磁性护理理念对提高护士ECMO护理能力的研究

Effect of magnetic nursing concept on improving nurses' ECMO nursing ability

目的研究磁性护理理念对提高护士体外膜氧合(extracorporeal membrane oxygenation,ECMO)护理能力的影响。方法选取2019年1月至2020年12月南京医科大学第一附属医院急诊监护病房33名护士为研究对象。2019年1月至2019年12月科室行常规护理管理,2020年1月至2020年12月科室实施磁性护理理念管理模式。采用量表分析磁性护理理念干预前后护士对ECMO相关护理知识的掌握情况,并比较护士干预前后批判性思维能力及自主学习能力。选用SPSS 22.0统计学软件对数据进行t检验。结果干预后护士对ECMO患者呼吸系统的护理,循环系统的护理,液体平衡状态护理,皮肤护理,消化系统护理,出血、抗凝问题护理,医院感染的防控,管路的护理等相关知识掌握度均好于干预前(P<0.05)。干预后护士寻找真相、开放思想、系统化能力、分析能力、思维自信心、求知欲、认知成熟度及总量表评分均高于干预前(P<0.05)。干预后护士自我动机信念、任务分析、自我监控与调节、自我评价及总分均高于干预前(P<0.05)。结论磁性护理理念的护理管理模式对提高护士评判性思维能力及自主学习能力具有价值。

Objective To study the effect of magnetic nursing concept on improving nurses'nursing ability of extracorporeal membrane oxygenation(ECMO).Methods In the study,33 nurses of emergency intensive care unit of The First Affiliated Hospital of Nanjing Medical University from January 2019 to December 2020 were selected as the research objects.From January 2019 to December 2019,the Department carried out routine nursing management,and from January 2020 to December 2020,the Department implemented the management mode of magnetic nursing concept.The mastery of nursing knowledge of ECMO was analyzed by using scale,and the critical thinking ability and self-study ability of the nurses were compared before and after intervention.SPSS 22.0 was used to perform t test on the data.Results After the intervention,nurses'mastery of respiratory system nursing,circulatory system nursing,fluid balance nursing,skin nursing,digestive system nursing,bleeding,anticoagulant problem nursing,hospital infection prevention and control,and pipeline nursing related knowledge of ECMO patients was significantly better than that before the intervention(P<0.05).After the intervention,nurses'truth-seeking,open thinking,systematic ability,analytic ability,thinking self-confidence,thirst for knowledge,cognitive maturity and total scale scores were significantly higher than those before the intervention(P<0.05).After the intervention,nurses'self motivation belief,task analysis,self-monitoring and regulation,self-evaluation and total score were significantly higher than those before the intervention(P<0.05).Conclusion The nursing management mode of magnetic nursing concept is of value in improving nurses'autonomous learning ability and critical thinking ability.