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简明心律识别法在低年资护理人员心电图教学中的效果评价

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目的 探讨简明心律识别法(cardiac rhythm identification for simple people,CRISP)在低年资护理人员心电图教学中的应用效果和护理人员对室性心动过速、三度房室传导阻滞、窦性停搏等恶性心律失常识别能力的影响.方法 选择2023年6月参加医院新入职护士能力提升授课的95名护理人员为研究对象,全部为入职 1年内且在临床科室一线工作的护士,以学号为奇偶数分为两个班进行教学,其中奇数班为对照组48人,偶数班为观察组47人,对照组进行传统的心电图面授教学,观察组则采用心电图CRISP法教学,授课结束后对两组授课对象进行考核及问卷调查,比较两组护理人员的教学效果.结果 授课前两组的心电图读图平均得分比较差异无统计学意义(P>0.05),授课后观察组的心电图读图平均得分成绩高于对照组,差异有统计学意义(P<0.05);授课后,观察组护理人员判读室性心动过速、三度房室传导阻滞、窦性停搏的正确率均高于对照组护理人员,差异有统计学意义(P<0.05);问卷调查结果显示,观察组在提高心电图的判读能力、增加心电图学习积极性及热情、对教学模式满意以及对教学效果的满意程度评分均高于对照组,差异有统计学意义(P<0.05).结论 应用CRISP法对心电图进行教学,效果良好,可切实提升低年资护理人员对室性心动过速、三度房室传导阻滞、窦性停搏等恶性心律失常心电图的识别能力,有利于提高护理人员业务能力.
Effect evaluation of the cardiac rhythm identification for simple people in teaching electrocardiography to junior nurses
Objective To explore the application effect of the cardiac rhythm identification for simple people(CRISP)in teaching electrocardiography to junior nurses and its impact on their ability to recognize malignant arrhythmias such as ventricular tachycardia,3° atrioventricular block,and sinus arrest.Methods A total of 95 nursing staff who participated in the hospital's new nurse capacity enhancement course in June 2023 were selected as the research subjects.All participants were nurses who had joined the hospital within 1 year and were working in the front line of clinical departments.They were divided into two groups based on their student numbers.The odd-numbered class was the control group with 48 people,and the even-numbered class was the observation group with 47 people.The control group implemented traditional face-to-face electrocardiogram teaching,while the observation group implemented electrocardiogram teaching using the CRISP method.The assessment and questionnaire surveys were conducted on the teaching subjects of the two groups after the course to compare the teaching effects between the two groups of nursing staff.Results Before the course,there was no statistically significant difference in the average scores of electrocardiogram interpretation between the two groups(P>0.05).After the course,the average score of electrocardiogram interpretation in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).After the course,the correct identification rates of ventricular tachycardia,3° atrioventricular block,and sinus arrest were higher of nursing staff in the observation group than those in the control group,the differences were statistically significant(P<0.05).The results of the questionnaire survey showed that the observation group scored higher than the control group in terms of improving electrocardiogram interpretation skills,increasing motivation and enthusiasm for learning electrocardiogram,satisfaction with the teaching mode,and satisfaction with the teaching effect,the differences were statistically significant(P<0.05).Conclusion The application of CRISP method in teaching electrocardiography has a positive effect.It can effectively enhance the ability of junior nursing staff to recognize malignant arrhythmias such as ventricular tachycardia,3° AV Block and sinus arrest on electrocardiograms.This contributes to improving the professional competence of nursing staff.

Cardiac rhythm identification for simple peopleNursing staffElectrocardiogramArrhythmiaTeaching effect

李稳、王家美、朱绮红、陈论婷、赵健

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海军军医大学第二附属医院心血管内科(上海市,200003)

简明心律识别法 护理人员 心电图 心律失常 教学效果

长征医院金字塔人才工程

YQ662

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(7)
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