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一项在线教育项目对护士心电图解读技能的有效性。

The effectiveness of an online educational program on nurses' electrocardiogram interpretation skills.

作者信息

Kılıç Gülşen, Mercan Annak İnci, Savaş Hafize, Ay Kılıçaslan Belma, Erdoğan Erener Merve, Arslan Ahmet

机构信息

Department of Nursing, Faculty of Health Sciences, Baskent University, Ankara, Turkey.

Baskent University Bağlıca Kampüsü, Fatih Sultan Mahallesi, Eskişehir Yolu 18.km, Ankara, Turkey.

出版信息

BMC Nurs. 2025 Mar 27;24(1):334. doi: 10.1186/s12912-025-02997-y.

Abstract

PURPOSE

This study aimed to evaluate the effectiveness of an online educational program designed to improve nurses' skills in interpreting electrocardiograms (ECGs).

METHODS

This study employed a single-group pretest‒posttest quasiexperimental design. The population consisted of 282 nurses who voluntarily participated in the online ECG education program. The five-hour online ECG education program covered six main topics: normal sinus rhythm and derivations, arrhythmias of sinus origin, arrhythmias of atrial origin, arrhythmias of ventricular origin, blocks, pacemakers, acute coronary syndrome, and myocardial infarction.

RESULTS

Participants had significantly higher mean posttest scores on the Electrocardiography Knowledge Test (ECG-KT) than did their pretest scores. Specifically, they achieved significantly higher posttest scores in the "normal sinus rhythm and derivations," "atrial arrhythmias," and "acute coronary syndrome" subcategories than did their pretest scores. The participants with intensive care certificates demonstrated significantly higher mean pretest and posttest ECG-KT scores than did those without such certificates. Additionally, participants with master's or Ph.D. degrees had significantly higher mean pretest and posttest ECG-KT scores than those with bachelor's degrees did.

CONCLUSION

The results indicate that the ECG education program enhances nurses' knowledge and improves their ability to interpret ECGs quickly and accurately. Therefore, universities and hospitals are recommended to offer online ECG education programs to support nurses in developing these essential skills.

摘要

目的

本研究旨在评估一项旨在提高护士解读心电图(ECG)技能的在线教育项目的有效性。

方法

本研究采用单组前后测准实验设计。研究对象为282名自愿参加在线心电图教育项目的护士。这个为期五小时的在线心电图教育项目涵盖六个主要主题:正常窦性心律及导联、窦性心律失常、房性心律失常、室性心律失常、传导阻滞、起搏器、急性冠状动脉综合征和心肌梗死。

结果

参与者在心电图知识测试(ECG-KT)中的后测平均得分显著高于前测得分。具体而言,他们在“正常窦性心律及导联”“房性心律失常”和“急性冠状动脉综合征”子类别中的后测得分显著高于前测得分。拥有重症监护证书的参与者在前测和后测中的ECG-KT平均得分显著高于没有此类证书的参与者。此外,拥有硕士或博士学位的参与者在前测和后测中的ECG-KT平均得分显著高于拥有学士学位的参与者。

结论

结果表明,心电图教育项目增强了护士的知识,并提高了他们快速准确解读心电图的能力。因此,建议大学和医院提供在线心电图教育项目,以支持护士培养这些基本技能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/16a9/11948722/b2ef3f3846e2/12912_2025_2997_Fig1_HTML.jpg

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