基于网络的综合医院-社区医院合作型培训在提高社区医护人员癌痛管理能力的研究分析

目的研究基于互联网的合作型培训对于提高社区医护癌痛管理能力的价值。方法 2015年1月~2016年5月,招募60名社区医护人员作为研究对象,随机分为实验组和对照组。实验组接受网络的综合医院-社区医院合作型培训,对照组接受传统的培训方法。培训结束后再选取2015年6月~2016年12月的相关社区负责的癌症患者180例作为患者研究对象,随机分于对照组与实验组护理人员进行癌痛管理,管理时间为6个月。6个月结束后比较两组护理人员癌痛管理知识、两组患者的NRS评分、对医护人员的满意度、患者的生活质量。结果医护人员癌痛知识方面,实验组得分显著高于对照组(P0.05);两组患者方面,实验组NRS评分显著低于对照组(P0.05),实验组对医护人员的满意度显著高于对照组(P0.05),两组患者的QLT-C30 V3.0中文版测评结果除在气促、腹泻和经济困难三个方面无差异性外(P0.05),其他均是实验组优于对照组(P0.05)。结论基于互联网的合作型培训能更好地提高社区医护的癌痛管理能力。

Research and analysis of cooperative training for general hospital and community hospital based on network in improving the cancer pain management ability of community health care workers

Objective To study the value of cooperative training for general hospital and community hospital based on network in improving the cancer pain management ability of community health care workers. Methods From January 2015 to May 2016, 60 community health workers were recruited as research subjects and randomly divided into experimental group and control group. The experimental group received the general hospital-community hospital cooperative network training, the control group accepted the traditional training methods. After the training, 180 cancer patients who were in the charge of the relevant community from June 2015 to December 2016 were selected as the study subjects. Patients in the control group and experimental group were randomly assigned to cancer pain management for 6 months. After 6 months, the pain management knowledge of two group nursing staff was compared. The NRS scores of two groups of patients, the satisfaction of medical staff and the quality of life of the patients were compared. Results In the aspect of cancer pain knowledge, the score of experimental group was significantly higher than that of control group (P<0.05). In both groups, NRS score of experimental group was significantly lower than that of control group (P<0.05).The Chinese version of QLT-C30 V3.0 in both groups showed that the experimental group was better than the control group(P<0.05) except for three aspects: shortness of breath, diarrhea and economic difficulty(P>0.05). Conclusion Cooperative training based on Internet can better improve cancer care management in community health care.