CAJ | 학술논문

目的探讨适合于老年ICU护理人员在职培训的模式,以提高ICU护士对老年多种疾病危重患者综合救治和护理能力.方法组织老年心脏ICU、呼吸ICU和外科重症ICU护士联合培训教学,每3个月为1个周期,每月由各个ICU轮流负责,分别对培训前后护理人员的急救理论及技能进行满意率评价,并对其培训前后考核成绩进行比较.结果联合护理培训教学模式建立后,患者及家属对护士理论及技能满意率分别为96.6％,95.2％,高于培训前83.7％,86.3％；医生分别为95.5％,93.7％,高于培训前80.9％,84.6％；护理人员分别为98.7％,97.6％,高于培训前85.7％,87.6％；差异均有统计学意义(x2值分别为8.900,4.395,5.224,4.940,12.890,7.680;P ＜0.05).护理人员急救理论成绩培训前为(59.2±4.2)的分低于培训后(89.7±3.7)分,急救操作技能培训前为(63.8±4.6)分,低于培训后的(90.3±5.3)分,考核成绩明显提高,差异均有统计学差异(t值分别为-59.12,-41.06；P＜0.01).结论老年ICU多学科联合护理培训教学模式的建立,培养了护士多学科综合救治能力,提高了护理工作满意率及危重患者的抢救成功率,实现了人力资源、医疗仪器和信息资源的共享,适合在ICU间开展,值得在临床推广运用.
목적 탐토괄합우노년ICU호리인원재직배훈적모식,이제고ICU호사대노년다충질병위중환자종합구치화호리능력.방법 조직노년심장ICU、호흡ICU화외과중증ICU호사연합배훈교학,매3개월위1개주기,매월유각개ICU륜류부책,분별대배훈전후호리인원적급구이론급기능진행만의솔평개,병대기배훈전후고핵성적진행비교.결과 연합호리배훈교학모식건립후,환자급가속대호사이론급기능만의솔분별위96.6％,95.2％,고우배훈전83.7％,86.3％；의생분별위95.5％,93.7％,고우배훈전80.9％,84.6％；호리인원분별위98.7％,97.6％,고우배훈전85.7％,87.6％；차이균유통계학의의(x2치분별위8.900,4.395,5.224,4.940,12.890,7.680;P ＜0.05).호리인원급구이론성적배훈전위(59.2±4.2)적분저우배훈후(89.7±3.7)분,급구조작기능배훈전위(63.8±4.6)분,저우배훈후적(90.3±5.3)분,고핵성적명현제고,차이균유통계학차이(t치분별위-59.12,-41.06；P＜0.01).결론 노년ICU다학과연합호리배훈교학모식적건립,배양료호사다학과종합구치능력,제고료호리공작만의솔급위중환자적창구성공솔,실현료인력자원、의료의기화신식자원적공향,괄합재ICU간개전,치득재림상추엄운용.
Objective To investigate the on-job training mode suitable for ICU nursing staff for elderly patients,in order to improve the comprehensive treatment and nursing capabihties of ICU nursing staffs in critically ill elder patients with a variety of diseases.Methods Nurses from coronary care unit (CCU),respiratory intensive care unit (RICU),and surgery intensive care unit(SICU) were recruited to participated in the training.Every three months were considered as a training cycle,each ICU took responsibility for one-month training program for the participants in turns.Satisfaction rate and examination scores concerning the first aid theory and first aid skills of nurses were evaluate and compared before and after training.Results After receiving the training program,satisfaction rates for the first aid theory and the first aid skills of nurses in patients and their families were 96.6％ and 95.2％,and higher than that were 83.7％ and 86.3％ before the training program; 95.5％ and 93.7％ among doctors after the training were higher than 80.9％ and 84.6％ before the training program; 98.7％ and 97.6％ among nursing staffs after the training were higher than 80.9％ and 84.6％ before the training program; and these differences were statistically significant between before and after the training (x2 =8.900,4.395,5.224,4.940,12.890,7.680,respectively; P ＜0.05).The examination score of the first aid theory before the training was (59.2 ± 4.2) and lower than that was (89.7 ± 3.7) after the training,the examination score of the first aid skills of nurses before the training was (63.8 ± 4.6) and lower than that was (90.3 ± 5.3) after the training,these differences were statistically significant between before and after the training (t =-59.12,-41.06,respectively; P ＜ 0.01).Conclusions The establishment of the teaching mode of multidisciplinary collaboration on nursing training among elderly patients in ICU,which can develop the comprehensive treatment and nursing capabilities of ICU nursing staffs and improve the satisfaction rate for nursing job and the rate of successfully rescuing critically ill patients,can be used to achieve the sharing of human resources,medical instruments and information resources,and is feasible in nursing practice in ICU and more worthy of clinical promotion and application.