“数字密码”教学法在社区护士心肺复苏技术培训中的应用

Application of “digital code” teaching method in training community nurses of cardiopulmonary resuscitation

目的探讨＂数字密码＂教学法在社区护士心肺复苏（cardiopulmonary resuscitation,CPR）技术培训中的教学效果。方法将2015年05-07月接受CPR培训的157名社区护士纳入研究。按照培训进程,将学员分为对照组和试验组。对照组采用常规教学法授课,试验组采用＂数字密码＂教学法授课。授课内容以2010版《国际心肺复苏指南》为标准,比较两组的培训效果。结果培训前,两组学员在12项操作项目中均存在较高的失误率;培训后,除对照组操作总时间（P=0.246）外,两组学员各项目操作的失误率较培训前均显著下降（P〈0.05）。培训后,试验组操作考核成绩优于对照组（t=2.854,P〈0.05）;试验组各项目失误率均低于对照组,其中人工通气一项,试验组操作失误率显著低于对照组,差异有统计学意义（χ^2=6.992,P=0.008）。结论 ＂数字密码＂教学法同常规教学法均能有效提高社区护士的CPR技能,但＂数字密码＂教学法因其简便易学、重点突出的优势,更适合应用于社区护士CPR技术的培训。

Objective To explore effect of ＂digital code＂ teaching method in training community nurses of cardiopulmonary resuscitation（CPR）. Methods 157 nurses in community hospital who had received CPR training during May 2015 and July 2015 were recruited. All trainees were divided into control group and experimental group according to training process. The control group was taught by conventional teaching method, while the experimental group was taught by ＂digital code＂ teaching method. Took International Guidelines 2010 for CPR as the standard of teaching contents, and training effects of two groups were compared. Results Before training, there were high failure rates of both groups in 12 items of operation process; after training, except total operation time of control group（P=0.246）, operation failure rates of the two groups were significantly lower than those before training（P〈0.05）. After training, operation examination scores of experimental group were better than that of control group（t=2.854,P〈0.05）; operation failure rates of experimental group were lower than those of control group, among which, operation failure rate of artificial ventilation in experimental group was significantly lower than that of control group, and the difference was statistically significant（χ^2=6.992,P=0.008）. Conclusions The teaching method of ＂digital code＂ can effectively improve CPR skills of community nurses as well as conventional teaching method, but ＂digital code＂ teaching is suitable for CPR training of community nurses because of its advantages of easy learning and giving prominence to emphasis.