首页|基于系统教学模式的腹膜透析患者再培训方案的构建及应用

基于系统教学模式的腹膜透析患者再培训方案的构建及应用

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目的 构建基于系统教学模式的腹膜透析患者再培训方案,以期提高腹膜透析患者的生存率和生活质量.方法 2022年1月1日—2023年5月3日,基于系统教学模式的5个阶段,研究小组调研患者再培训的需求、特征及现有资源,分析培训内容、形式、频率及方案等;邀请腹膜透析专科领域的55名专家经过2轮德尔菲专家咨询;开发方案,对23例腹膜透析患者进行预试验,评估再培训方案.结果 2轮咨询问卷回收率分别为100%、96.36%,一级项目的重要性评分均数分别为4.45~4.95分、4.47~4.94分,变异系数分别为4.59%~15.33%、4.67%~15.42%,肯德尔和谐系数分别为0.379(P=0.009)、0.384(P=0.008);二级项目的重要性评分均数分别为3.73~4.95分、3.74~4.94分,变异系数分别为4.59%~19.45%、4.67%~19.56%,肯德尔和谐系数分别为0.446(P<0.001)、0.427(P<0.001).构建的再培训方案内容包含4个版块、33个项目、9种培训形式,采取线上线下结合,培训频率因内容而异,单个培训形式的单个内容以15 min为主.结论 该研究构建的腹膜透析患者再培训方案具有科学性、可靠性和创新性,其内容通俗易懂、形式多样,培训时长和频率均符合记忆规律,评价兼顾过程和结果.
Construction of a retraining model for peritoneal dialysis patients based on ADDIE model
Objective To improve the survival rate and life quality of peritoneal dialysis(PD)patients,we es-tablished a retraining model based on ADDIE model,including optimizing the content,form and frequency.Methods From January 1,2022 to May 3,2023,based on the 5 stages of ADDIE model,we investigated the needs of pa-tients,invited 55 experts in the peritoneal dialysis field to design the final draft of the retraining model through 2 rounds of Delphi expert consultations,and 23 peritoneal dialysis patients were preexperimented to evaluate and re-vise the retraining model.Results The questionnaire recovery rates of the 2 rounds of expert consultation were 100%and 96.36%,respectively.The coordination coefficients of the first-level catalog were 0.379 and 0.384,and the coordination coefficients of the second-level catalog were 0.446 and 0.427,respectively.The Chi-square test showed that P<0.05,indicating statistical significance.The content of the retraining model included 4 sections,33 subdirectories and 9 training forms,which were combined online and offline.The training frequency was different due to the different contents,and the single content of a single training form was mainly 15 min.Conclusion The PD patient retraining model constructed in this study is scientific,reliable and innovative.Its content is easy to un-derstand and diverse in forms.The training duration and frequency are in line with the memory rule,and the eval-uation takes into account both process and result.

ADDIE ModelPeritoneal DialysisRetrainingDelphi TechniqueNursing Care

何佩佩、陈丽、孙淼娟、胡丽君、殷晓红

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310003 杭州市 浙江大学医学院附属第一医院护理部

ADDIE模式 腹膜透析 再培训 德尔菲技术 护理

浙大一院护理科研项目

2022ZYHL013

2024

中华护理杂志
中华护理学会

中华护理杂志

CSTPCD北大核心
影响因子:5.365
ISSN:0254-1769
年,卷(期):2024.59(2)
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