案例教学法对社区护士糖尿病知识及运动处方制订能力的影响

Effect of case teaching method on diabetes knowledge and exercise prescription ability of community nurses

目的探讨案例教学法对提高社区护士糖尿病运动管理的影响。方法选取2017年11月～2018年1月上海市各家社区卫生中心筛选出参加培养实践的80名社区护士,运用案例教学法对其进行培训,采用糖尿病知识问卷和糖尿病运动管理计划问卷,对培训前后社区护士进行调查。结果糖尿病基础知识、运动适应证与禁忌证、运动频率、运动时间、运动强度、运动方式评分和总评分培训后均高于培训前,差异有统计学意义(P <0.05);糖尿病专科护士糖尿病知识、态度、行为评分培训后均高于培训前,差异有统计学意义(P <0.05)。结论通过案例教学法在专科培训中的应用,使社区糖尿病专科护士在专科理论知识、沟通技巧、运动方案的制订能力明显提升,为社区护士在糖尿病运动管理工作中奠定了扎实的基础。

Objective To explore the effect of case teaching method on improving the management of diabetes in community nurses. Methods From November 2017 to January 2018, 80 community nurses from community health centers in Shanghai and participated in the training practice were selected. They were trained with the case teaching method, and surveyed the community nurses before and after the training with diabetes knowledge questionnaire and the dia- betes sports management plan questionnaire. Results The scores of basic knowledge of diabetes mellitus, sports adapta- tion and contraindications, exercise frequency, exercise time, exercise intensity, exercise mode, and total scores after training were higher than before training, the differences were statistically significant （P 〈 0.05）; the scores of diabetes mellitus specialist nurses diabetic knowledge, attitude, behavior after training were higher than before training, the differences were statistically significant （P 〈 0.05）. Conclusion Through the application of case teaching method in the specialty training, in the specialty theory knowledge, the communication skill, the exercise plan establishment ability of the community diabetes specialist nurses are obvious enhancement, it has laid the solid foundation for the community nurse in the diabetes movement management work.