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

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