操作技能直接观察法在连续性肾脏替代治疗护士操作培训中的应用

摘要

Objective? To explore the effects of direct operation skill observation in nurses' operation training for continuous renal replacement therapy (CRRT). Methods? Totally 44 nurses who needed to receive CRRT operation training in Peking University First University between January and December 2016 were selected by convenient sampling and divided into the control group (n=21) and the observation group (n=23) according to the random number table. Nurses in the control group were trained using conventional methods, while nurses in the observation group were trained by direct operation skill observation on this basis. The operational performance and satisfaction with training methods were compared between the two groups. Results? The machine operation and catheter change scores of the control group were (92.76±3.79) and (92.28±3.45), respectively, while those of the observation group were (96.32±2.41) and (96.40±2.19), respectively (P＜0.05). The satisfaction with training methods scored (41.05±1.53) in the control group and (50.35±2.21) in the observation group (t=16.08,P＜ 0.05). Conclusions? Direct operation skill observation can improve the operation skills of CRRT nurses and enhance their comprehensive competence, which provides a reference for developing formative evaluation methods in clinical nursing training in the future.%目的? 探讨操作技能直接观察法在护士连续性肾脏替代治疗(CRRT)操作培训中的实施效果.方法? 采用便利抽样法,选取2016年1－12月北京大学第一医院需要进行CRRT操作培训的护士44名为研究对象.按随机数字表法分为对照组(n=21)和观察组(n=23),对照组采用常规培训方法,观察组在常规培训基础上采用形成性评价中的操作技能直接观察法进行培训.比较两组护士操作考核成绩及对培训方法满意度的得分.结果? 培训后,对照组上机操作得分为(92.76±3.79)分,导管换药操作得分为(92.28±3.45)分,观察组上机操作得分为(96.32±2.41)分,导管换药操作得分为(96.40±2.19)分,两组操作技能得分观察组高于对照组,差异有统计学意义(P＜0.05);对照组护士对培训方法的满意度得分为(41.05±1.53)分,观察组为(50.35±2.21)分,观察组高于对照组,差异有统计学意义(t=16.08, P＜0.05).结论? 操作技能直接观察法能够提高CRRT护士的操作水平,有助于护士综合能力的培养,同时为今后在临床护理培训中推进形成性评价方法提供参考依据.