护患角色转换体验机械辅助排痰在重症护理质量的应用研究
Study on the Experience of Role Conversion between Nurses and Patients in the Application of Mechanical Assisted Sputum Suction in Critical Care Nursing Quality

目的：探讨护患角色转换体验机械辅助排痰在重症护理质量的应用研究。方法：2024年1月至2024年7月以科室护理组为单位，纳入24名重症医学科护士作为研究对象。将对护士们知识与操作技能欠缺的薄弱点作为培训重点，培训周期1个月，采取体位管理、治疗时间、操作技巧、设定合适的参数、应急处理等方面进行角色体验，全程录像训练内容，制作成教学视频，培训前后分别对60例患者进行满意度调查，并对护士培训前后体位管理、治疗时间、操作技巧、设定合适的参数、应急处理等评分进行比较。结果：培训后护士体位管理、治疗时间、操作技巧、设定合适的参数、应急处理等的评分高于培训前，差异具有统计学意义(P < 0.05)。培训后护士对机械辅助排痰的使用方法掌握程度明显高于培训前，差异具有统计学意义(P < 0.05)。培训后患者满意度高于培训前，差异具有统计学意义(P < 0.05)。结论：护患角色转换体验机械辅助排痰可以提高护士对机械辅助排痰的使用方法掌握程度，提高患者满意度，提高护理质量。
Purpose: Investigate the experience of role conversion between nurses and patients in the application of mechanical assisted sputum suction in critical care nursing quality. Method: From January 2024 to July 2024, 24 nurses in the department of intensive care medicine were included in the study. The training will focus on the weak points of the lack of knowledge and operational skills of nurses, and the training cycle will be one month. The role experience was carried out in aspects of position management, treatment time, operation skills, setting appropriate parameters, emergency treatment, etc. The whole training content was recorded and made into teaching videos. The satisfaction survey of 60 patients was conducted before and after the training, and the scores of position management, treatment time, setting appropriate parameters for operation skills, and emergency treatment were compared before and after the training. Result: After training, the scores of nurses’ position management, treatment time, operation skills, setting appropriate parameters and emergency treatment were higher than those before training, and the differences were statistically significant (P < 0.05). After the training, the master degree of the use of mechanical assisted sputum expulsion was significantly higher than that before the training, and the difference was statistically significant (P < 0.05). The patient satisfaction after training was higher than that before training, and the difference was statistically significant (P < 0.05). Conclusion: The experience of mechanically assisted sputum excretion can improve nurses’ mastery of the methods of mechanically assisted sputum excretion, improve patients’ satisfaction and improve nursing quality.