在ECMO中对镇静管理进行护士教育:小组培训方法
Lajos Szentgyorgyi1,2, Sam Raaj3, Rebecca Billington2
1School of Health and Society, The University of Salford, Salford, UK.
Journal of perioperative practice
|March 10, 2026
概括
小组教学课程提高了护士对双光谱指数 (BIS) 对体外膜氧化 (ECMO) 镇静的监测的理解和信心. 这项培训加强了客观镇静评估工具的临床采用.
科学领域:
- 临界护理医学 临界护理医学
- 护理教育 护理教育
背景情况:
- 在体外膜氧化 (ECMO) 期间的镇静监测由于改变的药理动力学提出了挑战.
- 里士满兴奋镇静量表在ECMO中对深度镇静的评估缺乏精度.
- 双光谱指数 (BIS) 监测提供客观评估,但由于护理培训有限,其利用率不足.
研究的目的:
- 实施和评估ECMO镇静和BIS监测的小组教学课程 (SGTS).
- 将BIS监控培训纳入现有的ECMO复习课程.
- 评估SGTS对护士对BIS监控的理解和信心的影响.
主要方法:
- 交互式SGTS的实施侧重于ECMO镇静和BIS监控.
- 将SGTS整合到已建立的ECMO复习培训计划中.
- 收集匿名反,以评估SGTS的清晰度,相关性,适当性和有用性.
主要成果:
- 61名员工参加了培训,其中44人提供了反.
- 所有受访者都认为他们的学习需求得到了满足.
- 93%的参与者报告说,他们对独立使用BIS监测的信心增加了.
结论:
- 该SGTS方法有效地提高了护士对BIS监测ECMO镇静的理解和信心.
- 该培训在清晰度,相关性和实用价值方面获得了很高的评分.
- 这一教育策略支持更广泛的临床采用ECMO客观镇静监测.
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