CAJ | 학술논문

目的探讨新毕业护士心肺复苏操作技术培训的方法,以提高新护士的急救操作技能水平.方法依据《2005年国际心肺复苏与心血管急救指南》为标准,制订并改进了徒手心肺复苏操作培训考核模式及标准,运用该模式按新评分标准对新毕业护士进行了单人徒手心肺复苏操作培训及考核.在培训前后对操作考核合格率和操作技能水平进行比较.结果通过培训,新毕业护士心肺复苏操作考核合格率从培训前60％上升到100％,差异有统计学意义(P＜0.05)；操作技能如人工呼吸无效、胸外按压位置、按压姿势、按压频率、按压幅度不合格率、未处置危险场景方面均好于培训前,差异有统计学意义(P＜0.05).结论理论知识讲授、指导老师示范演练、现场指导及危险场景的模拟训练能使新护士有效地掌握心肺复苏(CPR)术提高急救操作能力.
목적 탐토신필업호사심폐복소조작기술배훈적방법,이제고신호사적급구조작기능수평.방법 의거《2005년국제심폐복소여심혈관급구지남》위표준,제정병개진료도수심폐복소조작배훈고핵모식급표준,운용해모식안신평분표준대신필업호사진행료단인도수심폐복소조작배훈급고핵.재배훈전후대조작고핵합격솔화조작기능수평진행비교.결과 통과배훈,신필업호사심폐복소조작고핵합격솔종배훈전60％상승도100％,차이유통계학의의(P＜0.05)；조작기능여인공호흡무효、흉외안압위치、안압자세、안압빈솔、안압폭도불합격솔、미처치위험장경방면균호우배훈전,차이유통계학의의(P＜0.05).결론 이론지식강수、지도로사시범연련、현장지도급위험장경적모의훈련능사신호사유효지장악심폐복소(CPR)술제고급구조작능력.
Objective To explore the method of cardiopulmonary resuscitation (CPR) operation technique training for the new graduates nurses,in order to improve the new nurse's skill level of emergency operation.Methods The examination mode and standard of unarmed CPR operation technique training were made and improved.The new nurses were trained and examined with the new standard for evaluation.Qualified rate and operation skill level were compared before and after the training.Results Through training,new graduate nurses'examination qualified rate was from 60％ before training to 100％.The difference was statistically significant ( P ＜ 0.05 ).Operation skills such as invalid artificial respiration,chest outside pressing position,press posture,pressing frequency,amplitude unqualifiedly,no disposal of dangerous scenes were less than before training,the difference was statistically significant (P ＜ 0.05 ).Conclusions Theory knowledge teaching,the instructors demonstration,on - site guidance and the simulated training of dangerous scenes can make new nurses effectively master CPR,improve the capability of emergency operation.