CAJ | 학술논문

目的了解骨科护士对脊髓损伤病人神经系统评估技能应用现状及神经系统评估专科知识水平,以采取针对性措施提高护士对脊髓损伤病人神经系统评估质量.方法采用自行设计的脊髓损伤神经系统评估能力调查问卷,对广东省8家医院238名骨科护士进行调查,内容包括脊髓损伤病人神经系统评估技能使用的态度、评估技能应用现状、评估技能使用指引和再损伤预防方面.结果238名骨科护士中,93.3%的骨科护士从未接受过神经评估技能的专题培训,只有6.7%经常对脊髓损伤病人进行神经评估,71.8%依赖医生记录判断脊髓损伤病人的脊髓损伤程度.脊髓损伤病人神经系统评估专科知识得分(40.3±18.8)分,工作年限、医院级别、职称、学历不同的骨科护士得分差异均无统计学意义(P>0.05).结论骨科护士对脊髓损伤神经评估重视不够,缺乏脊髓损伤神经评估的专科知识.骨科护士的脊髓损伤神经评估技术亟待提高,开展专题培训并建立和健全相关培训制度和管理方法.
목적료해골과호사대척수손상병인신경계통평고기능응용현상급신경계통평고전과지식수평,이채취침대성조시제고호사대척수손상병인신경계통평고질량.방법채용자행설계적척수손상신경계통평고능력조사문권,대광동성8가의원238명골과호사진행조사,내용포괄척수손상병인신경계통평고기능사용적태도、평고기능응용현상、평고기능사용지인화재손상예방방면.결과238명골과호사중,93.3%적골과호사종미접수과신경평고기능적전제배훈,지유6.7%경상대척수손상병인진행신경평고,71.8%의뢰의생기록판단척수손상병인적척수손상정도.척수손상병인신경계통평고전과지식득분(40.3±18.8)분,공작년한、의원급별、직칭、학력불동적골과호사득분차이균무통계학의의(P>0.05).결론골과호사대척수손상신경평고중시불구,결핍척수손상신경평고적전과지식.골과호사적척수손상신경평고기술극대제고,개전전제배훈병건립화건전상관배훈제도화관리방법.
Objective To understand the assessment skills of orthopaedic nurses on spinal cord injury and the specialized knowledge of nerve and spinal cord injury, and to provide a reliable basis for the improvement of neurological assessment of spinal cord injury patients. Methods A self-designed questionnaire about neurological assessment on spinal cord injury was applied among 238 orthopaedic nurses from eight hospitals in Guangdong Province. Results Of the total, only 6.7%of the orthopaedic nurses often made neurological assessment of spinal cord injury, and 93.3% of the orthopaedic nurses had never received training on neurological assessment of spinal cord injury. In clinical care, 71.8%of the orthopaedic nurses assessed the degree of spinal cord injury according to doctor’s records. The score of assessment skills of spinal cord injury was 40.3 ±18.8 and the scores of orthopaedic nurses with different working lengths, professional titles, educational backgrounds, from different hospitals indicated no statistic significance (P>0.05). Conclusion Orthopaedic nurses should pay more attention to the assessment of spinal cord injury and improve specialized knowledge and assessment techniques of spinal cord injury.