情景模拟演练在提高部队医院ICU护理人员灾难教援能力中的效果砌究

Effect of scenario simulation training on improving rescue ability of ICU nurses in military hospital

目的探讨情景模拟演练在提高ICU护理人员灾难救援能力的效果。方法设计6个灾难的模拟情景，将84名护理人员分为12组进行模拟情景的救援演练，并对演练前后护理人员的理论知识、6个模拟情景救护完成时间、7项操作技能得分进行比较。结果演练前护理人员的理论知识得分为（72.21 ± 3.14）分，演练后得分为（91.77 ± 4.55）分，演练前后比较差异有统计学意义（t=2.77，P〈0.05）。演练后，护理人员在心肺复苏、肠外溢、四肢骨折、骨盆骨折、烧伤、出血、玻璃扎入7项操作技能得分分别为（96.23 ± 4.80）、（96.92 ± 4.12）、（96.59 ± 3.97）、（93.79 ± 3.45）、（97.71 ± 4.18）、（95.58 ± 4.16）、（91.67 ± 3.31）分，均高于演练前的（85.43 ± 4.55）、（65.44 ± 4.21）、（74.05 ± 3.25）、（66.35 ± 2.95）、（85.31 ± 4.05）、（81.41 ± 3.11）、（69.59 ± 3.96）分，演练前后比较差异有统计学意义（t=4.010~9.780，P〈0.01）；演练后6个情景模拟完成时间分别为（265.45 ± 41.37）、（274.90 ± 43.15）、（296.52 ± 42.09）、（285.44 ± 47.15）、（296.42 ± 43.51）、（303.50 ± 36.92）s，比演练前的（366.29 ± 41.12）、（363.54 ± 32.94）、（367.78 ± 33.75）、（371.29 ± 40.16）、（370.57 ± 34.69）、（372.98 ± 35.32）s减少，演练前后比较差异有统计学意义（t=2.190~6.210，P〈0.05）。 结论通过情景模拟演练，能提高护理人员的灾难救援方面的理论知识和操作技能水平，同时还能在较短的时间内完成救援，为进一步的救治争取了时间。

ObjectiveTo explore the effect of scenario simulation training to nurses in improving the rescue ability at ICU.MethodsA total of 84 nurses were enrolled and divided into12 groups, who received 6 scenarios training developed by researchers. The score of theoretical knowledge, time of practice completion and 7 operating practices were compared before and after training.ResultsThe theoretical knowledge score of the nursing staff before the exercise was 72.21 ± 3.14, and the score was 91.77 ± 4.55 after the exercise, and the difference before and after the exercise was statistically significant （t=2.77, P〈 0.05）. After practice, nursing staff in cardiopulmonary resuscitation （CPR）, intestinal spillover, limb fracture, pelvic fractures, burns, bleeding, glass into the seven skills score 96.23 ±4.80, respectively 96.92±4.12, 96.59±3.97, 93.79±3.45, 97.71±4.18, 95.58±4.16, 91.67±3.31, were higher than drills before 85.43±4.55, 65.44±4.21, 74.05±3.25, 66.35±2.95, 85.31±4.05, 81.41±3.11, 69.59±3.96.There was a significant difference in 7 operational skills between before and after operation （t=4.010-9.780, P〈 0.01）. After practice,six scenario completion time was （265.45±41.37）, （274.90± 43.15）, （296.52±42.09）, （285.44±47.15）, （296.42±43.51）, （303.50±36.92） s respectively, than drills before （366.29 ± 41.12）, （363.54±32.94）, （367.78±33.75）, （371.29±40.16）, （370.57±34.69）, （372.98±35.32） s. There was a significant difference in time of finishing 6 scenarios between before and after operation exercises （t= 2.190-6.210, P〈 0.05）.ConclusionsScenario simulation model training can improve the theoretical knowledge, time of practice completion andpractices ability of ICU nursing.