摘要
目的探讨基于跨理论模型的培训策略在提升护生对标准预防知识的掌握程度、依从性和执行率中的应用效果。方法选取江苏省张家港市中医医院和江苏省张家港市第一人民医院的92名2017年进入临床的护生作为对照组,112名2018年进入临床的护生作为试验组,对照组采取常规的标准预防培训方式,试验组根据跨理论模型,将护生按其行为划分为5个阶段,对应不同阶段和行为转变过程实施培训。比较2组护生标准预防知识掌握程度、依从信念量表得分、行为改变阶段分布情况和标准预防执行率。结果培训后试验组和对照组护生标准预防理论和技能考核得分分别为(84.41±4.64)、(67.01±4.53)分,差异有统计学意义(t值为26.934,P<0.01)。培训后试验组和对照组护生标准预防依从信念量表得分分别为(156.21±6.96)、(119.73±5.77)分,差异有统计学意义(t值为40.156,P<0.01)。培训后2组护生行为改变阶段分布情况差异有统计学意义(Z值为8.173,P<0.01)。培训后试验组护生洗手和手消毒、防护用品使用、锐器和医疗垃圾处理、物品和环境处理标准预防执行率分别为78.78%(438/556)、76.69%(385/502)、91.47%(193/211)、88.27%(173/196),高于对照组的62.72%(254/405)、62.26%(231/371)、76.22%(141/185)、69.23%(117/169),差异均有统计学意义(χ2值为17.367~29.987,均P<0.01)。结论基于跨理论模型的培训策略可提升护生对标准预防工作的重视程度,改变依从信念、工作态度和行为,从而提高标准预防行为的执行率。
Objective To explore the application effect of training methods based on cross-theoretical model in improving the master of knowledge,compliance and implementation rate of nursing students to standard prevention.Methods A total of 92 nursing trainees participating clinical practice in Zhangjiagang Traditional Chinese Medicine Hospital and Zhangjiagang First People's Hospital in 2017 were selected as the control group,and 112 trainees were selected as the experimental group;the control group adopted conventional standard prevention training method;the training procedure of the experimental group were divided into five stages according to the behavior of trainees,and training was carried out corresponding to different stages and behavioral transformation processes.Standard prevention knowledge,compliance belief scale score,behavior change stage distribution and standard prevention implementation rate between these two groups were compared.Results The standard prevention theory and skill assessment scores were 84.41±4.64 and 67.01±4.53 in the experimental group and the control group after intervention,respectively.The difference was statistically significant(t value was 26.934,P<0.01).Nurse standard prevention compliance belief scale scores were 156.21±6.96 and 119.73±5.77 in the experimental group and the control group after intervention,respectively.The difference was statistically significant(t value was 40.156,P<0.01).The distribution of behavioral changes was statistically significant(Z value was 8.173,P<0.01).The standard prevention implementation rate of hand washing and hand disinfection,protective equipment uses,sharp and medical waste disposal,item and environmental treatment after intervention was 78.78%(438/556),76.69%(385/502),91.47%(193/211),88.27%(173/196)in the experimental group,and 62.72%(254/405),62.26%(231/371),76.22%(141/185),69.23%(117/169)in the control group,the differences were statistically significant(x2 values were 17.367-29.987,all P<0.01).Conclusions The training strategy based on cross-theoretical model can improve the attention of nursing trainees to standard prevention work,change adherence beliefs,working attitudes and behaviors,and thus improve the implementation rate of standard prevention behaviors.
作者
张艳
李丽娟
沈益
季崇裕
Zhang Yan;Li Lijuan;Shen Yi;Ji Chongyu(Department of Emergency,Zhangjiagang Traditional Chinese Medicine Hospital,Zhangjiagang 215600,China;Department of Nursing,Zhangjiagang Traditional Chinese Medicine Hospital,Zhangjiagang 215600,China;Department of Infection Management,Zhangjiagang Traditional Chinese Medicine Hospital,Zhangjiagang 215600,China;Department of Infection Management,Zhangjiagang First People's Hospital,Zhangjiagang 215600,China)
出处
《中国实用护理杂志》
2020年第13期1020-1026,共7页
Chinese Journal of Practical Nursing
关键词
跨理论模型
护生
标准预防
依从性
Cross-theoretical model
Nursing trainees
Standard prevention
Compliance
