摘要
目的调查养老机构照护人员窒息防范的培训需求,并分析其影响因素,以期为完善培训策略提供参考。方法本研究为横断面调查研究,采用便利抽样法,于2020年12月—2021年1月在中国老年护理联盟单位内选取43所养老机构的照护人员作为调查对象。采用自编问卷收集照护人员的个人信息、老年人窒息防范相关经历和培训需求。共回收526份问卷,其中有效问卷412份,有效率为78.33%。结果412名照护人员中注册护士53名(12.86%),养老护理员359名(87.14%)。照护人员对窒息预防、识别和应急处置培训需求较高,其中需求程度最强的前3位分别是窒息常见的原因、特殊老人的窒息危险因素、识别异常的体征以及时发现窒息。所在机构是否发生过窒息、是否掌握被照护者的用药情况、是否掌握被照护者的窒息史的照护人员对窒息防范培训内容需求得分比较,差异均有统计学意义(P<0.05)。结论养老机构照护人员对窒息防范的培训需求较高,建议养老机构将事前预防用于老年人的窒息防范管理,引导照护人员全面了解被照护者的用药情况、窒息史、吞咽功能,并对注册护士和养老护理员提供窒息防范相关的系统培训。
Objective To explore the demand for suffocation prevention training for nursing staff in elderly care institutions and analyze its influencing factors to provide reference for improving training strategies.Methods In this cross-sectional study,from December 2020 to January 2021,the caregivers from 43 elderly nursing institutions under China Geriatric Care Alliance were selected by convenient sampling.Selfmade questionnaires were used to collect personal information of caregivers as well as related experience and training needs of suffocation prevention for the elderly.Totally 526 questionnaires were recovered,of which 412 were valid,with an effective rate of 78.33%.Results Among the 412 caregivers,53(12.86%)were registered nurses and 359(87.14%)were senior caregivers.They had a high demand for suffocation prevention,identification,and emergency treatment training.The top three most demanded are the common causes of suffocation,the risk factors of suffocation for special elderly people,and the identification of abnormal physical signs to detect suffocation in time. There were statistically significant differences in the scores of contentrequirements for suffocation prevention training between institutions which had and had not experiencedsuffocation and caregivers who knew or did not know the medication status or suffocation history of the carerecipients (P< 0.05). Conclusions Caregivers in elderly care institutions have a high demand for suffocationprevention training. It is recommended that elderly care institutions apply pre-prevention to the management ofsuffocation prevention for the elderly, and guide caregivers to fully understand the medication status, suffocationhistory, and swallowing function of the care recipients, and provide registered nurses and elderly caregivers withsystematic training related to suffocation prevention.
作者
王贞慧
崔乃雪
刘欣梅
秦利国
解文婷
贾金凤
孙超
Wang Zhenhui;Cui Naixue;Liu Xinmei;Qin Liguo;Xie Wenting;Jia Jinfeng;Sun Chao(Department of Nursing,Beijing Hospital,National Center for Geriatrics,Research Institute for Geriatrics,Chinese Academy of Medical Sciences,Beijing 100730,China;School of Nursing and Rehabilitation,Shandong University,Jinan 250012,China;Donghua Community Health Service Center,Dongcheng District,Beijing 100062,China;Senior Care Service Industry Association of Chaoyang District,Beijing 100023,China;Cuncao Chunhui Nursing Home,Chaoyang District,Beijing 100020,China)
出处
《中华现代护理杂志》
2021年第30期4124-4128,共5页
Chinese Journal of Modern Nursing
基金
北京医院“科技新星”项目(BJ-2018-129)。
作者简介
通信作者:孙超,Email:sunchaobjyy@163.com。
