PBL教学法在护士对阿托品化患者护理观察能力的影响

Effect of PBL teaching method in nursing observation ability to atropine

目的探讨应用PBL教学法进行业务培训对阿托品化观察能力的影响。方法将2013年1—12月期间重度有机磷中毒患者80例作为观察组,将2012年1—12月期间重度有机磷中毒患者80例作为对照组。对照组采取常规培训方法进行业务学习,对阿托品化进行常规观察与护理;观察组应用PBL教学法进行业务培训,对阿托品化进行动态观察与护理干预。观察对比两组患者阿托品化误判率和中间综合征发生例数。结果对照组患者出现阿托品不足7例,阿托品过量5例,阿托品依赖4例,病情反跳4例,中间综合征15例;观察组依次为3例,1例,1例,1例,6例,两组患者阿托品化误判率和中间综合征发生例数经统计学分析比较,均有统计学差异,P值分别为P<0.01,P<0.05。结论在阿托品化观察过程中,应用PBL教学法进行业务培训,可以提高护士评判性思维能力,降低阿托品化误判率,减少中间综合征的发生。

Objective To investigate the effects of PBL teaching method for business training observation ability to atropine. Methods 80 cases of severe organophosphorus poisoning patients as the observation group of January 2013-December 2013, 80 cases of severe organophosphorus poisoning patients as the control group of January 2012-December 2012. The control group adopted conventional training method for service learning, carry out routine observation and nursing of atropine; observation group application of PBL teaching method for business training, to carry out the dynamic observation and nursing intervention of atropine. Then, two groups of patients with atropine misjudgment rate and intermediate syndrome cases were observed and contrasted. Results There were 7 cases of atropine inadequate, 5 cases of atropine overdose, 4 cases of atropine dependence, 4 cases of disease rebound atropine, 15 cases of intermediate syndrome; and that in observation group, respectively, was 3 cases, 1 cases, 1 cases, 1 cases, 6 cases. There were significant differences between the two groups of patients with atropine misjudgment rate and intermediate syndrome occurred in the number of cases , P values were P 〈0. 01, P 〈 0. 05, P 〈 0. 05. Conclusions In the observation process of atropine, application of PBL teaching method for business training, can improve nurses＂ critical thinking ability, reduce the atropine misjudgment rate, reduce the occurrence of intermediate syndrome.