精神科护士暴力管理培训的效果评价

Evaluation of effects of violence management training of psychiatric nurses

目的:探讨精神科护士暴力管理培训的效果。方法:选精神科护士70名,培训前采用问卷调查方法,评估护士对暴力管理知识与技能的需求,培训6个月后通过对精神科风险评估、护患沟通、防暴技能技巧、应急能力进行考核,评价培训效果。结果:93.5%的护士曾受到患者不同程度的暴力侵害。护士未接受和很少接受暴力管理培训的占57.2%和26%;精神科护士对暴力管理知识和技能有需求均占97.1%;培训后,护士对暴力管理知识和技能的掌握程度均显著提高;与上年同期相比,精神科风险评估、护患沟通、防暴技能技巧、应急能力比较差异有显著统计学意义(P<0.01)。结论:精神科护士对暴力管理知识与技能培训的需求较高,加强暴力管理知识与技能培训可有效增加护理人员的暴力管理知识,提高其应对暴力行为的能力。

Objective： To explore effects of violence management training ofpsychiatric nurses. Methods： 70 psychiatric nurses were selected. They were surveyed with a questionnaire to evaluate the demands on the knowledge and skills on violence management before the training,and then were examined with the psychiatric risk,the communication among nurses and patients,the skills of riot control,and the ability of emergency response to assess the training effects. Results： 93.5% of the nurses had been subjected to varying degrees of violence of the patients. The nurses,who did not receive and rarely received violence management training,accounted for 57.2% and 26%. 97. 1% of the psychiatric nursed demanded the knowledge and skills about violence management. After the training,the nurses＇ knowledge of violence management and skills were significantly improved（ P〈0.001）. For the psychiatric risk assessment,the communication among nurses and patients,the skills of riot control,and the ability of emergency response after the training,compared with those of the same period of last year,the differences were statistically significant（ P〈0.01）. Conclusions： The psychiatric nurses have higher demands for the knowledge and skills trainingabout violence management. Strengthening the knowledge and skills training of violence management can significantly increase the knowledge of violence management of the nursing staff and improve their abilities to deal with violence.