中华护理杂志 ›› 2019, Vol. 54 ›› Issue (3): 325-331.DOI: 10.3761/j.issn.0254-1769.2019.03.001

• 论著 •    下一篇

护士ICU获得性衰弱培训体系的构建及应用研究

谢霖,罗健(),李苗苗,胡霞,朱晓敏   

  1. 434002 荆州市第二人民医院老年健康管理中心(谢霖);华中科技大学同济医学院附属协和医院护理部(罗健,李苗苗,胡霞);长江大学医学部护理系(朱晓敏)
  • 收稿日期:2018-04-03 出版日期:2019-03-15 发布日期:2019-03-15
  • 通讯作者:
  • 作者简介:谢霖:女,硕士,副主任护师,老年健康管理中心主任,E-mail:110373-8683@qq.com
  • 基金资助:
    中华护理学会科研基金(ZHKY201611);2017荆州市医疗卫生科教计划项目(101)

Establishment and application of intensive care unit-acquired weakness training system for nurses

XIE Lin,LUO Jian(),LI Miaomiao,HU Xia,ZHU Xiaomin   

  1. Center of Elderly Health Management,The Second Hospital,Jingzhou,434002,China
  • Received:2018-04-03 Online:2019-03-15 Published:2019-03-15

摘要:

目的 构建并应用ICU获得性衰弱培训体系,以提高ICU护士对ICU获得性衰弱的知信行水平。方法 运用文献分析法、半结构访谈法、Delphi法,构建ICU获得性衰弱培训体系,于2018年3月—6月在湖北省某三级医院的ICU护士培训中试应用该培训体系,采用ICU获得性衰弱知信行测评问卷评价培训效果。结果 构建的ICU获得性衰弱培训体系包括ICU获得性衰弱知识和技能、ICU获得性衰弱人文关怀、循证护理知识和技能3个部分,共22项课程内容,19课时;培训师资包括ICU临床护理专家、ICU医疗专家、康复治疗专家、呼吸治疗专家和循证护理教育专家。采用多元化的培训和考核方式。培训后ICU护士的ICU获得性衰弱知信行得分较培训前提高,差异有统计学意义(P<0.05)。结论 构建的ICU获得性衰弱培训体系具有科学性和可靠性,应用该培训体系进行培训能够提高ICU护士的ICU获得性衰弱知信行水平。

关键词: 重症监护病房, 获得性衰弱, 在职培训, 教育, 护理, 继续

Abstract:

Objective To construct an ICU-acquired weakness training system for ICU nurses to improve the level of knowledge-attitude-behavior about ICU-acquired weakness.Methods The ICU-acquired weakness training system for ICU nurses were developed by literature review,semi-structured interviews and Delphi technique,which was applied during ICU nurses training in a tertiary hospital in Hubei province from March to June,2018. The training effects were evaluated by corresponding questionnaire.Results The ICU-acquired weakness training system designed for ICU nurses included ICU-acquired weakness knowledge and skills,ICU-acquired weakness humanistic care and evidence-based nursing knowledge and skills,with a total of 22 courses and 19 class hours;training faculty included ICU clinical nurse specialists,ICU medical experts,rehabilitation therapists and respiratory therapy specialists,evidence-based nursing education experts. Diversified training and evaluation methods were adopted. After training,the scores of knowledge-attitude-behavior about ICU-acquired weakness were significantly higher than before,and the differences were statistically significant(P<0.05).Conclusion The ICU-acquired weakness training system designed for ICU nurses is scientific and reliable,and it is of positive significance to improve the level of knowledge-attitude-behavior for ICU nurses about ICU-acquired weakness.

Key words: Intensive Care Units, Acquired Weakness, Inservice Training, Education, Nursing, Continuing