DOPS在新入职护士胰岛素两部五区五指轮换注射中的应用效果
The Application Effect of DOPS in the Rotation Injection of Insulin in Two Five Zones and Five Fingers in New Nurses

目的：探讨DOPS在新入职护士胰岛素两部五区五指轮换注射培训中的应用效果。方法：选取2021年新入职的105名护士，于下临床前采用工作坊进行胰岛素两部五区五指轮换注射培训，并于下临床后第二周和第四周进行DOPS评估考核，比较DOPS使用前和使用后新入职护士的考核结果、对DOPS教学活动评价、临床考核教师和新入职护士的教学满意度。结果：DOPS使用前、后考核结果比较，操作前准备、患者评估、胰岛素注射技术、感染控制、操作后处置5项成绩无统计学差异(P > 0.05)；查对告知、解决问题能力、职业素养、患者体验、护患沟通、整体表现6项成绩差异有统计学意义(P < 0.05)。教师教学满意度评价使用后(8.26 ± 0.82)高于使用前(7.46 ± 0.64)，新入职护士教学满意度评价使用后(8.01 ± 0.73)高于使用前(8.01 ± 0.73)，差异有统计学意义(P < 0.05)。问卷调查显示80%以上的新入职护士非常赞同DOPS教学活动后“能发现我的临床操作技能问题”等方面的评价。结论：DOPS评估应用于新入职护士胰岛素两部五区五指轮换注射培训中，有助于提高新入职护士人文素养，提升教学活动评价，提高教师及新入职护士教学满意度，值得临床应用推广。
Objective: To investigate the application effect of DOPS in training of insulin injection in two parts, five areas and five fingers rotation for newly recruited nurses. Methods: A total of 105 newly recruited nurses in 2021 were selected to receive insulin injection training in two parts, five areas and five fingers in a workshop before the next clinical session, and DOPS assessment was conducted in the second and fourth week after the next clinical session. Compare the assessment results of new nurses ten before and after the use of DOPS, the evaluation of teaching activities of DOPS, the teaching satisfaction of clinical assessment teachers and new nurses. Result: There were no significant differences in preparation before operation, patient assessment, insulin injection technique, infection control and treatment after operation (P > 0.05). There were statistically significant differences in the six scores of information, problem-solving ability, professional quality, patient experience, nurse-patient communication and overall performance (P < 0.05). The teachers’ teaching satisfaction evaluation after use (8.26 ± 0.82) was higher than that before use (7.46 ± 0.64), and the new nurses’ teaching satisfaction evaluation after use (8.01 ± 0.73) was higher than that before use (8.01 ± 0.73), the difference was statistically significant (P < 0.05). The questionnaire survey showed that more than 80% of newly admitted nurses strongly agreed with the evaluation of “I can find problems in my clinical operation skills” after the teaching activities of DOPS. Conclusion: The application of DOPS evaluation in the training of insulin injection in two parts, five areas and five fingers of new nurses is helpful to improve the humanistic quality of new nurses, improve the evaluation of teaching activities, and improve the teaching satisfaction of teachers and new nurses, which is worthy of clinical application and promotion.