思维导图在洗手护士腹腔镜手术护理培训中的应用研究

目的探究思维导图在洗手护士腹腔镜手术护理培训中的应用。 方法本研究纳入我院手术室从事腹腔镜手术护理的洗手护士30名。在2018年4月对他们进行腹腔镜手术护理思维导图培训。在培训前3个月随机选取30名护士护理的100例腹腔镜手术，在培训后3个月随机选取这30名护士护理的100例腹腔镜手术。观察评价培训前后术前准备时间、护士出手术间次数、手术医师护理满意度、洗手护士综合能力。 结果培训前手术术前准备时间平均为30.31 min，培训后平均手术前准备时间缩短为25.36 min(P<0.05)。培训前手术术中护士出手术间次数平均为7.21次，培训后平均术中护士出手术间次数减少为4.63次(P<0.05)。培训后手术医师对护理的总体满意度评分为97.2分，显著高于培训前的90.9分(P<0.05)，其中流程熟悉度、操作技术熟练度、环境卫生、护理态度四个方面的评分培训后均显著提升(P<0.05)。培训后洗手护士综合能力评分平均为94.9分，显著高于培训前的86.7分(P<0.05)，其中团队精神、脑力开发、沟通协调、护理信心、荣誉责任感等5个方面的评分培训后均显著提升(P<0.05)。 结论思维导图应用于腹腔镜手术洗手护士的护理培训，有助于提升护理质量和销量，提升手术医师满意度及洗手护士的综合能力。

Application of Mind Mapping in Nursing Training of Laparoscopic surgery for Hand Washing Nurses

ObjectiveExploring the application of mind mapping in the nursing training of hand-washing nurses in laparoscopic surgery. MethodsThis study included 30 hand washing nurses who is engaged in laparoscopic surgery. In April 2018, they were enrolled, trained, and evaluated for laparoscopic nursing care of mind mapping. 100 laparoscopic surgeries of 30 nurses were randomly selected from January to March 2018, three months before the training. 100 laparoscopic surgeries of 30 nurses were randomly selected from May to July 2018, three months after the training. The Pre-operative preparation time, the times of the nurses out of surgery room, the satisfaction of the surgeons, and the comprehensive ability of the hand-washing nurses were observed and evaluated before and after the training. ResultsAverage pre-operative preparation time before training was 30.31 min. The average pre-operative preparation time after training was shortened to 25.36 min (P<0.05). The average times of nurses out of the surgery room before training was 7.21 times. The average times of nurses out of the surgery room after training was reduced to 4.63 times (P<0.05); the overall satisfaction score of the surgeon after training was 97.2 points, which was significantly higher than the pre-training 90.9 points (P<0.05), among which the process familiarity, operation technique and the scores of proficiency, environmental sanitation and nursing attitude were significantly improved after training (P<0.05). After training, the average comprehensive ability score of hand-washing nurses was 94.9 points, which was significantly higher than 86.7 points before training (P<0.05). Among it, the team spirit, brain development, communication coordination, nursing confidence, honor responsibility and other five aspects of the training were improved after the training (P<0.05). ConclusionsThe mind mapping is applied to the nursing training of hand-washing nurses in laparoscopic surgery, which helps to improve the quality of care and sales, the satisfaction of surgeons and the comprehensive ability of hand-washing nurses.