledge of NG tube management as compared to pretest results. Paired -tests showed each participant increased their test score from pretest to posttest #1, (134) = 12.64, = .0001. Similarly, participants who took posttest #2 significantly improved their scores from the pretest to posttest #2, (71) = 10.629, < .0001. Secondary analysis showed that the NG tube management comfort level and age of provider were not significant in predicting test results. However, years of professional experience and frequency of NG tube care were significant predictors for higher test scores.

CONCLUSION

To minimize the risk of NG tubes for patients, it is critical to follow clinical guidelines. This study shows that teaching interventions for providers to increase knowledge on NG tubes are beneficial. In addition, the knowledge is retained at later time points.

摘要

目的

我们对护理人员进行了一项关于鼻胃管(NG 管)临床实践的单中心教学干预。本研究的最初目的是验证培训是否足以在以后的时间点保留下来。

方法

我们进行了一项前瞻性的前后研究,在 NG 管管理培训之前、之后立即和 4 周后检查参与者的知识。培训以面对面的课堂课程形式进行。知识评估采用多项选择测试(前测、后测 #1 和 #2)。

结果

共有 137 名护理人员参加了培训干预。在培训后立即(后测 #1)和 4 周后再次(后测 #2),与前测结果相比,参与者压倒性地回忆并保留了 NG 管管理知识。配对检验显示,每个参与者的测试分数从前测提高到后测 #1,(134)= 12.64,=.0001。同样,参加后测 #2 的参与者从前测到后测 #2 的分数显著提高,(71)= 10.629,<.0001。二次分析表明,NG 管管理舒适度和提供者的年龄在预测测试结果方面没有意义。然而,专业经验年限和 NG 管护理的频率是更高测试分数的显著预测因素。

结论

为了最大程度地降低患者 NG 管的风险,遵循临床指南至关重要。本研究表明,增加护理人员对 NG 管知识的教学干预是有益的。此外,知识在以后的时间点保留下来。

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