情景模拟法在ICU护士抢救配合培训中的应用(1)
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[摘要] 目的 探讨情景模拟法在ICU护士抢救配合培训中的应用效果。 方法 将2010年本科室的护士作为研究对象，2010年1～6月与2010年7～12月分别采用传统的培训方法和情景模拟法进行抢救配合培训，比较情景模拟法培训前后考核成绩，问卷调查参加培训的护理人员对情景模拟法效果的评价。 结果 情景模拟法培训后的理论成绩、操作成绩及综合能力与培训前比较差异均有统计学意义(P<0.05)。问卷调查发现护理人员对情景模拟法评价很高。 结论 情景模拟法增强了护士临床操作技能和提高应付突发事件的能力以及团队抢救配合的协助能力，利于培养护士评判性思维方式，提升了护士临床综合能力和急救意识，强化护士临床工作的熟练程度，有效缓解工作压力。
[关键词] 情景模拟；抢救配合；培训
[中图分类号] R474 [文献标识码] B [文章编号] 1673-9701(2011)36-86-02
Application of Scene Simulation Exercises in ICU Nurses Cooperation Training
TANG Wenjuan LIN Xiai ZHENG Xiaoyan
Nanpu ICU Department, The Second Hospital Affiliated to Wenzhou Medical University in Zhejiang Province,Wenzhou 325027, China
[Abstract] Objective To explore the application effect of the scene simulation exercises in ICU nurses cooperation training. Methods The nurses recalled of the course room in January-June 2010 and July-December 2010 were used respectively to the traditional training exercises and scene simulation exercises training, compared with the situation before and after the training, the grade a simulation exercises questionnaire survey to participate in training the nursing staff in the situation evaluation. Results The exercises after training ,the theory ,the operation performance results and comprehensive ability and training were better than the before(P<0.05).Questionnaire survey found that the nurses think highly of the exercise. Conclusion Scene simulation exercises enhanced the nurse clinical operational skills, improve the deal with emergency skills and team cooperation ability, with the help of the rescue to cultivate the nurse the judgment, ways of thinking, enhanced the comprehensive ability and clinical nurse emergency consciousness, strengthened the nurse clinical work proficiency, effectively relieved work pressure.
[Key words] Scene simulation；Cooperation；Training
ICU(intensive care unit，ICU)是危重病人集中的场所，以急危重、病情变化快为特点，经常会发生心肺复苏救治。心肺复苏(cardiopulmonary resuscitation，CPR)是对心跳、呼吸骤停病人采用人工方法建立和恢复循环、呼吸功能，积极保护大脑，最终使大脑功能完全恢复的一系列急救措施，是护理人员配合抢救治疗中必须掌握的技术之一[1]，熟练合理的医护、护护配合更是CPR成功的直接因素，通过采用情景模拟的形式真实演练抢救配合过程，提高护士的应变能力、综合抢救能力以及独立思考的能力，培养团队精神[2-3]。我科的护士队伍整体比较年轻，为了提升抢救复苏成功率，从2010年7月始开展了ICU护士抢救配合的情景模拟演练。本文通过回顾性对比分析，情景模拟演练法在ICU护士抢救配合培训应用中取得良好的效果，现报道如下。
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