CAJ | 학술논문

目的：探讨不同实习模式对急救中心门诊实习护生心理的影响。方法以2010年8-11月在新疆医科大学第一附属医院急救中心门诊实习的护生80人作为对照组，按以往的常规实习模式，即入科由相应的老师带教，随老师的班次一对一实习至本科室实习结束，科室实习结束前进行一般资料、SCL-90量表的调查。以2010年12月-2011年3月实习的80人作为试验组，在进科实习前先安排培训，根据实习带教内容集中安排8学时，以讲解、示范、操作训练及解疑答惑为主，操作训练中模拟急救操作，以小情景为主。然后分配至相应带教老师进行临床实习，随老师的班次一对一实习至本科室实习结束，在实习过程中每周一小结、一授课、一培训，时间为2～4 h，出科前进行一般资料、SCL-90量表的调查。结果实验组与对照组 SCL-90各因子中强迫症状、人际关系敏感、敌对、抑郁、焦虑、恐怖、偏执、其他、总分、总均分、阳性项目数均有统计学差异（P ＜0．05）。结论新的实习模式能有效降低急诊实习护生在急救中心抢救室实习时的心理反应，利于急诊实习护生的身心健康。
목적：탐토불동실습모식대급구중심문진실습호생심리적영향。방법이2010년8-11월재신강의과대학제일부속의원급구중심문진실습적호생80인작위대조조，안이왕적상규실습모식，즉입과유상응적로사대교，수로사적반차일대일실습지본과실실습결속，과실실습결속전진행일반자료、SCL-90량표적조사。이2010년12월-2011년3월실습적80인작위시험조，재진과실습전선안배배훈，근거실습대교내용집중안배8학시，이강해、시범、조작훈련급해의답혹위주，조작훈련중모의급구조작，이소정경위주。연후분배지상응대교로사진행림상실습，수로사적반차일대일실습지본과실실습결속，재실습과정중매주일소결、일수과、일배훈，시간위2～4 h，출과전진행일반자료、SCL-90량표적조사。결과실험조여대조조 SCL-90각인자중강박증상、인제관계민감、활대、억욱、초필、공포、편집、기타、총분、총균분、양성항목수균유통계학차이（P ＜0．05）。결론신적실습모식능유효강저급진실습호생재급구중심창구실실습시적심리반응，리우급진실습호생적신심건강。
Objective Investigating the psychological effects on the emergency center outpatient practice nursing students with different modes.Methods Dividing the nurses who practice in emergency department into two groups,first 80 students in accordance with past teaching mode,those were given the task of teaching by a same teacher.one-by-one teaching with teacher’s task until the end of this internship sections.Finally,given them general information and SCL-90 scale survey before they leave emergency de-partment.Last 80 students as experimental group who were given the training first.According to teaching content,concentrated arrangements 8 classes of learning ,dominated by explaining,and model,and oper-ation training,operation training dominated by small stories,simulation first aid operation.Then followed the teachers assigned to the appropriate teachers for clinical practice,with one-to-one teaching for teacher shifts to the department practice,every Monday during the internship process summary,one instruction, training,time in 2-4 hours.Surveys on general information and SCL-90 scale were carried out from de-partment.Results Experimental group and controlled group in the factor points situation in SCL-90, forced symptoms,and interpersonal relationships sensitive,and depression,and anxiety,and hostile,and terrorist,and paranoid,and other,and total,and total equalization,and positive project number analysis statistics indicators have statistics differences (P <0.05).Conclusion New practice model is effective in reducing emergency nursing students in emergency center emergency room practice of psychological reac-tion,conducive to the physical and mental health of nursing students in emergency.