目的 探讨保护性约束微视频在精神科低年资护士技能培训中的应用效果.方法 对108名精神科低年资护士采用保护性约束微视频进行理论与技能培训,将理论部分制作成2个微视频,操作部分选取3个约束案例通过标准化病人扮演和护士情景模拟演示操作流程制作成3个微视频,每周通过平台播放1个微视频,结合阶段性考核对低年资护士进行培训,培训5周后进行理论及技能考核,采用自制问卷调查护士对保护性约束微视频培训的评价,半年后调查临床实践效果.结果 培训后护士考核均达标,成绩优良者占95.4％,优于传统培训效果.88.9％的护士认为培训激发了学习兴趣和主动性,94.4％的护士和93.3％的护士长认为培训规范了约束护理行为,90.7％的护士和93.3％的护士长认为培训提高了临床应急能力.与培训前比较,培训后护士受伤率明显降低,约束护理及约束记录合格率、患者满意度均明显提高(P＜0.05).结论 保护性约束微视频可以激发护士的学习兴趣,提高保护性约束的培训效果和临床应用效果.%Objective To explore the application of protective restrain nicrovideo in the skill training of psychiatric low qualification nurses.Methods Totally 108 psychiatric low qualification nurses were trained with protective restrain micro video.Two microvideos were produced for theory part;for practice part,three cases of restrain were adopted and three microvideos were produced via standardized patients play and nurse scene simulation.Each microvideo was played through the platform for each week,combining periodic evaluation,which served as training for low qualification nurses.Five weeks after training,theory and practice evaluation were performed,and self-designed questionnaire was used to investigate feedbacks from nurses with regard to protective restrain training using microvideos.Clinical practicing effects were surveyed after six months.Results After the training,all the nurscs met the standard,with a good score of 95.4％.88.9％ of the nurses said the training stimulated the learning interest and initiative,94.4％ of nnrses and 93.3％ of head nurses said that training standardized the restrain behavior,90.7％ of nurses and 93.3％ of head nurses said that it could improve the ability of solving clinical emergency.After training,the injury ratc of nurses was significantly reduced,and the qualification rate of restrain nursing and restriction record and patient satisfaction were significantly improved (P＜0.05).Conclusion Protective restrain microvideo can stimulate nurse's learning interest,regulate nursiug behavior,inprove clinical nursing quality and reduce injury rate.
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