原位模拟培训提高麻醉专科护士苏醒期呼吸抑制应急处理能力

In situ simulation training enhances anesthesia nurses′emergency response ability to manage respiratory depression during the recovery period after anesthesia

目的探讨原位模拟培训提高麻醉专科护士苏醒期呼吸抑制应急处理能力的效果。方法运用原位模拟培训法,对21名参加湖北省麻醉专科护士培训项目的学员进行麻醉后苏醒期呼吸抑制应急处理能力的培训。比较学员培训前后应急启动时间和呼吸抑制处理有效时间、技术能力和非技术能力评分,以及学员对原位模拟培训的评价。结果培训后学员应急启动和呼吸抑制处理有效时间显著缩短、技术能力和非技术能力各项得分及总分显著提高(P<0.05,P<0.01);学员对原位模拟培训接受率和满意率较高(均>90.0%)。结论原位模拟培训的实施提高了麻醉专科护士对苏醒期呼吸抑制应急处理的专业技术能力和非技术能力,达到了培训目标。

Objective To explore the effectiveness of in situ simulation training on enhancing anesthesia nurses′emergency response ability to manage respiratory depression during the recovery period after anesthesia.Methods Twenty-one trainees on a nurse anesthesia training program in Hubei Province received in situ simulation that aims to cultivate emergency response ability to manage post-anesthetic respiratory depression.The start-up time of taking measures to manage respiratory depression and time to onset of action,nurses′technical and non-technical performance scores,as well as their evaluation with the in situ simulation were compared before and after the training.Results The start-up time and time to onset of action were significantly shortened,and the technical and non-technical performance scores as well as the total score were significantly enhanced after the training(P<0.05,P<0.01).Trainees showed high levels of acceptance and satisfaction with the training(greater than 90.0%for all).Conclusion The implementation of in situ simulation improves anesthesia nurses′technical and non-technical abilities of management of post-anesthetic respiratory depression during the recovery period,which achieves the teaching objective.