新护理带教模式在妇科腹腔镜手术中的应用与效果

Effect evaluation of applying new teaching mode during laparoscopic surgery

目的让护士尽快满足妇科微创手术方法对手术配合工作的要求并降低护士工作压力，提高工作效率和质量。方法选取手术室护士80名，按学历一致工龄相近不超过2年进行分层抽样，各层比例相当，分为传统模式带教和N-模式带教两组，干预1个月后，进行手术配合考核，分析护士的焦虑程度，评价医生满意度。结果与传统模式带教组比较，护士在N-模式带教后的手术配合考试的理论成绩[（93．4±2．6）分比（87．7±4．9）分]和操作成绩[（94．3±2．7）分比（87．7±4．4）分]较高，差异有统计学意义[t值分别为9．829，10．918；P均〈0．01]。1个月之后的状态-特质焦虑评分N-模式组明显低于传统模式组[t值分别为11．671，12．765；P均〈0，01]；医生满意度评价中两组比较差异亦有统计学意义（P〈0．05）。结论N-模式优于传统带教模式，能让护士更快适应手术的配合并且学习过程较轻松。

Objective To evaluate the effect of new teaching mode for nurses to meet the requirements of the gynecologic minimally invasive surgery and to reduce the working pressure and improve working efficiency and quality. Methods Eighty operating room nurses were divided into two groups according to the education level and working experiences （ ± 2 years ） and treated with traditional and new teaching modes. After one month, surgical cooperation was assessed and anxiety level of nurses and doctors to nurses satisfaction were evaluated. Results Nurses in the group of N-teaching mode （ new mode） had significantly higher scores in both theory test E （ 93.4 ± 2.6 ） for new mode group and （ 87.7 ± 4.9 ） for traditional mode group; t = 9. 829, P 〈 0. 01 ） ] and practice test （94.3 ± 2.7） for new mode group and （ 87.7 ± 4.4 ） for traditional mode group （ t = 10. 918 ,P 〈0. 01 ）. Anxiety level of the new mode group was significantly lower than that of the tradition mode group （t = 11. 671,P〈0.01;t = 12. 765,P 〈0.01）. Doctors to nurses satisfaction of the two groups was statistically different （ P 〈 0.05 ）. Conclusions The N-mode （ new mode） is better than the traditional teaching mode and it allows nurses to adapt the surgical cooperation sooner and gives more relaxing process of learning.