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“时间轴”图在护理教学查房中的应用及效果分析(1)
http://www.100md.com 2015年12月15日 中国医学创新 2015年第35期
     【摘要】 目的:探讨“时间轴”图在护理教学查房中的应用及效果分析,以期为提高临床护理教学效果提供理论依据。方法:选取2014年9月-2015年10月在本科轮转实习的44名护生作为试验组,采用“时间轴”图护理查房模式,另选取2014年1-3月在本科轮转实习的护生24名作为对照组,采用传统查房模式。比较两组护生护理查房教学效果及护生对护理查房病史汇报效果评价的差异。结果:试验组护生护理查房效果得分为(90.38±4.76)分,明显高于对照组的(83.56±5.33)分,差异有统计学意义(t=5.412,P=0.000)。试验组护生对护理查房在病史的汇报有条理性、清晰直观、全面掌握病情、及时发现重点护理问题和护理措施及健康教育更有针对性等5项评价的得分上均明显高于对照组,差异均有统计学意义(P<0.05)。结论:“时间轴”图模式应用在护理教学查房中,更能呈现病程的进展,可突显重点护理问题,有利于护生准确掌握患者的病情变化,从个案护理中得到提高,从而提高护理教学查房的质量。

    【关键词】 护理教学; 护理查房; 时间轴图; 效果分析
, 百拇医药
    【Abstract】 Objective:To investigate the application and effect analysis of “Timeline diagram” in the nursing rounds teaching,in order to provide a theoretical basis on improving the effectiveness of clinical nursing teaching.Method:44 cases of nursing intern in the thoracic surgery of our hospital from September 2014 to October 2015 were selected as the experimental group,they received “Timeline diagram ” nursing rounds mode,and 24 cases of nursing intern from January 2014 to March 2014 were selected as the control group,they received the traditional rounds mode.The effect of nursing rounds teaching and the evaluation of nursing rounds presentation effect were compared between the two groups.Result:The score of nursing rounds teaching effect in the experimental group was (90.38±4.76)scores,which was significantly higher than (83.56±5.33)scores in the control group,the difference was statistically significant(t=5.412,P=0.000).The scores of the evaluation of nursing rounds presentation effect on the rational,clear and intuitive medical history report,comprehensively grasp disease,find the key nursing problems in time and nursing measures and health education more targeted in the experimental group were significantly higher than those in the control group, the differences were statistically significant(P<0.05).Conclusion:“Timeline diagram” mode applied on the the nursing rounds teaching,can present the progress of course of disease,highlight the key nursing problems,in favor of nursing intern to accurately grasp the changes of patients’ condition,improve nursing capacity from the cases,is helpful to improve the quality of nursing rounds teaching.
, 百拇医药
    【Key words】 Nursing teaching; Nursing rounds; Timeline diagram; Effect analysis

    First-author’s address:The People’s Hospital of Guangdong Province,Guangzhou 510080,China

    doi:10.3969/j.issn.1674-4985.2015.35.022

    护理查房是检验临床护理工作质量及护理人员理论知识和临床综合能力的一种重要形式,但目前大部分医疗机构查房时,护理人员往往以疾病知识的复习为主,病史汇报冗长、零碎,较难突出护理问题的重点,不能个体化地解决具体护理问题[1-4]。本研究将“时间轴”图模式应用于护理教学查房,评价其在提高护理查房教学效果和提高护生对护理教学病史汇报的认同中的作用,现报道如下。, http://www.100md.com(黄焕榆 谢年谨 吴映红)
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