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通过使用更新后的检查表提高护生鼻胃管插入技能表现。

Enhancing nasogastric tube insertion skill performance by using updated checklist among nursing students.

作者信息

Kebede Ebissa Bayana, Biratu Terfa Yonas, Tiruneh Abebaw, Sehumehone Enatfanta, Fekecha Bekana

机构信息

School of Nursing, Institute of Health, Jimma University, Jimma, Ethiopia.

School of Midwifery, Institute of Health, Jimma University, Jimma, Ethiopia.

出版信息

SAGE Open Med. 2024 May 31;12:20503121241255265. doi: 10.1177/20503121241255265. eCollection 2024.

Abstract

BACKGROUND

Nasogastric tube (NGT) insertion is one of the most commonly performed procedures for critically ill patients through the nostril or mouth into the stomach, which is indicated for multiple reasons.

OBJECTIVE

This study is, therefore, aimed to enhance the NGT insertion skill performance of third-year nursing students using the updated checklist, 2021.

METHOD

A facility-based pre-post intervention study was conducted among third-year nursing students of the School of Nursing, Jimma University. An updated checklist and intervention package were used among 26 randomly selected nursing students. The collected data was entered into EpiData version 3.1, EpiData Association, Denmark and exported to SPSS version 23, IBM Corp, Armonk, NewYork for analysis. Descriptive statistics were made for each item and Paired -test analysis was conducted to summarize the findings.

RESULT

The highest NGT skill insertion performance score from 40% before the intervention was 35; however, after the intervention, the score increased to 40.3. Their mean score in NGT skill performance was increased by 11 after the intervention of implementing the intervention package using the updated checklist from 26.5 ±5 0.3 the pre-intervention to 37.8 ±5 1.7 post-intervention. The finding indicated that the improvement was statistically significant at  < 0.001.

CONCLUSION

Implementing an intervention package and employing an updated NGT insertion checklist improved the performance of third-year nursing students' NGT insertion skills by an average of 11 points compared to their pre-test scores. A large-scale control randomized trial study was recommended to control for the effects of confounding factors on the implementation of intervention packages.

摘要

背景

鼻胃管(NGT)插入术是危重症患者最常进行的操作之一,通过鼻孔或口腔插入胃内,其适应证有多种。

目的

因此,本研究旨在使用2021年更新的检查表提高三年级护理专业学生的鼻胃管插入技能表现。

方法

在吉姆马大学护理学院三年级护理专业学生中开展了一项基于机构的干预前后研究。对26名随机抽取的护理专业学生使用更新的检查表和干预包。收集的数据录入丹麦埃皮数据协会的EpiData 3.1版本,然后导出到美国纽约州阿蒙克市IBM公司的SPSS 23版本进行分析。对每个项目进行描述性统计,并进行配对检验分析以总结研究结果。

结果

干预前最高鼻胃管技能插入表现得分为35分(满分40分);然而,干预后,分数提高到了40.3分。在使用更新检查表实施干预包后,他们的鼻胃管技能表现平均得分从干预前的26.5±5.03分提高到干预后的37.8±5.17分,提高了11分。结果表明,这种改善在<0.001水平具有统计学意义。

结论

与预测试分数相比,实施干预包并采用更新的鼻胃管插入检查表使三年级护理专业学生的鼻胃管插入技能表现平均提高了11分。建议开展大规模对照随机试验研究,以控制混杂因素对干预包实施效果的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d71f/11143836/7a8e7dec0628/10.1177_20503121241255265-fig1.jpg

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