案例教学法在提升规范化培训护士压疮评估准确性中的效果研究
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摘要
目的探讨基于案例(CBL)教学法在提升规范化培训护士压疮评估准确性中的效果。方法通过选取临床典型病例给出关键信息,将78名规范化培训护士分组并在培训前使用Braden评估量表进行评估,主讲教师结合病例对压疮评估要点进行详细解析后再次评估,运用Med Calc 15.2软件分析培训实施前后Braden评估量表各条目评分及准确率的变化情况。结果通过采用CBL教学法,培训护士对病例的Braden评分由培训前的(8.9±1.0)分增加为(9.6±0.6)分,差异有统计学意义(P<0.001);培训后对各条目的评估准确率明显高于培训前,差异具有统计学意义(P<0.05)。结论 CBL教学法是提升规范化培训护士压疮评估准确性的有效途径。
Objective To evaluate the effects of CBL teaching approach on improving assessment accuracy for pressure sores in standardized training nurses. Methods By selecting typical clinical case and giving the key information,seventy-eight standardized training nurses were grouped and assessed using the Braden Assessment Scale before the training; standardized training nurses assessed again after the teacher conducted a detailed analysis combined with the case for evaluation points of the pressure sores. Med Calc version 15.2 software was used to analysis the changes in the score and accuracy rate of Braden assessment scale before and after training. Results After using CBL teaching approach,the Braden scores have increased from 8.9 ± 1.0 before training to 9.6 ± 0.6,the difference was statistically significant( P < 0.001).The accuracy rate of each item was also higher than that before training( P < 0.05). Conclusion CBL teaching approach is an effective way to improve assessment accuracy of pressure sores for standardized training nurses.
Objective To evaluate the effects of CBL teaching approach on improving assessment accuracy for pressure sores in standardized training nurses. Methods By selecting typical clinical case and giving the key information,seventy-eight standardized training nurses were grouped and assessed using the Braden Assessment Scale before the training; standardized training nurses assessed again after the teacher conducted a detailed analysis combined with the case for evaluation points of the pressure sores. Med Calc version 15.2 software was used to analysis the changes in the score and accuracy rate of Braden assessment scale before and after training. Results After using CBL teaching approach,the Braden scores have increased from 8.9 ± 1.0 before training to 9.6 ± 0.6,the difference was statistically significant( P < 0.001).The accuracy rate of each item was also higher than that before training( P < 0.05). Conclusion CBL teaching approach is an effective way to improve assessment accuracy of pressure sores for standardized training nurses.
引文
[1]National Pressure Ulcer Advisory Panel and European Pressure Ulcer Advisory Panel.Prevention and Treatment of Pressure Ulcers:Clinical Practice Guidelines[M].Washington,DC:National Pressure Ulcer Advisory Panel,2009.
[2]Ackroyd-Stolarz S.Improving the prevention of pressure ulcers as a way to reduce health care expenditures[J].CMAJ,2014,186(10):E370-E371.
[3]杨程显,李戈,张立颖.Braden评估压疮风险的研究进展及展望[J].护理学报,2014,21(7):25-27.
[4]蒋琪霞,刘云,祁静,等.12所综合性医院护士识别压疮分期准确率情况分析[J].护理研究,2014,28(3B):914-916.
[5]顾琴,赵会玲,周鹏,等.护理人员对Braden压疮危险因素评估表的运用现状调查[J].华西医学,2016,31(5):927-931.
[6]潘静薇,陆志刚,李京波,等.CBL教学模式在临床基地规范化培训中应用的新诠释[J].西北医学教育,2013,21(4):844-846.
[7]常红,乔雨晨,孟茜.CBL教学法在神经科高职护理教学中的应用研究[J].中华现代护理杂志,2015,21(26):3206-3208.
[8]王红.CBL教学法在胸外科护理教学中的应用[J].全科护理,2015,13(21):2116-2117.
[9]封海霞,鞠昌萍,芮冶昊,等.护理人员Braden压疮评估准确性的要因分析及质量控制[J].护理学杂志,2014,29(24):50-52.
[10]陈淼,谭惠仪,叶雪梅,等.专科巡查提高护理人员压疮风险评估能力的实践[J].中华护理杂志,2015,50(4):442-445.
[11]杨慧,朱晶.规范化培训护士对压疮相关知识及预防措施认知情况调查[J].护理研究,2017,31(6):693-695.
[12]金鹤,张蓉,海莉,等.新护士压疮护理专题培训效果分析[J].当代护士(中旬刊),2011,18(12):172-173.
[13]李颖,李香风,贺欣,等.临床护理人员对Braden量表中压疮危险因素认知情况的研究分析[J].中国健康教育,2015,31(8):802-803.
[2]Ackroyd-Stolarz S.Improving the prevention of pressure ulcers as a way to reduce health care expenditures[J].CMAJ,2014,186(10):E370-E371.
[3]杨程显,李戈,张立颖.Braden评估压疮风险的研究进展及展望[J].护理学报,2014,21(7):25-27.
[4]蒋琪霞,刘云,祁静,等.12所综合性医院护士识别压疮分期准确率情况分析[J].护理研究,2014,28(3B):914-916.
[5]顾琴,赵会玲,周鹏,等.护理人员对Braden压疮危险因素评估表的运用现状调查[J].华西医学,2016,31(5):927-931.
[6]潘静薇,陆志刚,李京波,等.CBL教学模式在临床基地规范化培训中应用的新诠释[J].西北医学教育,2013,21(4):844-846.
[7]常红,乔雨晨,孟茜.CBL教学法在神经科高职护理教学中的应用研究[J].中华现代护理杂志,2015,21(26):3206-3208.
[8]王红.CBL教学法在胸外科护理教学中的应用[J].全科护理,2015,13(21):2116-2117.
[9]封海霞,鞠昌萍,芮冶昊,等.护理人员Braden压疮评估准确性的要因分析及质量控制[J].护理学杂志,2014,29(24):50-52.
[10]陈淼,谭惠仪,叶雪梅,等.专科巡查提高护理人员压疮风险评估能力的实践[J].中华护理杂志,2015,50(4):442-445.
[11]杨慧,朱晶.规范化培训护士对压疮相关知识及预防措施认知情况调查[J].护理研究,2017,31(6):693-695.
[12]金鹤,张蓉,海莉,等.新护士压疮护理专题培训效果分析[J].当代护士(中旬刊),2011,18(12):172-173.
[13]李颖,李香风,贺欣,等.临床护理人员对Braden量表中压疮危险因素认知情况的研究分析[J].中国健康教育,2015,31(8):802-803.