摘要
目的 分析危险预知训练法在护理实习生心肺复苏技能培训中的应用效果。方法 选取本院2023级、2024级的护理全日制本科、大专实习生作为研究对象。随机对照分组,分为试验组和对照组,两组数据相等(n=50)。试验组采用危险预知训练+心肺复苏术常规培训。对照组采用心肺复苏术常规培训。对比两组采取危险预知训练法后评判性思维能力测评评分、安全态度问卷评分、心肺复苏术考核评分(采取培训后1个月、3个月、6个月考核)。结果 通过使用危险预知训练法对护理实习生心肺复苏术技能进行培训后,从评判性思维能力测评评分结果来看,训练后试验组护理实习生的评判性思维能力有所提升,且试验组评分高于对照组,两组数据差异明显,具有统计学意义(P<0.05)。从安全态度问卷评分对比来看,采用危险预知训练法后试验组评分显著提高,且实验组高于对照组,两组数据差异明显,具有统计学意义(P<0.05)。最后,从心肺复苏术考核评分进行对比,危险预知训练法1个月、3个月及6个月后试验组的心肺复苏术均呈阶梯状提升,试验组高于对照组,两组数据差异明显,具有统计学意义(P<0.05)。结论 通过使用危险预知训练法对护理实习生心肺复苏术技能进行培训,能提升护理实习生的心肺复苏技能以及提升评判性思维,提高安全态度,提升急救能力和责任心,所有实习生均可收益,危险预知训练法在护理实习生心肺复苏技能培训中的应用效果显著,值得广泛运用。
关键词: 危险预知训练法;护理实习生;心肺复苏;评判性思维能力;安全态度;心肺复苏术
Abstract
Objective To analyze the application effect of risk anticipation training in cardiopulmonary resuscitation skills training for nursing interns. Methods The study subjects were selected from 2023 and 2024 full-time undergraduate and junior college nursing interns. Randomized control group was divided into experimental group and control group, and the data of the two groups were equal (n=50). The trial group received risk awareness training and routine cardiopulmonary resuscitation training. The control group received routine training in cardiopulmonary resuscitation. The evaluation scores of critical thinking ability, safety attitude questionnaire and cardiopulmonary resuscitation (CPR) were compared between the two groups after taking the risk prediction training method (1 month, 3 months and 6 months after taking the training). Results After the cardiopulmonary resuscitation skills of nursing interns were trained by the risk prediction training method, judging from the evaluation results of critical thinking ability, the evaluation ability of nursing interns in the experimental group was improved after training, and the score of the experimental group was higher than that of the control group, with significant difference between the two groups (P<0.05). From the comparison of safety attitude questionnaire score, the test group score was significantly improved after risk prediction training, and the experimental group score was higher than the control group, and the data difference between the two groups was significant (P<0.05). Finally, the cardiopulmonary resuscitation assessment score was compared. After 1 month, 3 months and 6 months of risk prediction training, the cardiopulmonary resuscitation performance of the experimental group showed a stepwise improvement, and the experimental group was higher than the control group, with significant difference between the two groups (P<0.05). Conclusion The training of cardiopulmonary resuscitation skills of nursing interns can improve their cardiopulmonary resuscitation skills, critical thinking, safety attitude, first-aid ability and sense of responsibility, and all interns can benefit. The application of risk precognition training in cardiopulmonary resuscitation skills training of nursing interns is significant. It should be widely used.
Key words: Risk prediction training method; Nursing intern; Cardiopulmonary resuscitation; Critical thinking ability; Safety attitude; Cardiopulmonary resuscitation
参考文献 References
[1] Furukawa Y.30th anniversary of the zero -accident campaign[G]//Safety and health in Japan.Japan :Japan Industrial Safety and Health Association,2003.
[2] 赵春梅,王芳,桑圣梅,等.危险预知训练在新入职护士岗前培训的应用[J]. 护理学杂志,2020,35(2):12-14.
[3] 郝素萍.危险预知训练在口腔外科眼科病房中的应用效果[J].中国药物与临床,2017,17(8):1250-1252.
[4] Murai Y,Sato M ,Yamaguchi H,et al.Introducing hazard prediction trai’ing‘KYT’to undergraduate pharmacy education on patient safey[J].Yakugaku Zasshi,2009,129 (11): 1367-1373.
[5] Yasuda M,Kato K,Uchiyama Y,et al . Effect of kiken-Yochitraing(KYT) Induction on patient safey at the department of radiological technology[J].Nihon Hoshasen Gijutsu Gakkai Zasshi ,2013,69(7):788-794.
[6] 周三连,王丽华,任玉琴,等.危险预知训练法在低年资护士综合急救技能培训中的应用效果分析[J].中华护理教育,2022,19(3)204-208.
[7] 顾海燕,王芳,赵春梅,等.危险预知训练在手术室新护士培训中的应用[J].护理学杂志,2021,36(9):69-71
[8] 王艳萍,王万军,祖晓军。急诊科护士自我职业生涯管理及核心自我评价对职业弹性的影响[J].护理学杂志,2019,34(12):61-64.
[9] 梁文兰,邵春红,汪红月.急诊科实习生心理弹性与临床沟通能力调查分析[J].全科护理,2017,36(15):4573-4575.
[10] Berdowski J,Bergra,Tijssen JG, et al.Global incidences of out-of-hospital cardiac arrest and survival rates:systematic review of 67 prospective stuies[J]. Resuscitation, 2010, 81(11):1479.