短期培训对手术室护理人员术中压疮认知和预防术中压疮相关护理行为的影响分析
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摘要
目的探究短期培训对手术室护理人员术中压疮认知和预防术中压疮相关护理行为的影响。方法选取2018年1—3月,在四川省凉山彝族自治州第一人民医院手术室工作的12名护理人员为研究对象,了解其获取压疮相关知识的途径,并对其进行压疮相关知识及护理干预措施短期培训,比较护理人员培训前后对压疮相关知识的掌握程度及对预防压疮护理行为的掌握程度,另本院在实施压疮护理短期培训制度前后分别选取120例进行手术治疗的压疮高危患者,作为对照组及研究组,比较其压疮发生几率。结果护理人员获取压疮知识的途径以在校期间课程最多,占91.67%,其次为岗前培训及会议、个人经验,分别占58.33%及50.00%、50.00%,护理人员经培训后,其对各项压疮知识的掌握程度均有明显提高,培训后压疮知识掌握程度总分为(20.37±2.98)分,与培训前比较差异有统计学意义(P<0.05),且护理人员在培训后,对术前、术中及术后预防压疮相关护理行为的掌握程度均显著优于培训前(P<0.05),其培训后总分为(94.62±11.98)分,与培训前比较差异有统计学意义(P<0.05),另外研究组中出现压疮患者共计3例,发生率为2.50%,对照组中出现压疮患者共计8例,发生率为6.67%,两组患者压疮发生率比较差异有统计学意义(P<0.05)。结论通过对手术室护理人员进行压疮相关知识的短期培训,能够显著提高其对术中压疮认知及预防术中压疮相关护理行为,进而能够有效避免患者术中压疮发生几率,对促进患者更快的恢复及提高其术后生活质量均具有重要意义。
Objective To explore the effects of short-term training on the nursing behavior of intraoperative pressure ulcers in the operation room nurses during the prevention and prevention of pressure ulcers. Methods From January to March2018, 12 nursing staff working in the operating room of hospital were selected as subjects to understand the ways to acquire knowledge about pressure ulcers, and to provide short-term training on pressure ulcer related knowledge and nursing interventions.Compare the mastery of pressure ulcer related knowledge before and after nursing training and the mastery of prevention of pressure sore nursing behavior. In addition, 120 cases of high pressure patients with pressure ulcers were selected before and after the implementation of short-term training system for pressure ulcer care. The control group and the study group compared the incidence of pressure sores. Results Nursing staff had the most access to pressure sore knowledge during the school period,accounting for 91.67%, followed by pre-job training and conferences and personal experience, accounting for 58.33%, 50.00%,and 50.00% respectively. After training, the nursing staff were The mastery of all kinds of pressure sore knowledge has been significantly improved. The total knowledge of pressure sore knowledge after training is divided into(20.37±2.98)points, which is significantly different from before training(P<0.05), and the nursing staff after training, Preoperative, intraoperative and postoperative prevention of pressure sore-related nursing behaviors were significantly better than before training(P<0.05), and the total score after training was(94.62±11.98)points, which was significantly different from before training(P<0.05), in the study group, there were 3 patients with pressure ulcers, the incidence rate was 2.50%, and 8 patients with pressure ulcers in the control group, the incidence rate was 6.67%. There was a significant difference in the incidence of pressure ulcers between the two groups(P<0.05). Conclusion Through the short-term training of pressure sore related knowledge in operating room nursing staff, it can significantly improve the nursing behavior of intraoperative pressure sore cognition and prevention of intraoperative pressure sore, which can effectively avoid the incidence of intraoperative pressure sores. It is important to promote faster recovery and improve the quality of life after surgery.
Objective To explore the effects of short-term training on the nursing behavior of intraoperative pressure ulcers in the operation room nurses during the prevention and prevention of pressure ulcers. Methods From January to March2018, 12 nursing staff working in the operating room of hospital were selected as subjects to understand the ways to acquire knowledge about pressure ulcers, and to provide short-term training on pressure ulcer related knowledge and nursing interventions.Compare the mastery of pressure ulcer related knowledge before and after nursing training and the mastery of prevention of pressure sore nursing behavior. In addition, 120 cases of high pressure patients with pressure ulcers were selected before and after the implementation of short-term training system for pressure ulcer care. The control group and the study group compared the incidence of pressure sores. Results Nursing staff had the most access to pressure sore knowledge during the school period,accounting for 91.67%, followed by pre-job training and conferences and personal experience, accounting for 58.33%, 50.00%,and 50.00% respectively. After training, the nursing staff were The mastery of all kinds of pressure sore knowledge has been significantly improved. The total knowledge of pressure sore knowledge after training is divided into(20.37±2.98)points, which is significantly different from before training(P<0.05), and the nursing staff after training, Preoperative, intraoperative and postoperative prevention of pressure sore-related nursing behaviors were significantly better than before training(P<0.05), and the total score after training was(94.62±11.98)points, which was significantly different from before training(P<0.05), in the study group, there were 3 patients with pressure ulcers, the incidence rate was 2.50%, and 8 patients with pressure ulcers in the control group, the incidence rate was 6.67%. There was a significant difference in the incidence of pressure ulcers between the two groups(P<0.05). Conclusion Through the short-term training of pressure sore related knowledge in operating room nursing staff, it can significantly improve the nursing behavior of intraoperative pressure sore cognition and prevention of intraoperative pressure sore, which can effectively avoid the incidence of intraoperative pressure sores. It is important to promote faster recovery and improve the quality of life after surgery.
引文
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[12]闫霞,王燕,张翠萍.手术室护理人员对患者术中压疮认知与防范行为培训研究[J].世界最新医学信息文摘,2015,10(74):49-50.
[13]王媛媛,韩娓娜.手术室护理人员对患者术中压疮认知与防范行为培训研究[J].中国卫生产业,2016,13(18):178-180.
[14]朱丽敏.手术室护理人员对患者术中压疮认知与防范行为培训研究[J].临床医药文献杂志,2016,3(10):1993-1994.
[15]黄晓红,张敏,李莉.手术室护士对患者术中压疮认知和预防短期培训效果[J].中医药管理杂志,2014,22(12):2088-2089.
[2]朱霞,梁业梅,黄彦,等.术中不同的体位护理方法对长时间侧卧位患者急性压疮的影响[J].国际护理学杂志,2017,36(1):129-131.
[3]从金霞.术中改良体位护理对长时间侧卧位患者压疮形成的影响[J].实用临床医药杂志,2017,21(10):91-93.
[4]周金连,张春梅,王丽.短期培训对手术室护理人员术中压疮认知和预防术中压疮相关护理行为的影响[J].当代医学,2017,23(30):166-168.
[5]杨艳红,刘艳碧.浅析短期培训对手术室护理人员术中压疮认知和预防术中压疮相关护理行为的影响[J].中外女性健康研究,2015,17(21):3-4.
[6]周文贤,徐叶,许巧玲,等.浅议手术室护理人员对患者术中压疮认知与防范行为培训研究[J].数理医药学杂志,2016,29(2):293-294.
[7]毕丽娜.手术室护理人员对患者术中压疮认知与防范行为培训研究[J].中国继续医学教育,2015,10(28):207-208.
[8]黄静,段丽丽,冯新玮.手术室护理人员对患者术中压疮认知与防范行为培训研究[J].中国护理管理,2013,13(1):86-89.
[9]黄玲玲.手术室护理人员对患者术中压疮认知与防范行为培训研究[J].基层医学论坛,2017,21(27):3666-3667.
[10]李静.手术室护理人员对患者术中压疮认知与防范行为培训研究[J].世界最新医学信息文摘,2017,17(47):193.
[11]刘耕.手术室护理人员对患者术中压疮认知与防范行为培训研究[J].实用临床护理学电子杂志,2018,3(16):164-177.
[12]闫霞,王燕,张翠萍.手术室护理人员对患者术中压疮认知与防范行为培训研究[J].世界最新医学信息文摘,2015,10(74):49-50.
[13]王媛媛,韩娓娜.手术室护理人员对患者术中压疮认知与防范行为培训研究[J].中国卫生产业,2016,13(18):178-180.
[14]朱丽敏.手术室护理人员对患者术中压疮认知与防范行为培训研究[J].临床医药文献杂志,2016,3(10):1993-1994.
[15]黄晓红,张敏,李莉.手术室护士对患者术中压疮认知和预防短期培训效果[J].中医药管理杂志,2014,22(12):2088-2089.