“知--信-行”教育模式对提升进修护士PICC护理能力的效果研究

Effect study of the application of Knowledge—Attitude—Behavior model in improving training nurse' ability of PICC nursing

目的探讨"知—信—行"教育模式对提升进修护士PICC护理能力的效果。方法随机抽取320名进修护士作为研究对象并随机分配到试验组(n=162)和对照组(n=158)。试验组研究对象以"知—信—行"模式为基础的教育培训;对照组研究对象接受常规教育培训。比较两组研究对象的PICC相关评分。结果教育前,两组的PICC相关知识得分[(13.28±3.74)vs.(12.69±4.01)]、PICC信念得分[(78.85±8.29)vs.(79.12±8.94)]比较差异均没有统计学意义(P>0.05)。教育后,试验组的PICC相关知识得分显著高于对照组[(24.42±3.16)vs.(20.30±3.85)](P<0.05),PICC信念得分显著高于对照组[(94.88±11.92)vs.(89.41±11.06)](P<0.05),但两组的PICC相关行为得分未明显差异[(25.18±4.35)vs.(24.46±4.98)](P>0.05)。结论"知—信—行"教育模式可显著提升进修护士的PICC相关知识技能水平,可广泛用于PICC的相关培训中。

Objective To explore the effect of the application of the Knowledge--Attitude--Practices （KAP） model in improving training nurse＂ ability of PICC nursing. Methods Three hundred and twenty cases of training nurses were randomly selected and allocated to study group （n=162） and control group （n=158）, the study group received the KAP model-based training, while the control group received the traditional training, the PICC-related scores were compared in the two groups. Results Before education, there were no significant differences in the the knowledge scores of the PICC [（13.28＋3.74） vs. （12.69±4.01）], the attitude scores of the PICC [（78.85＋8.29） vs. （79.12±8.94）] between the two groups （P〉0.05）. After education, the knowledge scores of the PICC in the study group was higher than that of the control group [（24.42±3.16） vs.（20.30＋3.85）] （P〈0.05）; the attitude scores of the PICC in the study group was higher than that of the control group[（94.88±11.92） vs. （89.41±11.06）] （P〈0.05）; there were no significant differences in the behavior scores of the PICC between the two groups [（25.18±4.35） vs.（24.46±4.98）] （P〉0.05）. Conclusion KAP model-based training can significantly improve training nurse＂ ability of PICC nursing, can be widely used in PICC related training.