CAJ | 학술논문

目的：探讨将PBL教学法与专业分组相结合应用于 ICU护士临床培训中的效果.方法便利抽样选取上海市第一人民医院 ICU A病区护士为观察组,ICU B病区护士为对照组.在8个月培训过程中,对观察组护士在实施专业分组的基础上采用PBL教学法,对照组护士不实施专业分组,并采用以授课为基础的教学方法(LBL),比较两组护士培训后医生和患者对护理工作的满意度、护士对工作的满意度、护士重症护理理论和技能考核成绩及患者相关并发症发生率.结果培训后,观察组的医生、患者对护理工作满意率、护士对工作的满意率、护士重症护理理论及技能考核成绩均高于对照组,差异有统计学意义(均P＜0．01)；观察组所护理患者相关并发症发生率低于对照组,差异有统计学意义(P＜0．05).结论在 ICU 护士培训中,应用专业分组与PBL教学相结合的方法可以有效提高医生、患者及护士的满意率,提高 ICU 护士的临床综合能力及专科护理质量,值得推广应用.
목적：탐토장PBL교학법여전업분조상결합응용우 ICU호사림상배훈중적효과.방법편리추양선취상해시제일인민의원 ICU A병구호사위관찰조,ICU B병구호사위대조조.재8개월배훈과정중,대관찰조호사재실시전업분조적기출상채용PBL교학법,대조조호사불실시전업분조,병채용이수과위기출적교학방법(LBL),비교량조호사배훈후의생화환자대호리공작적만의도、호사대공작적만의도、호사중증호리이론화기능고핵성적급환자상관병발증발생솔.결과배훈후,관찰조적의생、환자대호리공작만의솔、호사대공작적만의솔、호사중증호리이론급기능고핵성적균고우대조조,차이유통계학의의(균P＜0．01)；관찰조소호리환자상관병발증발생솔저우대조조,차이유통계학의의(P＜0．05).결론재 ICU 호사배훈중,응용전업분조여PBL교학상결합적방법가이유효제고의생、환자급호사적만의솔,제고 ICU 호사적림상종합능력급전과호리질량,치득추엄응용.
Objective To investigate the effect of PBL combined with professional groups in clinical train-ing of ICU nurses.Methods By convenience sampling,the nurses in ICU A ward were selected as obser-vation group,and nurses in ICU B ward were selected as control group.During the 8 months of training, the observation group received PBL teaching method with professional grouping,while the control group received no professional grouping,but were applied with lecture based learning.Physician satisfaction and patient satisfaction for nursing work,nurse satisfaction,critical care theoretical and skills results ,the in-cidence of complications were recorded and compared between the two groups.Results After training, the physician satisfaction and patient satisfaction for nursing,nurse satisfaction,critical care theoretical and skills results in observation group were all higher than which in control group(all P<0 .0 1 ).The in-cidence rate of patient’s relevant complications in observation group were lower than that of control group(P<0 .0 5 ).Conclusion In the training of ICU nurses,PBL teaching combined with professional groups can effectively improve physician,patients and nurses’satisfaction,and can also improve the clin-ical integrative competence and specialty nursing quality,which is worthwhile for promotion.