院内三级联动培训模式在提升护士识别老年患者皮肤干燥症中的临床价值-现代医学

院内三级联动培训模式在提升护士识别老年患者皮肤干燥症中的临床价值

单位：1. 东南大学附属中大医院肿瘤科, 江苏南京 210009;
2. 东南大学附属中大医院放疗科, 江苏南京 210009;
3. 东南大学附属中大医院整形烧伤科, 江苏南京 210009;
4. 东南大学附属中大医院普外科, 江苏南京 210009

关键词：三级联动培训护士老年皮肤干燥症护理能力临床价值

分类号：R758.6

出版年·卷·期（页码）：2025·53·第三期（493-498）

摘要：

目的：探讨院内三级联动培训模式在提升护士识别老年患者皮肤干燥症中的临床价值，以提高护士对老年患者皮肤干燥症识别、预防及护理能力，降低其发生率，提高老年人生活质量。方法：压损护理指导小组核心成员以PPT讲座、微视频及临床实践培训为主题培训60名压损护理联络员，培训结束后通过问卷星、卷面、实践及院内横断面调研方法对压损护理联络员进行考核。考核结束后压损护理联络员再对684名科内护士开展培训，培训前后分别通过问卷调查护士的老年皮肤干燥症相关知识，同时调查部分老年皮肤干燥症高发科室护士的相关护理能力。结果：压损护理联络员问卷星考核合格率为93%，卷面考核合格率为88%，实践考核合格率为85%，调研准确率达94.68%。院内横断面调研中，共有效调研老年患者1 261例，存在皮肤干燥症老年患者508例，患病率达40.28%，其中压损护理联络员准确识别皮肤干燥症老年患者481例，准确率达94.68%。培训后，684名护士对皮肤干燥症相关知识掌握明显高于培训前(P＜0.05)，部分老年皮肤干燥症高发科室护士现场考核合格率＞85%。结论：院内三级联动培训模式可有效提高护士老年皮肤干燥症识别、预防及护理能力，具有良好的临床价值。

Objective: To explore the clinical value of a three-level linked training model within hospitals in enhancing nurses' ability to identify skin xerosis in elderly patients, with the aim of improving nurses' skills in identifying, preventing, and managing skin xerosis in elderly patients, reducing the incidence of skin xerosis in elderly patients, and enhancing the quality of life for older adults. Methods: The core members of the pressure injury care guidance group first trained 60 pressure injury care coordinators through PPT lectures, micro-videos, and clinical practice training. After the training, the pressure injury care coordinators were assessed using methods such as online questionnaires, written tests, practice and cross-sectional surveys within the hospital. Following the assessment, pressure injury care coordinators conducted training for 684 nurses in the department. After the training, a questionnaire was used to survey the nurses' knowledge of skin xerosis in elderly patients, and relevant nursing skills were conducted among nurses from departments with a high incidence of skin xerosis in elderly patients. Results: The pass rate for the pressure injury care coordinators' online questionnaire assessment was 93%, the pass rate for the written test was 88%, the pass rate for the practical assessment was 85%,and rate of survey accuracy was 94.68%. In the cross-sectional survey, 1 261 elderly patients were effectively investigated. Among them, 508 elderly patients had skin xerosis, resulting in a prevalence rate of 40.28%, pressure injury care coordinators accurately identified 481 elderly patients with skin xerosis with an accuracy of 94.68%. After training, the 684 nurses demonstrated a significantly higher level of knowledge about skin xerosis compared to before the training(P<0.05), the on-site assessment pass rate for nurses from departments with a high incidence of skin xerosis in elderly patients was above 85%. Conclusion: The three-level linked training model within hospitals can effectively improve nurses' abilities to identify, prevent, and manage skin xerosis in elderly patients, demonstrating significant clinical value.

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