柯氏模型在重症医学科护理规培生身体约束培训中的应用

Application of Koch model in the training of the body restraint of intensive care standard Pearson in intensive medicine

目的探讨应用柯氏评估模型评价重症医学科护理规培生对身体约束培训的效果。方法选取符合纳入和排除标准的57例重症医学科护理规培生,采用前后对照,2018年1月—6月的重症医学科护理规培生为对照组,28例;2018年7月—12月的重症医学科护理规培生为观察组,29例。对照组采用身体约束常规临床经验培训教育和管理,观察组采用规范化培训身体约束和管理。采用柯氏评估模型,对从反应层面、学习层面、行为层面3个方面进行效果评估,评估时间为干预前、干预第1个月、干预第2个月。结果观察组对培训满意度、对身体约束知识掌握、对身体约束实施情况,与对照组比较,差异均具有统计学意义(P<0.05)。结论对重症医学科护理规培生采用规范化培训身体约束及管理,不仅能提高护理规培生对培训的满意度,还能随着时间的推移,加固对身体约束培训知识的掌握,改善对患者身体约束的情况。

Objective To explore the effect of The Koch evaluation model on the training of physical restraint in the nursing regulation of intensive medicine.Methods The 57 cases of intensive care regulations that met the criteria of the platoon were selected as a control group,with the nursing regulations pearson in January-June 2018 as the control group,and the nursing regulations in July-December 2018 as the experimental group.The control group adopted the conventional intervention method,and the test group adopted the standardized training method.Using the Koch evaluation model,the effect evaluation is carried out from the reaction level,learning level and behavior level.Results The differences in training satisfaction,physical restraint knowledge and physical restraint were statistically significant compared with the control group(P<0.05).Conclusion Using the Koch model can not only improve the satisfaction of training,but also reduce the rate of physical restraint of patients in the training of intensive medical nursing standard Pearson.