河北医科大学学报 ›› 2023, Vol. 44 ›› Issue (4): 428-433.doi: 10.3969/j.issn.1007-3205.2023.04.012

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非技术技能培训模式在机器人辅助关节置换手术配合中的应用与评价

  

  1. 青岛大学附属医院崂山院区手术室, 山东 青岛 266100

  • 出版日期:2023-04-20 发布日期:2023-04-20
  • 作者简介:赵兰红(1990-),女,山东青岛人,青岛大学附属医院主管护师,医学学士,从事手术室护理研究。
  • 基金资助:
    青岛市博士后培养留青资助项目(青人社发[2019]3号)

Application and evaluation of a non-technical skill training mode in the coordination of robot-assisted joint replacement surgery

  1. Department of Operating Room, Laoshan Hospital Affiliated  to Qingdao University, Shandong Province, Qingdao 266100, China

  • Online:2023-04-20 Published:2023-04-20

摘要: 目的 探讨非技术技能模式在培训机器人辅助关节置换术器械护士中的应用效果。
方法 将20例器械护士随机分为对照组和试验组各10例,对照组进行专业知识等传统模式培训,试验组在传统模式培训的基础上进行非技术技能模式的培训。培训前、后应用器械护士非技术技能表格对2组手术进行观察评分。
结果 培训后,两组识别和理解信息、预见性、及时交流信息、与其他人的协作、提供和维护标准、应对压力得分均高于培训前,试验组识别和理解信息、预见性、行为果断、及时交流信息、与其他人的协作、计划和准备、提供和维护标准、应对压力得分均高于对照组(P<0.05)。2组医生满意度得分和职业认同感得分高于培训前,试验组医生满意度得分和职业认同感得分高于对照组(P<0.05)。
结论 对参与机器人辅助关节置换术的器械护士进行非技术技能培训后,培训效果明显优于传统的专业知识培训。


关键词: 关节成形术, 置换, 非技术技能模式, 护士

Abstract: Objective To investigate the application effect of the non-technical skill mode in the training of instrument nurse in robotic-assisted joint replacement surgery. 
Methods Twenty instrument nurses were randomly divided into the control group (n=10) and the experimental group (n=10). The control group was trained in the traditional mode including professional knowledge, while the experimental group was trained in the non-technical skill mode based on the traditional mode. The non-technical skill mode for instrument nurses was applied before and after the training to observe and score the procedures of the two groups. 
Results After the training, the scores of identifying and understanding information, foreseeability, timely communication of information, collaboration with others, provision and maintenance of standards, and coping with stress were higher in both groups than those before the training, and the scores of identifying and understanding information, foreseeability, decisive behaviour, timely communication of information, collaboration with others, planning and preparation, provision and maintenance of standards, and coping with stress were higher in the experimental group than in the control group (P<0.05). Physician satisfaction scores and professional identity scores in both groups were higher than those before the training, and physician satisfaction scores and professional identity scores were higher in the experimental group than in the control group (P<0.05). 
Conclusion The effect of non-technical skill training for instrument nurses involved in robot-assisted joint replacement surgery is significantly better than that of traditional professional knowledge training. 


Key words: arthroplasty, replacement, non-technical skill mode, nurses