情景模拟演练在VTE防治知识培训中的效果研究
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摘要
目的研究情景模拟演练在VTE防治知识培训中的效果。方法随机选取2017年4月～2018年4月在我科工作的临床护士100名,将人员随机分为对照组A组(常规带教操作示范法)与实验组B组(情景模拟演练教学法),各50名,对两组护士的操作考核成绩、预见性思维能力、处理时效性提升情况、自我评价、带教老师的综合评价进行统计分析。结果 B组护士的相关理论、单项操作、综合操作评分及总分均显著高于A组(P<0.05),预见性思维能力、处理时效性提升率88.0%(44/50)、92.0%(46/50)均显著高于B组62.0%(31/50)、76.0%(38/50)(P<0.05),学习兴趣、操作能力、应急能力、沟通能力、团队协作能力提升率92.0%(46/50)、100.0%(50/50)、90.0%(45/50)、82.0%(41/50)、100.0%(50/50)均显著高于A组76.0%(38/50)、80.0%(40/50)、72.0%(36/50)、64.0%(32/50)、78.0%(39/50)(P<0.05),带教老师对护士的相关理论、对患者评估能力、应变能力、心理素质、处理能力评分及总分均显著高于A组(P<0.05)。结论情景模拟演练在VTE防治知识培训中的效果较常规带教操作示范法好。
Objective To study the effect of scenario simulation exercises in the training of VTE prevention knowledge.Methods A total of 100 clinical nurses employed in our department from April 2017 to April 2018 were randomly se lected. The staff were randomly divided into the control group A( conventional teaching operation demonstration method)and the experimental group B(scenario simulation exercise teaching method), with 50 people in each group.Statistical analysis was carried out on the operation assessment scores, predictive thinking ability, processing timeliness improvement, self-evaluation, and comprehensive evaluation of teachers in the two groups of nurses. Results The relevant theories, single item operation, comprehensive operation scores and total scores of the nurses in group B were significantly higher than those in group A(P<0.05). The improvement rates of of predictive thinking ability and processing timeliness were 88.0%(44/50)and 92.0%(46/50) respectively, which were significantly higher than those of 62.0%(31/50)and 76.0%(38/50) respectively in group B(P<0.05). The improvement rates of learning interest, operation ability,emergency response ability, communication ability, and teamwork cooperation ability were 92.0%(46/50), 100.0%(50/50),90.0%(45/50), 82.0%(41/50) and 100.0 %(50/50) respectively, which were significantly higher than those of 76.0%(38/50), 80.0%(40/50), 72.0%(36/50), 64.0%(32/50)and 78.0%(39/50) respectively in group A(P<0.05). The scores of relevant theories, the evaluation ability on patients, the emergency response ability, the psychological quality, the processing ability and the total score of the nurses by the teachers were significantly higher than those in group A(P<0.05). Conclusion The effect of scenario simulation exercises in the training of VTE prevention knowledge is better than the conventional teaching operation demonstration.
Objective To study the effect of scenario simulation exercises in the training of VTE prevention knowledge.Methods A total of 100 clinical nurses employed in our department from April 2017 to April 2018 were randomly se lected. The staff were randomly divided into the control group A( conventional teaching operation demonstration method)and the experimental group B(scenario simulation exercise teaching method), with 50 people in each group.Statistical analysis was carried out on the operation assessment scores, predictive thinking ability, processing timeliness improvement, self-evaluation, and comprehensive evaluation of teachers in the two groups of nurses. Results The relevant theories, single item operation, comprehensive operation scores and total scores of the nurses in group B were significantly higher than those in group A(P<0.05). The improvement rates of of predictive thinking ability and processing timeliness were 88.0%(44/50)and 92.0%(46/50) respectively, which were significantly higher than those of 62.0%(31/50)and 76.0%(38/50) respectively in group B(P<0.05). The improvement rates of learning interest, operation ability,emergency response ability, communication ability, and teamwork cooperation ability were 92.0%(46/50), 100.0%(50/50),90.0%(45/50), 82.0%(41/50) and 100.0 %(50/50) respectively, which were significantly higher than those of 76.0%(38/50), 80.0%(40/50), 72.0%(36/50), 64.0%(32/50)and 78.0%(39/50) respectively in group A(P<0.05). The scores of relevant theories, the evaluation ability on patients, the emergency response ability, the psychological quality, the processing ability and the total score of the nurses by the teachers were significantly higher than those in group A(P<0.05). Conclusion The effect of scenario simulation exercises in the training of VTE prevention knowledge is better than the conventional teaching operation demonstration.
引文
[1]喻晓芬,张琼,孙启虹,等.跨团队情景模拟演练在手术室火灾应急预案培训中的应用效果[J].中华现代护理杂志,2017,23(2):255-258.
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[21]余艳芸,张金菊,王红霞,等.自我导向学习在临床护理带教中的应用[J].中国现代医生,2014,52(29):87-89,92.
[22]李娟.案例分析+情景模拟教学法在急诊科护理实习生带教中的应用和体会[J].中国现代医生,2016,54(22):134-136,140.
[23]Marini BL,Funk K,Kraft MD,et al.The effects of an informational video on patient knowledge,satisfaction and compliance with venous thromboembolism prophylaxis:Apilot study[J].Patient Educ Couns.2014,96(2):264-267.
[24]Haxaire C,Tromeur C,Couturaud F,et al.A qualitative study to appraise patients and family members perceptions,knowledge,and attitudes towards venous thromboembolism risk[J].PLoS One,2015,10(11):e0142070.
[25]Piechowski KL,Elder S,Efird LE,et al.Prescriber knowledge and attitudes regarding non-administration of prescribed pharmacologic venous thromboembolism prophylaxis[J].J Thromb Thrombolysis,2016,42(4):463-470.
[2]赵丽,彭明琦.情景模拟演练及翻转课堂提高急诊护士抢救能力的作用[J].上海护理,2017,17(5):98-100.
[3]胡静.情景模拟演练在培养急诊低年资护士抢救应急能力中的应用[J].检验医学与临床,2017,14(16):2489-2491.
[4]苏秀芹.急救情景模拟演练对急诊护士抢救能力的作用评价[J].中国卫生产业,2017,14(22):70-72.
[5]惠莉,关雪,周立坤,等.成批伤情景模拟演练在ICU护士培训中的应用[J].中国疗养医学,2017,26(10):1112-1114.
[6]曹月.情景模拟演练教学法在临床护理教学中的应用分析[J].中国社区医师,2017,33(24):160,162.
[7]彭鲜红,徐云.情景模拟演练在护生岗前急救培训中的应用[J].当代临床医刊,2017,30(4):3212-3213.
[8]李洁.情景模拟演练在急救技能教学中的应用[J].保健医学研究与实践,2017,14(2):101-102.
[9]房洪军,张渺,王平,等.基于管理思维的院内静脉血栓栓塞症防治体系构建[J].中国医院管理,2016,36(4):37-39.
[10]陈彩凤,朱雪梅,陆茹茵,等.情景模拟实践演练对基层医院护士长心肺复苏能力的影响[J].中国当代医药,2017,24(13):195-196,封3.
[11]张学.新型手术室护理应急预案演练模式的构建[J].全科护理,2017,15(34):4309-4311.
[12]王春晓,宋幸娟,陈蓉,等.情景模拟演练在眼科专科护士急救能力培训中的应用[J].临床研究,2017,25(5):146,156.
[13]张向芬,张新,朱群,等.情景模拟演练在应对灾害及突发事件中的应用[J].临床医药文献电子杂志,2017,4(73):14278-14279.
[14]程艳,周艳.产后出血急救情景模拟演练的应用价值[J].国际护理学杂志,2018,37(6):848-851.
[15]李美丽.以患儿服务需求为导向的情景模拟演练培训在儿科护理中的应用[J].医疗装备,2017,30(1):179-180.
[16]何国君.患者角色体验在自制手术体位垫情景模拟演练中的应用[J].实用临床护理学电子杂志,2017,2(12):181,186.
[17]王秀精,陈丽娜.心内科夜间急救情景模拟演练效果探讨[J].中国卫生标准管理,2018,9(2):14-17.
[18]张敏,黄荷,周保利,等.院内静脉血栓栓塞症防治管理体系构建及应用[J].中华医院管理杂志,2017,33(4):291-292.
[19]邵芳,李苏静,徐焕畅,等.情景模拟在急诊护士核心能力培养中的作用分析[J].贵州医药,2017,41(11):1219-1220.
[20]熊晓娟,仇春波.目标管理法在产科护理带教中的应用效果研究[J].中国现代医生,2015,53(14):116-119.
[21]余艳芸,张金菊,王红霞,等.自我导向学习在临床护理带教中的应用[J].中国现代医生,2014,52(29):87-89,92.
[22]李娟.案例分析+情景模拟教学法在急诊科护理实习生带教中的应用和体会[J].中国现代医生,2016,54(22):134-136,140.
[23]Marini BL,Funk K,Kraft MD,et al.The effects of an informational video on patient knowledge,satisfaction and compliance with venous thromboembolism prophylaxis:Apilot study[J].Patient Educ Couns.2014,96(2):264-267.
[24]Haxaire C,Tromeur C,Couturaud F,et al.A qualitative study to appraise patients and family members perceptions,knowledge,and attitudes towards venous thromboembolism risk[J].PLoS One,2015,10(11):e0142070.
[25]Piechowski KL,Elder S,Efird LE,et al.Prescriber knowledge and attitudes regarding non-administration of prescribed pharmacologic venous thromboembolism prophylaxis[J].J Thromb Thrombolysis,2016,42(4):463-470.