CAJ | 학술논문

目的探讨基于网络课堂的康复护理继续教育对老年病房护士康复知识和技能的影响.方法建立康复护理继续教育网络课堂,对老年医学研究所15个病房的251个护士进行为期2个月的康复护理继续教育,教育前后分别采用自行设计的老年康复护理知识试卷进行测评,比较教育前后老年病房护士对老年病人康复护理知识和技能的掌握情况.结果 251名护士中有3名未完成课程.对老年病房护士通过网络课堂进行康复护理继续教育后,248名护士康复知识中老年康复护理总论、吞咽障碍的康复护理、心肺功能评定、认知障碍的康复护理、老年卧床并发症的预防及康复知识总分分别为(8.24±1.54),(6.12±1.87),(6.34±1.49),(7.66±1.94),(7.8±1.59),(44.32 ±3.68)分,均高于教育前的(2.56±1.47),(4.23±1.53),(2.78±1.25),(4.5±1.87),(4.56±1.89),(26.31±3.56)分,差异均有统计学意义(t值分别为4.31,2.67,3.22,3.13,2.88,3.82；P＜0.01)；教育后直肠膀胱功能的康复护理的得分(8.16±1.69)分和教育前的(7.68±1.55)分比较,差异无统计学意义(t=0.95；P＞0.05).经过网络课堂进行培训后,护士康复技能中的良肢位的摆放、日常生活能力训练、体位转移训练、平衡能力训练、康复技能总分分别为(6.26±2.06),(8.19±1.58),(7.89±2.06),(6.18±2.69),(28.52±3.58)分,均高于教育前的(2.39±1.59),(5.15±2.68),(4.23±2.36),(1.89±1.56),(13.66±3.12)分,差异均有统计学意义(t值分别为3.56,2.69,2.76,4.56,3.98；P＜0.05).结论通过网络课堂对老年病房护士进行康复知识和技能的培训,能有效提高老年病房护士的康复护理知识水平和技能.
목적 탐토기우망락과당적강복호리계속교육대노년병방호사강복지식화기능적영향.방법 건립강복호리계속교육망락과당,대노년의학연구소15개병방적251개호사진행위기2개월적강복호리계속교육,교육전후분별채용자행설계적노년강복호리지식시권진행측평,비교교육전후노년병방호사대노년병인강복호리지식화기능적장악정황.결과 251명호사중유3명미완성과정.대노년병방호사통과망락과당진행강복호리계속교육후,248명호사강복지식중노년강복호리총론、탄인장애적강복호리、심폐공능평정、인지장애적강복호리、노년와상병발증적예방급강복지식총분분별위(8.24±1.54),(6.12±1.87),(6.34±1.49),(7.66±1.94),(7.8±1.59),(44.32 ±3.68)분,균고우교육전적(2.56±1.47),(4.23±1.53),(2.78±1.25),(4.5±1.87),(4.56±1.89),(26.31±3.56)분,차이균유통계학의의(t치분별위4.31,2.67,3.22,3.13,2.88,3.82；P＜0.01)；교육후직장방광공능적강복호리적득분(8.16±1.69)분화교육전적(7.68±1.55)분비교,차이무통계학의의(t=0.95；P＞0.05).경과망락과당진행배훈후,호사강복기능중적량지위적파방、일상생활능력훈련、체위전이훈련、평형능력훈련、강복기능총분분별위(6.26±2.06),(8.19±1.58),(7.89±2.06),(6.18±2.69),(28.52±3.58)분,균고우교육전적(2.39±1.59),(5.15±2.68),(4.23±2.36),(1.89±1.56),(13.66±3.12)분,차이균유통계학의의(t치분별위3.56,2.69,2.76,4.56,3.98；P＜0.05).결론 통과망락과당대노년병방호사진행강복지식화기능적배훈,능유효제고노년병방호사적강복호리지식수평화기능.
Objective To discuss the effect of further education of rehabilitation nursing based on network classroom on nurses' rehabilitation knowledge and skills in geriatric wards.Methods Network classroom for further education of rehabilitation nursing was built.And all of the 251 nurses in 15 wards of Institute of Geriatric Medicine of Guangdong Province were provided with further education for 2 months.Selfdesigned test paper for geriatric rehabilitation nursing knowledge was used to compare nurses' grasp of related knowledge and skills before and after education.Results Three out of 251 nurses did not finish the education.After further education of rehabilitation nursing through network classroom,the score of 248 nurses' general instructions,rehabilitation nursing for dysphagia,cardio-pulmonaryfunction evaluation,rehabilitation nursing for cognitive disorder,prevention for complication in bed and total score of rehabilitation knowledge was respectively (8.24±1.54),(6.12±1.87),(6.34±1.49),(7.66±1.94),(7.8 ±1.59)and(44.32±3.68),higher than (2.56±1.47),(4.23 ±1.53),(2.78 ±1.25),(4.5 ±1.87),(4.56 ±1.89),(26.31 ±3.56)before education,and the differences were statistically significant (t =4.31,2.67,3.22,3.13,2.88,3.82,respectively; P ＜0.01).The score of rehabilitation nursing for rectovesical function was (8.16 ± 1.69) after education and (7.68 ± 1.55) before education,and the difference was not statisticallysignificant (t =0.95 ;P ＞ 0.05).The score of good limb position,training of activity of daily living,training of position change,training of balance and total score of rehabilitation skills was respectively (6.26 ± 2.06),(8.19 ± 1.58),(7.89 ± 2.06),(6.18 ± 2.69) and (28.52 ± 3.58) after network classroom,higher than (2.39 ± 1.59),(5.15 ± 2.68),(4.23 ± 2.36),(1.89 ± 1.56),(13.66 ± 3.12) before education,and the differences were statistically significant (t =3.56,2.69,2.76,4.56,3.98,respectively; P ＜ 0.05).Conclusions Training of rehabilitation knowledge and skills through network classroom for nurses in geriatric wards can effectively improve their level of rehabilitation nursing.