摘要
目的评价新入职护士心肺复苏（CPR）培训术中引入“节拍器”引导胸外心脏按压频率的培训效果。方法选取2015—2016年新入职护士385人，采用“所罗门”四组设计，将研究对象按照随机数字表法分为对照组1（96人）、研究组1（89人）、对照组2（104人）和研究组2（96人）。对照组1和对照组2采用常规培训＋《胸外心脏按压操作口诀》训练，研究组1和研究组2在对照组基础上配合“节拍器”引导按压频率方法训练。对照组1与研究组1于培训开始前进行摸底考试，对照组2和研究组2不进行摸底考试。4组均于培训第7天结束后进行操作考试。结果对照组1和研究组1的培训前考试得分比较差异无统计学意义（P〉0．05）；经培训后，研究组1的考试得分（93．4±3．5）分，高于对照组1的（91．6±4．7）分，差异有统计学意义（t=2．870，P〈0．01）。通过协方差分析，去除培训前考试的影响，培训后研究组1考试得分高于对照组1，差异有统计学意义（F=7．33，P=0．007）；培训测评得分与培训方法之间的交互作用无统计学意义（P〉0．05）。研究组2培训后考试得分（93．5±3．5）分，高于对照组2的（92．1±4．0）分，差异有统计学意义（t=2．670，P=0．008）。将对照组1和对照组2合并为对照组，研究组1和研究组2合并为研究组，研究组的按压姿势、按压深度、按压频率平均出错次数少于对照组，差异有统计学意义（t=4．7018、12．4889、11．9939，P〈0．05）；研究组的按压部位、按压手法、观察面色平均出错次数少于对照组，但差异无统计学意义（P〉0．05）。结论新入职护士岗前CPR培训中配合100次/min“节拍器”引导按压频率的方法有助于新入职护士控制并固化按压频率，保证有效按压深度，提高胸外按压质量，对于提高CPR的培训效果简单有效，值得推广应用。
Objective To evaluate the effect of using ＂metronome＂ to guide chest compression inthe new nurse training of cardiopulmonary resuscitation （CPR）. Methods From 2015 to 2016, 385 new nurses were enrolled and randomly by random number table divided into four groups based on Solomon four-group design：control group 1（96 nurses）, sudy group 1（89 nurses）, control group 2（104 nurses） and study group 2（96 nurses）, Control group 1 and control group 2 accepted normal training plus ＂chest compressions operation formula＂ training, study group 1 and study group 2 got ＂metronome＂ guiding based on the frequency training.Control group 1 and study group 1 took a baseline test before the training started, while control group 2 and study group 2 didn＇ t.Four groups took part in an operational test after the seven days of training. Results There was no statistical difference between the baseline test scores of control group 1 and study group 1（P 〉 0.05）.After the training, the score of study group 1 was 93.4±3.5, which was significantly higher than 91.6±4.7 of control group 1（t=-2.870, P〈0.01）.Through covariance analysis, after removing the impact of the baseline test score, the score of study group was statistically significant higher than that of control group 1 （F=7.33, P=0.007）.Furthermore, there was no statistically significant interaction between the baseline test score and training method （P 〉 0.05）.Meanwhile, after training, study group 2 scores was 93.5±3.5, which was statistically higher than 92.1 ±4.0 of control group 2（t=2.670, P=O.O08）. Control group 1 were combined with control 2 to form control group,as well as study group 1 with study group 2 to form study group.A comparison between these two new groups indicates that the new study group surpasses the new control group with lower error frequencies in the position, depth and frequency of external cardiac compression （t=4.701 8, 12.488 9, 11.993 9, P〈0.05）.In addition, the study group also showed a better performance, when taking into consideration of the region and skills of compression and the observation of complexion, while there was no statistical difference between the error frequencies in these three aspects of these two new groups （P〉0.05）. Conclusions In the CPR training of new nurses, using a 100 times/rain ＂metronome＂ can help new nurses grasp the accurate compression rates and depth, improve the overall quality of this procedure, making it a simple and effective training method, which is worthy of popularization.
作者
刘春兰
李雪萍
张震
黄敬爱
王伟丽
宋洁
刘言训
Liu Chunlan, Li Xueping, Zhang Zhen, Huang Jing＇ ai, WangWeili, Song Jie, Liu Yanxun(Deparment of Medical Insurance Office, Qilu Hospital of Shandong University, Jinan 250012, China;School of Public Health, Shandong University, Jinan 250012, Chin)
出处
《中国实用护理杂志》
2018年第11期866-870,共5页
Chinese Journal of Practical Nursing
关键词
“节拍器”
心肺复苏术
所罗门四组设计
新入职护士
规范化培训
Metronome
Cardiopulmonary resuscitation
Solomon four-group design
Newentry nurses
Standardized training
