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  • 创伤骨科论文 关于创伤骨科论文范文参考资料

    本文是一篇关于创伤骨科论文范文,可作为相关选题参考,和写作参考文献。

    标准化培训提高创伤骨科专科护理质量的实验性

    摘 要:本研究的目的在于研究标准化培训对创伤骨科护理质量的影响.通过采取实验性研究,将符合纳入标准的护士分为实验组和对照组,实验组护士进行标准化的专科理论知识和专科技能的培训并录制视频,对照组护士进行基础理论和基础技能的培训.培训后通过对其技能操作、专业知识和应急情况进行考核,并分别记录培训前后的平均住院日,以及对患者满意度进行调查.发现创伤骨科护士的专业知识、专业技能得到提升,科室整体护理质量提高,病人满意度提高,同时病人平均住院日明显减少.因此,标准化培训对创伤骨科专科护理质量的提高具有重大意义.

    关键词:标准化培训;创伤骨科;护理质量

    【中图分类号】G 【文献标识码】B 【文章编号】1008-1216(2017)07B-0055-02

    随着现代化社会的飞速发展及社会治安问题的频发,创伤率呈现出日益升高的趋势,创伤程度也日趋复杂和严重,创伤骨科的病人具有病情紧急、病情危重、病程长的特点,因此,创伤骨科护士的專科护理技能需要得到迅速而有效的提升.目前国内多侧重于通过对新诊疗技术的研究和对护士进行基本知识和基本技能的培训,但这对护理质量的提升作用不明显.因此,通过对创伤骨科专业护士进行标准化培训,可以逐渐提高其对专科知识的掌握和专科技能的熟练程度,做到每当有病人到达科室时,护理人员都能对其做出迅速而高效的专业化的护理,从而达到抢救生命,进而促进病人康复的目的.本文将对标准化培训在创伤骨科应用方面的意义进行详细的研究.

    一、对象和方法

    (一)对象

    选取内蒙古医科大学第二附属医院创伤骨科的护理人员共计36名,工作年限最多的为20年,最少的为2年,其中本科以上学历12人,大专学历20人,中专学历14人.高级职称1人,中级职称6人,护师16人,护士13人.

    (二)方法

    1.分组方法.

    将创伤骨科的护理人员按职称分层随机分配,分为两组.将有高级职称的一组作为对照组,剩下的一组为实验组.

    2.实验方法.

    采用实验性研究的方法,首先对两组护士进行理论和操作技能考核,同时记录两组的成绩.对实验组护士进行标准化的专科理论知识和专科技能的培训并录制视频,对于下夜班和不能进行及时培训的护士要求其自行学习视频.对照组护士进行基础理论和基础技能的培训.将培训期间肱骨骨折的病人随机分为两组,由两组护士分别进行护理.培训时间为三个月,培训后对两组护士进行理论成绩和操作技能考核,计算两组的跌倒、压疮、意外拔管等不良事件的发生率,并记录结果.制定患者满意度调查问卷,对肱骨骨折的病人进行调查,并记录结果,分别计算两组病人的平均住院日.

    3.培训内容及方法.

    实验组培训的内容主要包括专科理论知识的培训和专科技能的培训,以及人文关怀理念及应用, 护患沟通技巧, 标准化技术操作护理问题分析与对策, 护士礼仪等.理论知识学习采用多元化方式,首先是按专科理论内容自学和集中学习,其次是继续教育与网上学习,然后是进行专题培训、研讨与交流,最后进行讲座和观摩教学等 ;专科技能培训首先也应进行理论指导,其次进行基础训练,再次应对参加培训的护士进行强化训练,最后考核个人成绩.

    4.培训考核.

    考核方法是对参加本次实验的护士进行情景模拟演示、实际临床操作的考核以及理论知识的考试,同时对比两组病人的平均住院时间和患者的满意度以及跌倒、压疮、导管脱落等不良事件发生率.

    5.患者满意度的调查问卷共60份,去掉无效的调查问卷,剩余有效调查问卷为54份.

    6.统计学处理.

    得到的数据通过采用SPSS13.0统计软件的处理,计数资料采用t检验,P<0.05时为两组差异,有统计学意义.

    二、结果

    (一)标准化培训和基础培训后护士理论知识及操作技能成绩的比较

    在表中可以明显的看出实验组护士理论和操作技能成绩明显高于对照组的护士.比较中差别具有统计学意义(P﹤0.05).(请见表1)

    (二)两组不良事件发生情况的比较

    从表中可以看出实验组的不良事件发生率与对照组的发生率有明显差异,比较中有统计学意义(P<0.05).(请见表2)

    (三)两组中患者满意度的比较

    在两组的患者满意度调查结果中,我们能明显发现实验组护士护理的肱骨骨折病人满意度明显高于对照组护士,两组差距明显,比较中有统计学意义(P<0.05).(请见表3)

    (四)两组中患者平均住院日的比较

    对两组患者平均住院日的比较发现,实验组的平均住院日少于对照组,两组的差异明显,比较中有统计学意义 (P<0.05).(请见表4)

    (五)标准化培训提高了创伤骨科的护理质量

    标准化培训后,增加了护士的专科理论知识,使其能更好地判断病人的状态,及时向医生反馈病人的基本情况.同时,对护士进行的专科技能操作培训也让护士能熟练准确的进行临床上的实践,减轻护理操作中病人的痛苦.在临床护理中护理不良事件发生率明显减少,护士学习的积极性也有所提升.为了有更好的技术操作和考核成绩,从而经常进行强化训练,如此良性循环,科室的护理质量得到了很大的提升.

    (六)标准化培训增加了患者的满意度

    护患沟通技巧在临床的护理中是十分重要的.培训后创伤骨科接到的关于护士态度不好、操作不当的投诉明显减少.首先,标准化培训中包括了护患沟通的技巧,通过培训可以有效的提升护患沟通技巧;其次,由于通过专科的培训,提高了护士的理论知识水平,让她们在患者提出问题后能进行十分专业的回答,增加了患者对护士的信任;再次,通过专科的技能培训,护士的操作水平得到有效提升,应急能力也有了很大的改善,危重患者入科后,护士都能有条不紊的采取各项抢救措施,缓解了患者家属焦急的情绪,也对病人后续的治疗提供了有效的准备措施.

    创伤骨科论文范文结:

    适合创伤骨科论文写作的大学硕士及相关本科毕业论文,相关创伤骨科开题报告范文和学术职称论文参考文献下载。

    1、中华创伤骨科杂志

    2、临床骨科杂志

    3、骨科护理杂志

    4、创伤外科杂志

    5、骨科论文

    6、骨科杂志

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