多中心压疮研究调研人员培训效果分析

Effect and evaluation of personel training in multi-center study of pressure sores

目的选拔和培训参与多中心压疮研究调研人员，确保本中心调研质量。方法在东南大学附属中大医院招募的112名在职护士中通过理论考试初步筛选87名护士成为压疮调研人员．通过看图识别压疮分期、多媒体教学、疑难个案分析、现场教学查房、压疮相关知识竞赛等方式对这87名护士进行20h的压疮知识培训。培训后3d采用多中心研究课题组的统一试卷和评价方法进行考核以了解培训效果，对不合格人员采用相同培训和考核方法再次进行培训和考核。结果参加培训的87名压疮调研人员培训前的书面考核（第一次成绩）平均成绩为（47．70±15．08）分，培训后（第二次成绩）平均成绩为（84．46±11．35）分，仅有44名合格，再次对43名不合格人员进行培训，第二次培训后（第三次成绩）有24名人员合格，平均成绩为（87．86±7．23）分。第一次和第二次的平均成绩比较差异有统计学意义（t=-16．710，P〈0701），第一次和第三次平均成绩比较差异有统计学意义（t=-12．742，P〈0．01），第二次和第三次平均成绩比较差异无统计学意义（t=-1．403，P〉0．05）。结论通过反复培训使及格人数增加，有效提高了调研人员的压疮及皮肤损伤的识别能力，选拔出68名合格的压疮调研人员。规范系统的培训可以作为提高压疮调研人员水平的方法。

Objective To select and train researchers in the multi-center study of pressure sores, and to ensure the quality of this research center.Methods We Recruited 112 in-service nurses in the hospital, then 87 nurses were selected as the researchers of pressure sores. 87 nurses received pressure score training for 20 hours, and these training included identifying the stage and extent of damage of pressure sores through pictures, multimedia teaching, analysis of difficult case, field teaching rounds, pressure sores knowledge contests and other means. Three days after training, unified test paper and assessment were used to get know the effect of training, and for the unqualified personnel, the same method would be used to training and test. Results The average written test score of 87 nurses who participated in personnel training of pressure sores before training was （47.70±15.08）（ the first score） points, and was （84.46± 11.35）（ the second score） points after training. Only 44 nurses were qualified after training, and 43 were unqualified and they received the second training. After the second training, 24 nurses were qualified, and the average score was （87.86±7.23） （the third score）. The difference between the first score and the second score was statistically significant （t =- 16.710, P〈 0.01 ）, and the difference between the first and third score was statistically significant （t =- 12.742, P〈0.01 ）, and the difference between the second and third score was not statistically significant （t =- 1.403, P〉0. 05）. Conclusions Repeatedly training increases the number of qualified nurses, and improves their ability to identify pressure sores and skin lesions. Finally 68 qualified researchers of pressure sores are selected. Thus, specification system of training can be the method to improve the level of research pressure sores.