Investigation on the current situation of chest pain nursing training in non-core departments of chest pain center
胸痛中心非核心科室胸痛护理培训需求现状调查

摘要

目的 探究胸痛中心非核心科室胸痛护理培训的需求现状。方法 选择医联体医院的194名胸痛中心非核心科室的护理人员进行调查，调查的方式为自制的胸痛护理知识培训需求调查表。结果 培训需求比例最高的为在院内发生ACS及心脏骤停的处理过程人员,占76.8%。而受到科室、工作的年龄、工作资历的不同，护理人员对胸痛培训的需求存在差异，而工作年限在4-10年的护理人员对患者应急护理以及相关流程相对更佳。而学历在硕士以上的护理人员更关注于急性心肌梗死常见心律失常的心电图需求诊断。需求率最高的培训方式为案例教学，占68.04%，集中授课需求率最低，占56.19%。结论 在胸痛中心非核心科室胸痛护理培训期间护理人员受到科室、工作年限、以及学历的影响，存在明显的差异性，而科室不同，护理人员对胸痛相关知识的需求度相对较高，而护理人员的工作年限越长时，更关注做好患者的急救和管理，对于硕士学历的护理人员进行培训需求时，更关注如何进行急性胸痛疾病的诊断、发展。

Abstract

Objective To explore the current demand for chest pain nursing training in non-core departments of chest pain center.
Methods 194 nurses in non-core departments of chest pain center were selected to investigate. The survey method was self-made chest pain nursing knowledge training demand questionnaire.
Results 76.8% of the patients with ACS and cardiac arrest had the highest demand for training. Depending on the department, working age and working experience, nurses have different needs for chest pain training, and nurses with working years of 4-10 years are relatively better at emergency nursing and related procedures. Nurses with a master's degree or above pay more attention to ECG diagnosis of common arrhythmias in acute myocardial infarction. The training mode with the highest demand rate is case teaching, accounting for 68.04%, and the demand rate of centralized teaching is the lowest, accounting for 56.19%.
Conclusion   During the training of chest pain nursing in non-core departments of chest pain center, nurses were affected by the departments, working years and educational background, and there were obvious differences. However, different departments showed that nurses had relatively high demand for chest pain related knowledge, while nurses with longer working years paid more attention to the first aid and management of patients. For the training needs of nursing staff with master's degree, more attention is paid to the diagnosis and development of acute chest pain diseases.