CAJ | 학술논문

目的：探讨护士标准化病人( NSP)在低年资护士自缢、噎食急救护理技能培训中的应用方法及效果。方法参考华西医院筛选NSP的标准筛选出4名NSP,以60名广州市脑科医院护龄在3年内的护士为研究对象,采用随机对照的研究方法分为研究组30名与对照组30名。研究组使用NSP进行培训,对照组使用常规方法进行培训,用教育环境评估量表( DREEM)、理论和技能考核成绩及满意度评价两组培训效果。结果两组护士干预后急救理论考试成绩均较干预前提高,差异有统计学意义(P<0.05),且研究组成绩高于对照组,但差异无统计学意义(P>0.05)。研究组护士DREEM量表总分、对学习、对教师和对学术的自我认知评分均高于对照组,差异有统计学意义( t 值分别为7.086,9.443,10.462,8.620；P<0.05)。研究组噎食急救护理技能考核成绩高于对照组,差异有统计学意义(t=2.759,P<0.05),但自缢急救护理技能成绩比较差异无统计学意义(P>0.05)。两组护士对急救技能培训应用NSP的满意度比较差异无统计学意义(P>0.05)。结论在急救护理技能培训中应用NSP可以改善教育环境,提高护士的噎食急救护理技能水平,但在提高理论考核成绩、自缢急救护理技能方面与常规培训方法相比无明显优势。
목적：탐토호사표준화병인( NSP)재저년자호사자액、일식급구호리기능배훈중적응용방법급효과。방법삼고화서의원사선NSP적표준사선출4명NSP,이60명엄주시뇌과의원호령재3년내적호사위연구대상,채용수궤대조적연구방법분위연구조30명여대조조30명。연구조사용NSP진행배훈,대조조사용상규방법진행배훈,용교육배경평고량표( DREEM)、이론화기능고핵성적급만의도평개량조배훈효과。결과량조호사간예후급구이론고시성적균교간예전제고,차이유통계학의의(P<0.05),차연구조성적고우대조조,단차이무통계학의의(P>0.05)。연구조호사DREEM량표총분、대학습、대교사화대학술적자아인지평분균고우대조조,차이유통계학의의( t 치분별위7.086,9.443,10.462,8.620；P<0.05)。연구조일식급구호리기능고핵성적고우대조조,차이유통계학의의(t=2.759,P<0.05),단자액급구호리기능성적비교차이무통계학의의(P>0.05)。량조호사대급구기능배훈응용NSP적만의도비교차이무통계학의의(P>0.05)。결론재급구호리기능배훈중응용NSP가이개선교육배경,제고호사적일식급구호리기능수평,단재제고이론고핵성적、자액급구호리기능방면여상규배훈방법상비무명현우세。
Objective To explore the methods and effectiveness of using nurses as standardized patient ( NSP) in junior nurses′hanging and choking rescue care training. Methods This study selected four nurses as NSPs, based on Huaxi Hospital′s NSP screening criteria. A total of 60 nurses whose psychiatric nursing age were beyond three years were randomly divided into experimental group and control group, with 30 members each. The nurses in the experimental group were treated with NSP method, while the control group was trained in the regular way. After that, the effects of training were evaluated by Dundee Ready Education Environment Measure ( DREEM ) . The theory and clinical skills examination and training satisfaction were surveyed. Results The theory test scores of the two groups after training were significantly higher than those before training (P<0. 05), and the scores of the experimental group was higher than that of the control group, but there was no significant difference (P>0. 05). The total score of DREEM, and the perception of learning, course organizers and academic self-perception score of DREEM of the experimental group were significantly higher than those of the control group (t=7. 086, 9. 443, 10. 462, 8. 620, respectively;P<0. 05). The score of choking rescue skills of the experimental group was significantly higher than that of the control group ( t=2. 759,P<0. 05). But the score of hanging rescue skills of the experimental group was not significantly higher than that of the control group (P>0. 05). There was no significant difference in the satisfaction between the two groups (P>0. 05). Conclusions The application of NSP in hanging and choking rescue care training can improve the teaching environment, increase nurses′choking rescue care skills, but no difference is found in the theory examination and hanging rescue care skills between the two groups.