手术室护理实践指南在辅助外科住院医师规范化培训中的应用探讨(1)
[摘要] 目的 探讨手术室护理实践指南在辅助外科住院医师规范化培训中的应用效果。 方法 选取2016年7月～2017年12月在我院外科参加规范化培训住院医师(以下简称规培生)139名，随机分为两组，对照组69名和观察组70名，对照组采用传统教学培训模式进行培训，观察组采用以手术室护理实践指南为指导设计制作的模拟教学场景进行培训，培训结束后进行操作考核。分别记录培训考核成绩。 结果 培训结束后，观察组规培生的外科手消毒、穿无菌手术衣和无接触式戴无菌手套各项操作考核成绩合格率均显著优于对照组，差异有统计学意义(P<0.05)。 结论 手术室护理实践指南在辅助外科住院医师规范化培训中，加强了手术室医院感染控制，提高了规培生教学质量，值得广泛应用。
[关键词] 手术室护理实践指南;辅助外科住院医师;规范化培训
[中图分类号] R197 [文獻标识码] B [文章编号] 1673-9701(2018)36-0132-04
[Abstract] Objective To explore the application effect of operating room nursing practice guide in assisting the standardized training of surgical residents. Methods A total of 139 surgical residents who were taking the standardized training in our hospital from July 2016 to December 2017 were enrolled. They were randomly divided into two groups including the control group(n=69) and the observation group(n=70). The control group was treated with traditional teaching and training mode. The observation team was given the simulation teaching scene designed and guided by the operating room nursing practice guide for training. After the training， the operation assessment was carried out. The training assessment results were recorded separately. Results After the training， the qualified rates of surgical hand disinfection， wearing sterile surgical gown and wearing non-contact sterile gloves were significantly better than that of the control group， with statistical significance(P<0.05). Conclusion The practice guide for operating room nursing in assisting the standardized training of surgical residents strengthens the control of hospital infection in the operating room and improves the teaching quality of the students. It is worthy widely application.
[Key words] Operating room nursing practice guide; Assisting surgical residents; Standardized training
住院医师规范化培训是培养临床医学人才，提高我国临床医疗工作水平的重要措施之一，同时也是完善我国毕业后医学教育制度的组成部分，此阶段是将其之前学习的理论应用于实践并在实践中全面提高、锻炼临床工作能力的关键时期[1-2]。医学是一门实践性很强的应用性学科，尤其是外科，医学生大学毕业刚走出校门，可塑性大，培养与不培养、培养规范与否，结果大不一样，因此，住院医师规范化培训无论对被培养者还是对医院的发展都是大有益处的[3]。
手术室作为外科手术治疗和急危重症抢救的场所，护理工作具有特殊性，护理管理模式也不同于其他科室[4]。手术室护理实践指南是预防手术部位感染、保障患者安全的重要环节，是医院感染领域最早采取和循证确认有效的预防措施[5]。规培生在外科规培期间，手术室是其第二学习、工作场所[6]。很多规培生基本理论不扎实、基本操作不熟练，加之在目前这种紧张的医患关系中，手术室医院感染控制、医疗风险的规避很少涉及[7]，作为手术室人员应用手术室护理实践指南内容参与辅助外科规培生进行外科手消毒、穿无菌手术衣、无接触式戴无菌手套的培训，最终使其掌握以上规范操作。现将手术室护理实践指南辅助外科住院医师规范化培训的情况总结如下。
1 资料与方法
1.1一般资料
选取本院2016年7月～2017年12月的外科规培生139名，男112名，女27名，年龄23～26岁，平均(23.5±1.1)岁。普外一科29名，普外二科26名，骨伤一科28名，骨伤二科27名，妇产科12名，泌尿外科10名，神经外科4名，五官科3名。随机分为两组，对照组69名规培生采取传统教学培训模式;观察组70名规培生采取指南为指导模拟临床教学场景培训模式。两组规培生教学培训均按医院规培生培训大纲要求完成。两组带教老师均为本科工作5年以上的护士担任，每轮教学培训时间为4个小时。两组规培生性别、年龄等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(熊琼 涂娟 杨洁 付羽)
[关键词] 手术室护理实践指南;辅助外科住院医师;规范化培训
[中图分类号] R197 [文獻标识码] B [文章编号] 1673-9701(2018)36-0132-04
[Abstract] Objective To explore the application effect of operating room nursing practice guide in assisting the standardized training of surgical residents. Methods A total of 139 surgical residents who were taking the standardized training in our hospital from July 2016 to December 2017 were enrolled. They were randomly divided into two groups including the control group(n=69) and the observation group(n=70). The control group was treated with traditional teaching and training mode. The observation team was given the simulation teaching scene designed and guided by the operating room nursing practice guide for training. After the training， the operation assessment was carried out. The training assessment results were recorded separately. Results After the training， the qualified rates of surgical hand disinfection， wearing sterile surgical gown and wearing non-contact sterile gloves were significantly better than that of the control group， with statistical significance(P<0.05). Conclusion The practice guide for operating room nursing in assisting the standardized training of surgical residents strengthens the control of hospital infection in the operating room and improves the teaching quality of the students. It is worthy widely application.
[Key words] Operating room nursing practice guide; Assisting surgical residents; Standardized training
住院医师规范化培训是培养临床医学人才，提高我国临床医疗工作水平的重要措施之一，同时也是完善我国毕业后医学教育制度的组成部分，此阶段是将其之前学习的理论应用于实践并在实践中全面提高、锻炼临床工作能力的关键时期[1-2]。医学是一门实践性很强的应用性学科，尤其是外科，医学生大学毕业刚走出校门，可塑性大，培养与不培养、培养规范与否，结果大不一样，因此，住院医师规范化培训无论对被培养者还是对医院的发展都是大有益处的[3]。
手术室作为外科手术治疗和急危重症抢救的场所，护理工作具有特殊性，护理管理模式也不同于其他科室[4]。手术室护理实践指南是预防手术部位感染、保障患者安全的重要环节，是医院感染领域最早采取和循证确认有效的预防措施[5]。规培生在外科规培期间，手术室是其第二学习、工作场所[6]。很多规培生基本理论不扎实、基本操作不熟练，加之在目前这种紧张的医患关系中，手术室医院感染控制、医疗风险的规避很少涉及[7]，作为手术室人员应用手术室护理实践指南内容参与辅助外科规培生进行外科手消毒、穿无菌手术衣、无接触式戴无菌手套的培训，最终使其掌握以上规范操作。现将手术室护理实践指南辅助外科住院医师规范化培训的情况总结如下。
1 资料与方法
1.1一般资料
选取本院2016年7月～2017年12月的外科规培生139名，男112名，女27名，年龄23～26岁，平均(23.5±1.1)岁。普外一科29名，普外二科26名，骨伤一科28名，骨伤二科27名，妇产科12名，泌尿外科10名，神经外科4名，五官科3名。随机分为两组，对照组69名规培生采取传统教学培训模式;观察组70名规培生采取指南为指导模拟临床教学场景培训模式。两组规培生教学培训均按医院规培生培训大纲要求完成。两组带教老师均为本科工作5年以上的护士担任，每轮教学培训时间为4个小时。两组规培生性别、年龄等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, 百拇医药(熊琼 涂娟 杨洁 付羽)