护士心肺复苏技能培训最佳周期的探讨

A study on the best frequency of CPR training for nurses

目的研究对临床护士进行心肺复苏理论与操作技能培训后,复苏技能的保持时间,探讨复苏培训的最佳时间周期。方法随机抽取医院内8个科室共80名护士进行心肺复苏理论与操作技能培训,在培训前、培训后即刻、培训后3个月、培训后6个月及培训后12个月对受试者进行相关理论考试与技能操作考核,考核内容与评分标准参照2010复苏指南制定,考核小组由高年资护师组成。结果受试者在培训前的理论及操作成绩均较低,培训后即刻成绩最高,在培训6个月后理论及操作成绩同培训后即刻相比均显著下降（P〈0.05）,操作成绩降至培训前水平。培训后12个月时,理论及操作成绩均进一步下降,与培训前成绩比较差异无统计学意义。分组比较后,急诊科护士在培训前、培训后6个月、培训后12个月的理论与操作成绩显著高于其他科室,培训后6个月的成绩与培训后即刻相比无明显下降,而至培训后12个月时的理论与操作成绩显著低于培训后即刻水平（P〈0.05）,操作成绩降至培训前水平。结论护士心肺复苏技能培训的最佳周期宜根据不同科室的特点具体制定,通常在首次培训后3～6个月,急诊科的培训周期在首次培训后6~12个月为宜。

Objective To study the maintaining of cardiopulmonary resuscitation （CPR） skills of clinical nurses after having CPR training and to find out the optimal retraining time interval between two CPR trainings for them. Methods CPR training was conducted among 80 nurses randomly selected from 8 clinical departments. The theory and practice of CPR skills were evaluated and compared before and right after, three months, six months and twelve months after, the initial training according to the 2010 American Heart Association guidelines for CPR. The assessment panel was composed by veteran su- pervisor nurses. Results The performance of CPR skills is lowest before the training and highest right after the training. Six months after the initial training, the performance decreased Significantly compared with that of right after training （P 〈 0.05）, and the operating skills decreased to the level of before training. Twelve months after CPR training, the theory and practice performance decreased further, and had no significant difference compared with that of before training. As to the emergency nurses, the performances of before, 6 months and 12 months after the initial training were better than that of other depart- ments nurses. The performance of 6 months after training was not different from that of right after the training. Twelve months after CPR training, the theory and practice performance decreased significantly compared with that of right after training （P 〈 0.05）, and the operating skills of 12 months after the training decreased to the level of before training. Conelusion The best frequency of CPR training for nurses should be set up according to the features of the various medical departments. 3-6 months may be a considered interval for most of the clinical departments, 6-12 months may be suitable for emergency department.