摘要目的 探讨冠心病监护病房(CCU)护士规范化培训模式的建立及成效.方法 制订CCU护士规范化培训计划,培训时间共3～5年,分为两个阶段(低年资、高年资).包括基础技能培训、专业技能培训、个人综合能力培训、团队合作能力培训、人际交流沟通能力培训5个方面内容.结果 培训后护理人员心肺脑复苏术、除颤技术、心电图知识、人工呼吸机和起搏器等理论考试成绩分别为(8.0±0.9),(8.0±0.6),(8.0±0.8),(8.0±0.9),(8.0±0.7)分,培训前分别为(7.0±0.4),(5.0±0.6),(5.0±1.4),(6.0±0.9),(4.0±0.9)分,培训前后比较差异有统计学意义(t值分别为-6.61,-23.15,-12.20,-10.29,-22.98；P均＜0.01).培训后护理人员心肺脑复苏术、除颤技术、心电图知识、人工呼吸机等操作技术考试成绩分别为(8.0±0.8),(8.0±0.5),(7.0±1.4),(8.0±0.4)分,培训前分别为(7.0±0.4),(6.0±0.4),(2.0±0.4),(3.0±1.0)分,培训前后比较差异有统计学意义(t值分别为-7.29,-20.44,-22.44,-79.34;P均＜0.01).结论 CCU护理人才的规范化培养,有利于进一步提高护理质量,改善医疗环境,符合现代化监护的要求.

abstractsObjective To explore the establishment and effects of standardized training model for nurses in CCU.Methods Standardized training plan for nurses in CCU was formulated,and the training time was 3 to 5 years which was divided into two stages (low qualification and high qualification).Training included five aspects such as basic skill,professional skill,personal comprehensive ability,team cooperation ability and interpersonal communication ability.Results Nurses' scores of theories in cardiopulmonary resuscitation,defibrillation technology,electrocardiogram knowledge,respirator and pacemaker were respectively (8.0 ±0.9),(8.0 ±0.6),(8.0±0.8),(8.0 ±0.9),(8.0 ± 0.7) after training and (7.0 ±0.4),(5.0 ±0.6),(5.0 ± 1.4),(6.0 ± 0.9),(4.0 ± 0.9) before training,and the differences were statistically significant (t =-6.61,-23.15,-12.20,-10.29,-22.98,respectively; P ＜ 0.01).Nurses' scores of practicing skills in cardiopulmonary resuscitation,defibrillation technology,electrocardiogram knowledge and respirator were respectively (8.0 ±0.8),(8.0 ±0.5),(7.0 ± 1.4),8.0 ±0.4) after training and (7.0 ±0.4),(6.0 ±0.4),(2.0 ± 0.4),(3.0 ± 1.0) before training,and the differences were statistically significant (t =-7.29,-20.44,-22.44,-79.34,respectively ; P ＜ 0.01).Conclusions Standardized training of nursing talents in CCU can enhance nursing quality,improve health care environment,and comply with the requirements of the modern monitoring.