个性化指导在新入职护士心肺复苏术培训中的应用效果研究

摘要

Objective To explore the personal guidance application effect of CPR training on new recruit nurses.Methods A total of 25 new nurses received CPR training by the personal guidance,and they were practiced on the Laerdal ACLS advanced life support model before and after the training,then compared the respective data collected by Laerdal computer skill report system.Results It revealed that significant difference in each indicator of chest compression,before and after the individualized guidance (P ＜ 0.05),such as the incidence of displaying error after individualized guidance was 17.6％ higher than before (41.4％) ; the incidence of chest compression that deeply enough was 92.7％ higher than before (65.2％),and the proportion of incorrect hand position was 1.3％,which was lower than before (7.7％).No statistical difference in tidal volume of artificial ventilation,before and after the individualized guidance (P ＞ 0.1).Conclusions The individualized guidance showed favorable results in new recruit nurses,which could be generalized in the clinical practice.Besides,the proper compression frequency requires further investigation.%目的 探讨个性化指导在新人职护士心肺复苏术(CPR)培训中的应用效果.方法 采用个性化指导对25名新护士进行CPR培训,培训前后分别在Laerdal ACLS高级生命支持模型人(200_05050)上进行CPR操作,并用Laerdal(R)计算机技能报告系统收集数据分析,比较培训前后操作情况.结果 个性化的指导培训后新护士胸外按压的各指标均有提高,按压深度足够率从65.2％提高至92.7％,不正确手部位置率从7.7％下降至1.3％,记录错误次数的比例从41.4％下降至17.6％,培训前后比较差异均有统计学意义(P＜0.05)；培训前后人工通气的潮气量比较,差异无统计学意义(Z=1.48,P＞0.05).结论 个性化指导在新人职护士CPR培训中取得了很好的效果,可以在全院推广,并且合适的按压频率有待进一步探讨研究.