伤口护理中心护士专科知识的调查与培训

Investigation and Training of Nurses' Specialist Knowledge in Wound Care Center

目的通过对伤口管理护士进行问卷调查,开展有针对性的系统培训,以提高伤口护理中心的护理工作质量。方法设计调查问卷评估伤口管理护士的一般情况和伤口护理知识掌握情况,根据初评存在的问题,定期组织院内专家讲座、疑难伤口护理个案讨论、常规操作技术演示等培训,通过再次评估了解培训效果。结果初次评估结果显示,92%的调查对象认为在校期间伤口教育课时不足,对慢性复杂伤口的处理自信心不强;80%左右的对象掌握了消毒隔离、伤口评估、敷料应用、常规清创等基础知识,但对常见慢性伤口的发病机制、研究进展等了解不够。针对初次评估结果,经过6个月有针对性的系统培训,再次评估结果显示,上述不足均明显改善,伤口管理护士的知识储备、科研和独立解决问题的能力得到明显提高。结论开展伤口管理护士专科知识的调查研究,进行多种方式培训,对提高伤口护理中心的工作质量具有重要意义。

Objective To improve the quality of work in wound care center by a questionnaire and training among wound management nurses. Methods A questionnaire was developed to assess wound management nurses＂ general information and wound care knowledge. Regular trainings including lectures of specialists, case discussion of difficult wound care and demonstration of routine procedure were performed according to the initial survey problems. Reassessment was conducted to evaluate the effect of trainings. The effective- ness of training were determined by the second assessment. Results The initial survey revealed 92 % of the nurses thought the total time of wound education was insufficient. Nurses lacked confidence when managing chronic and complicated wound. About 80% of them grasped basic knowledge, including disinfection and isolation, wound assessment, dressing application and routine debridement. However, the knowledge of the mechanisms and investigation advancement of common chronic wound was inadequate. After half year of systemic training, assessment for the second time revealed the items mentioned above and the level of knowledge, science research, the ability to solve problems independently were improved. Conclusion Performing investigation of wound management nurses＂ knowledge and conducting variety of training had important significance to improve the quality of work in wound care center.