基于标准化课程的心血管手术室亚专科护理培训

Sub-specialty training program of nursing care during cardiovascular surgery for operating room nurses

目的探讨基于标准化课程的心血管手术亚专科护理培训的效果。方法将48名在心血管手术区轮转的手术室护士按照培训时间分为对照组23人,观察组25人。对照组采用传统的通科理论授课+手术基础操作示范的培训方式。观察组按照先天性心脏病、成人心脏病、大血管疾病、微创心脏外科和终末期心肺疾病5个亚专科制订亚专科培训标准化课程模型并实施培训。轮转结束时比较两组理论知识、操作技能及医生满意度。结果观察组理论知识、操作技能及医生满意度显著高于对照组(均P<0.01)。结论基于标准化课程的心血管手术亚专科培训可提高培训护士的理论及操作技能,提高医生满意度。

Objective To explore the effect of a standardized curriculum based sub-specialty training program of nursing care during cardiovascular surgery for operating room nurses.Methods A total of 48 operating room nurses having a rotation in the cardio-vascular surgery block were divided into 2 groups according to the sequential order of 2 training periods.The control group(n=23)received the traditional teaching mode of general theory teaching+demonstration of basic operating room nursing techniques.The intervention group(n=25)was subjected to a standardized curriculum based sub-specialty training program,in which,standar-dized curricula were built for the 5 sub-specialties(congenital heart disease,adult heart disease,macrovascular disease,minimally invasive cardiac surgery and end-stage cardiopulmonary disease).At the end of the block rotation,the results of knowledge exam,and skill exam in the 2 groups,as well as before-after difference in surgeon satisfaction,were compared.Results The intervention group had significantly higher scores in knowledge exam,and skill exam than the controls;surgeon satisfaction saw significant improvement from before(P<0.01 for all).Conclusion The standardized curriculum based sub-specialty training program of nursing care during cardiovascular surgery not only improves operating room nurses′knowledge and skill levels,but also improves the sa-tisfaction of doctors.