柯式评估模型在护理员体位管理培训中的应用效果

The application effect of Kirkpatrick model in the posture management training of nursing staff

目的评价柯式评估模型在护理员体位管理培训中的应用效果。方法选择2019-2020年浦东新区老年医院36例护理员和118例卧床失能老人作为研究对象,将36例护理员随机分为干预组和对照组,对照组采用常规业务学习方法进行培训,干预组基于柯式评估模型进行培训,培训周期均为3个月。比较两组护理员体位管理照护能力、体位管理落实规范率、培训满意度及失能老人不良事件的发生率。结果培训3个月后,干预组护理员体位管理照护能力高于对照组,体位管理落实规范率高于对照组,干预组患者实施体位管理3、6个月后肢体挛缩发生率低于对照组,干预组患者实施体位管理6个月后压力性损伤发生率低于对照组,上述差异具有统计学意义(P<0.05)。结论基于柯氏评估模型的体位管理培训有助于提升护理员体位管理理论及技能水平,规范了护理员的护理行为,降低了失能老人不良事件的发生率,改善了失能老人的生活质量。

Objective To evaluate the application effect of the Kirkpatrick model in the posture management training of nursing staff.Methods A total of 36 nursing staffs and 120 bed-ridden disabled elderly patients from Geriatric Hospital of Pudong District were selected as the research subjects from 2019 to 2020,and the nursing staffs were randomly divided into intervention group and control group.The control group was trained with conventional business learning methods,while the intervention group was trained based on Kirkpatrick model,the training period was 3 months.The caring ability,implementation of body posture management norms,training satisfaction and the incidence of adverse events in the disabled elderly were compared between the two groups.Results After 3 months training,the intervention group′s posture management and nursing ability were higher than those in the control group;the implementation rate of body posture management was higher than that in the control group;the incidence of limb contractures after 3 months and 6 months in the intervention group were lower than that in the control group,After 6 months training,the incidence of stress injury in the intervention group was lower than that in the control group,these differences were statistically significant(P<0.05).Conclusion The posture management training on the basis of Kirkpatrick model prompts nursing staff to improve their theory and skill levels in posture management,standardize the nursing behavior,helps to reduce the incidence of adverse events of the disabled elderly,and improve patients′life quality.