CAJ | 학술논문

目的了解军队医院新生儿专科护士的现状并进行分析,为军队医院新生儿专科护士培养提供依据.方法随机抽取国内6所军队医院的新生儿专科护士,共217人,采用由全军儿科学专业委员会护理学组制定的2013年军队医院新生儿病房和/或NICU专科护士现状调查表进行问卷调查.结果新生儿专科护士的基础技能平均(1.98 ±0.01)分,专科技能平均(1.52±0.07)分,新生儿专科护士的基础技能掌握情况明显优于专科技能；专科技能中得分最低的后10位护理项目为体外膜肺(ECMO)、持续肾替代治疗(CRRT)、腹膜透析、回流洗肠、有创监测、一氧化氮(NO)吸入、造口护理、PICC留置与维护、有创机械通气、全胃肠外营养(TPN)配置.结论新生儿专科护士的基础技能处于中上水平,但应加强专科技能的培养,有必要尽快建立新生儿专科护士培训基地,进行系统培训,以促进军队医院新生儿专科护士整体核心能力的提高.
목적 료해군대의원신생인전과호사적현상병진행분석,위군대의원신생인전과호사배양제공의거.방법 수궤추취국내6소군대의원적신생인전과호사,공217인,채용유전군인과학전업위원회호이학조제정적2013년군대의원신생인병방화/혹NICU전과호사현상조사표진행문권조사.결과 신생인전과호사적기출기능평균(1.98 ±0.01)분,전과기능평균(1.52±0.07)분,신생인전과호사적기출기능장악정황명현우우전과기능；전과기능중득분최저적후10위호리항목위체외막폐(ECMO)、지속신체대치료(CRRT)、복막투석、회류세장、유창감측、일양화담(NO)흡입、조구호리、PICC류치여유호、유창궤계통기、전위장외영양(TPN)배치.결론 신생인전과호사적기출기능처우중상수평,단응가강전과기능적배양,유필요진쾌건립신생인전과호사배훈기지,진행계통배훈,이촉진군대의원신생인전과호사정체핵심능력적제고.
Objective To investigate the capabilities of neonatal nurses in the military hospitals,so as to provide a reference for training neonatal specialized nurses.Methods Totals of 217 neonatal nurses were investigated with" neonatal wards and/or NICU nurses status questionnaire in military hospital in 2013" designed by Nursing Council affiliated to Military Pediatrics Association.Results The mean score of the dimensions of basic skills was (1.98 ± 0.01),while specialized skills was (1.52 ± 0.07),arranged in ascending order as follows:nursing of ECMO,CRRT,peritoneal dialysis,reflux enema,Invasive parameters monitoring,NO inhalation,stoma care,PICC placement and maintenance,Invasive mechanical ventilation,TPN preparation.Conclusions The basic skills of neonatal nurses is at the upper-middle level,but specialized skills of neonatal nurses should be improved.It is necessary to establish a training centre for systematic specialized neonatal nurse training as soon as possible,in order to improve neonatal nurses' overall core capabilities in the military hospitals.