蒋琰, 景峰, 赵淑媛, 黄晨, 孙怡蓉, 戚雯雯, 傅晓菁. 重大传染病疫情下重症监护室护士俯卧位治疗混合式培训课程的设置与应用[J]. 职业卫生与应急救援, 2023, 41(5): 608-613. DOI: 10.16369/j.oher.issn.1007-1326.2023.05.016
引用本文: 蒋琰, 景峰, 赵淑媛, 黄晨, 孙怡蓉, 戚雯雯, 傅晓菁. 重大传染病疫情下重症监护室护士俯卧位治疗混合式培训课程的设置与应用[J]. 职业卫生与应急救援, 2023, 41(5): 608-613. DOI: 10.16369/j.oher.issn.1007-1326.2023.05.016
JIANG Yan, JING Feng, ZHAO Shuyuan, HUANG Chen, SUN Yirong, QI Wenwen, FU Xiaojing. Setting and application of a hybrid training course on prone positioning treatment for ICU nurses during epidemics of severe infectious disease[J]. Occupational Health and Emergency Rescue, 2023, 41(5): 608-613. DOI: 10.16369/j.oher.issn.1007-1326.2023.05.016
Citation: JIANG Yan, JING Feng, ZHAO Shuyuan, HUANG Chen, SUN Yirong, QI Wenwen, FU Xiaojing. Setting and application of a hybrid training course on prone positioning treatment for ICU nurses during epidemics of severe infectious disease[J]. Occupational Health and Emergency Rescue, 2023, 41(5): 608-613. DOI: 10.16369/j.oher.issn.1007-1326.2023.05.016

重大传染病疫情下重症监护室护士俯卧位治疗混合式培训课程的设置与应用

Setting and application of a hybrid training course on prone positioning treatment for ICU nurses during epidemics of severe infectious disease

  • 摘要:
      目的  构建应急状态下重症监护室护士俯卧位治疗混合式培训课程, 并评价其实施效果, 为进一步开展急危重症护理培训提供依据。
      方法  通过文献检索、德尔菲专家咨询法构建重症监护室俯卧位治疗培训课程(线上线下混合教学模式)。2022年12月—2023年1月, 选取上海交通大学医学院附属瑞金医院急诊监护室和急诊缓冲监护室58名护士作为研究对象, 比较培训前后护士理论知识、临床实操评分, 以及对测评培训的满意度。
      结果  针对课程的2轮专家咨询问卷有效回收率均为100%, 专家的权威系数为0.795, 肯德尔和谐系数分别为0.196、0.318。课程设置内容效度指数S-CVI/UA和S-CVI/Ave均为0.948。俯卧位治疗混合式课程包括线上线下培训共计10学时。培训后护士理论知识为(89.68±12.51)分, 高于培训前的(35.48±15.24)分; 培训后临床实操评分为(91.97±3.75)分, 高于培训前的(66.45±8.85)分; 以上差异均具有统计学意义(P<0.05)。学员对培训的满意度评分为(11.9±0.32)分, 接近满分(12分)。
      结论  本课程设置科学合理。重大传染病疫情下, 采用线上线下混合式培训模式开展俯卧位治疗培训, 能进一步提升ICU护士专项护理技能, 可为急危重症护理教学工作提供理论依据。

     

    Abstract:
      Objective  To construct a hybrid training course on prone positioning treatment for ICU nurses under emergency conditions and evaluate its implementation effects, providing a basis for further critical care nursing training.
      Methods  Through literature review and expert consultation using the Delphi method, a hybrid(online and offline) training course on prone positioning treatment for ICU nurses was developed. From December 2022 to January 2023, 58 nurses in the emergency ICU and buffer ICU of Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine were selected as the research objects. This study compared the participants'theoretical knowledge, clinical practice scores, and satisfaction with this training before and after the training course.
      Results  Two rounds of expert consultation had a response rate of 100%, with the authority coefficient of 0.795 and Kendall's harmony coefficients of 0.196 and 0.318, respectively. The content validity indexes of this course, S-CVI/UA and S-CVI/Ave, were both 0.948. The hybrid(online and offline) training course on prone positioning treatment included a total of 10 hours. After training, the nurses'theoretical knowledge scores increased from(35.48 ± 15.24) to(89.68 ± 12.51) points, and the clinical operation scores increased from(66.45 ± 8.85) to(91.97 ± 3.75) points, with statistically significant differences(P < 0.05). The participants rated their satisfaction with the training at(11.9 ± 0.32) points, close to the full maximum score of 12 points.
      Conclusions  The course setting is scientific and reasonable. During epidemics of severe infectious disease, the hybrid training course on prone positioning treatment can further improve ICU nurses' special nursing skills. It can provide a theoretical basis for setting up continuous education courses on critical care nursing.

     

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