中国学术期刊网络出版总库入编期刊
CNKI中文期刊全文数据库全文收录期刊
中国核心期刊(遴选)数据库全文收录期刊
万方数据——数字化期刊群收录期刊
中文科技期刊数据库全文收录期刊

主管:陕西省卫生健康委员会
主办:西安心身医学研究所
   西安交通大学第一附属医院
国际标准刊号:ISSN2096—1413
国内统一刊号:CN61—1503/R

“知—信—行”教育模式对提升进修护士PICC护理能力的效果研究

辛爱利1 , 2,鱼星锋1 ,史芳芳2 ,李小妹1 ,辛霞2

(1.西安交通大学第一附属医院,陕西 西安,710061;2.西安交通大学,陕西 西安,710061)

浏览次数:156次 下载次数:437次

摘要:

目的 探讨“知—信—行”教育模式对提升进修护士PICC护理能力的效果。方法 随机抽取320名进修护士作为研究对 象并随机分配到试验组(n=162)和对照组(n=158)。试验组研究对象以“知—信—行”模式为基础的教育培训;对照组研究对 象接受常规教育培训。比较两组研究对象的PICC相关评分。结果 教育前,两组的PICC相关知识得分[(13.28±3.74)vs.(12.69±4.01)]、PICC信念得分[(78.85±8.29)vs.(79.12±8.94)]比较差异均没有统计学意义(P>0.05)。教育后,试验组的 PICC相关知识得分显著高于对照组[(24.42±3.16)vs. (20.30±3.85)](P<0.05),PICC信念得分显著高于对照组[(94.88±11.92)vs.(89.41±11.06)](P<0.05),但两组的PICC相关行为得分未明显差异[(25.18±4.35)vs.(24.46±4.98)](P>0.05)。结论“知—信—行”教育模式可显著提升进修护士的PICC相关知识技能水平,可广泛用于PICC 的相关培训中。

关键词:护士;PICC;护理能力;知信行模式

中图分类号:R47文献标志码:A文章编号:2096-1413(2017)12-0155-04

    Effect study of the application of Knowledge—Attitude—Behavior model in improving training

    nurse  ability of PICC nursing
    XIN AI-li 1,2, YU XING-feng 1, SHI FANG-fang 2, LI XIAO-mei 1, XIN Xia 2
    (1. the First Affiliated Hospital of Xi an Jiaotong University, Xi an 710061; 2. Xi an Jiaotong University, Xi an 710061, China)

    ABSTRACT: Objective To explore the effect of the application of the Knowledge—Attitude—Practices (KAP) model in improving training nurse ability of PICC nursing. Methods Three hundred and twenty cases of training nurses were randomly selected and allocated to study group (n=162) and control group (n=158), the study group received the KAP model-based training, while the control group received the traditional training, the PICC-related scores were compared in the two groups. Results Before education, there were no significant differences in the the knowledge scores of the PICC [(13.28±3.74) vs. (12.69±4.01)], the attitude scores of the PICC [(78.85±8.29) vs. (79.12±8.94)] between the two groups (P>0.05). After education, the knowledge scores of the PICC in the study group was higher than that of the control group [(24.42±3.16) vs.(20.30±3.85)] (P<0.05); the attitude scores of the PICC in the study group was higher than that of the control group[(94.88±11.92) vs. (89.41±11.06)] (P<0.05); there were no significant differences in the behavior scores of the PICC between the two groups [(25.18 ±4.35) vs.(24.46±4.98)] (P>0.05). Conclusion KAP model -based training can significantly improve training nurse  ability of PICC nursing, can be widely used in PICC related training.
    KEYWORDS: nurses; PICC; nursing ability; KAP model

    参考文献:
    [1] 赵树娟,覃惠英,郑晶.广东省三级医院PICC置管护士相关知识认知及影响因素分析[J].护理学报,2011,18(12A):12-16.
    [2] 吉洁,程云,夏文兰,等.临床护士PICC 维护知识技能和培训需求的现况调查[J].护士进修杂志,2013,28(23):2129-2132.
    [3] 梅思娟,段培蓓.知—信—行健康教育模式对PICC 置管肿瘤患者自我护理能力的影响[J].中华现代护理杂志,2012,18(13):1546-1549.

    [4] 张敏,何华,张亚婷,等.陕西地区部分医院静脉输液工具使用及维护的调查与对策[J].护理研究,2013,27(6):1575-1577.
    [5] 魏红侠,彭蓉,姚聪,等.陕西省PICC 维护网建立的探索及实践[J].中国实用护理杂志,2016,32(13):1020-1023.
    [4] 赵静,李文莉,迟园园,等.知—信—行理论在医院获得性肺炎集束预防策略依从性中的应用研究[J].护士进修杂志,2014,29(4):314-316.

    [5] 高原,冯玉超,王敏,等.职业人群职业病防治知—信—行调查问卷的研制[J].中华劳动卫生职业病杂志,2015,33(4):258-260.
    [6] HARTER C,OSTENDORF T,BACH A,et al.Peripherally inserted central venous catheters for autologous blood progenitor cell transplantation in patients with haematological malignancies[J].Support Care Cancer,2003,11(12):790-794.
    [7] INGRAM P,LAVERY I.Peripheral intravenous therapy: key risks and implications for practice[J].Nurs Stand,2005,46(19):55-64.
    [8] 孔梅枝“.知信行”健康教育模式对冠心病病人疾病知识的认知程度和遵医行为的影响[J].现代临床护理,2011,10(1):43-44.
    [9] 李丽.知信行健康教育模式对喉癌术后患者生存质量的影响[D]. 蚌埠:蚌埠医学院,2014.

    [10] 王晓庆,段培蓓,陈毓雯,等.知信行健康教育对腹部手术患者术后疼痛管理的作用[J].上海护理,2013,13(1):29-32.
    [11] 张秀平,张兰梅,陆燕弟.应用知信行模式提高手术室护士手卫生依从性的研究[J].护理学报,2011,18(5B):25-27.
    [12] LYNN MR.Determination and quantification of content validity [J]. Nurs Res,1986,35(6):382.
    [13] 郭丽娟,王立,任少林,等.预防PICC置管并发症的护理方法[J].实用护理杂志,2003,19(7):5-6.
    [14] PARRAS F,ENA J,BOUZA E,et al.Impact of an educational program for the prevention of colonization of intravascular catheters[J].Infect Con Hosl Ep,1994,15(4 Pt 1):239-242.
    [15] EGGIMANN P,HARBARTH S,CONSTANTIN MN,et al.Impact of a prevention strategy targeted at vascular-access care on incidence of infections acquired in intensive care[J].Lancet,2000,355(9218):1864-1868.

    [16] SHERERTZ RJ,ELY EW,WESTBROOK D M,et al.Education of physicians-in-training can decrease the risk for vascular catheter infection[J].Ann Intern Med,2000,132(8):641-648.
     [17] COOPERSMITH CM,REBMANN TL,ZACK JE,et al.Effect of an education program on decreasing catheter-related bloodstream infections in the surgical intensive care unit[J].Crit Care Med,2002,30(1):59-64.
    [18] 龚婷,江细英.知信行健康教育模式对PICC患者居家自我护理能力的影响[J].临床心身疾病杂志,2014(z2):162-163.
    [19] VOGT WP.Dictionary of statistics & methodology:a nontechnical guide for the social sciences[M].Sage publications,2013.

上一篇N/A

下一篇全程优质护理服务在妊娠合并高血压病产妇分娩期的应用探讨