摘要目的：探讨微信群在手术室规培护士教学中作用。方法选取2011年7月—2012年12月到手术室轮转的规培护士28名为对照组,选取2013年1月—2014年7月到手术室轮转的规培护士28名为干预组；对照组进行规范化培训,干预组在规范化培训的基础上运用微信群教学；比较培训后两组的护士的理论知识、操作技能得分,以及护士对培训的满意度、患者家属满意度、手术医师对护士满意度。结果运用微信群的干预组培训后的基本理论知识和操作技能得分分别为(96.3±3.6),(94.5±4.6)分,均高于对照组,差异有统计学意义(t值分别为-8.652,-7.254；P<0.01)；培训后干预组与对照组在设备的基本操作与手术消毒上的得分差异无统计学意义(P>0.05)；干预组在缝针、无菌技术、术中器械传递、各种手术体位的摆放、手术配合上的得分分别为(92.1±6.2),(91.6±5.2),(95.6±3.3),(96.2±3.6),(97.1±2.6)分,均明显高于对照组,差异均有统计学意义(t 值分别为-4.125,-4.526,-3.856,-5.846,-9.032；P<0.01)；培训后干预组护士对培训的满意度、医师对护士的满意度、患者家属对治疗的满意度均明显优于对照组,差异有统计学意义(P<0.01)。结论通过运用微信群对新进护士进行培训,能明显提高护士学习的积极性,提高护士的理论知识及操作技能,提高护士对培训工作的满意度,提高医生对护士的满意度以及患者及家属对治疗的满意度,同时提高了手术室的护理质量。

abstractsObjective To explore the effects of WeChat group in teaching of standardized training among Operating Room nurses. Methods A total of 28 nurses accepting standardized training in Operating Room were selected as control group ( standardized training) from July 2011 to December 2012. A total of 28 nurses accepting standardized training in Operating Room were selected as intervention group ( standardized training &WeChat group teaching ) from January 2013 to July 2014. What was compared after intervention among nurses between two groups included theoretical knowledge, the score of operation skill, nurses′satisfaction with training, the satisfaction degree of patients and family members and surgeons′ satisfaction with nurses. Results After the intervention with WeChat group teaching, scores of theoretical knowledge and technical knowledge were (96. 3 ± 3. 6) and (94. 5 ± 4. 6) in intervention group which were higher than those in control group with significant differences (t= -8. 652, -7. 254; P <0. 01). There was no statistically significant difference in basic operation of equipment and operation sterilization between two groups after intervention (P>0. 05). Scores of suture needle, aseptic technique, transferring equipment in operation, arranging surgical position, surgery cooperation were (92. 1 ± 6. 2), (91. 6 ± 5. 2), (95. 6 ± 3. 3), (96. 2 ± 3. 6), (97. 1 ± 2. 6) in intervention group which were higher than those in control group with significant differences ( t = -4. 125, -4. 526,-3. 856, -5. 846, -9. 032;P<0. 01). Satisfaction degrees of nurses with training, surgeons with nurses, patients′family members with treatment in intervention group were obviously better than those in control group with significant differences (P <0. 01). Conclusions Training with WeChat group in nurses can visibly improve nurses′ study enthusiasm, theoretical knowledge, operation skill, satisfaction degrees of nurses with training, surgeons with nurses, patients and their family members with treatment and improve the quality of care in operating room at the same time.