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引用次数: 0
摘要
背景：对有分流依赖性心脏生理的婴儿进行家庭监测可以显著降低死亡率，但这需要在出院前后对护理人员进行广泛的教育和提高警惕。局部问题：家庭监控项目中的护理人员面临复杂的任务，可能导致焦虑和信心下降。方法：本质量改善项目旨在实施改进的基于模拟的精通学习（SBML）课程，以提高家庭监护技能的信心，减少照顾者的焦虑。使用成人状态特质焦虑指数（State - Trait Anxiety Index for adult short form Y）来评估影响。干预：SBML干预允许护理人员在模拟环境中学习和演示所有家庭监控程序技能。结果：所有参与者在模拟过程中均达到最低通过标准。在10项测试中，有9项的状态焦虑有所下降，护理者的信心也有所增强。结论：改进的SBML干预有效地降低了照顾者的焦虑，提高了对家庭监护技能的信心。这是此类干预的第一次，可能会改善患者在这一脆弱阶段的预后。
Simulation-Based Education for Caregivers of Infants with Shunt-Dependent Cardiac Physiology: Decreasing Caregiver Anxiety.
Background: Home monitoring programs for infants with shunt-dependent cardiac physiology have significantly reduced mortality, but they demand extensive caregiver education and vigilance before and after hospital discharge.
Local problem: Caregivers in the home monitoring program face complex tasks that can lead to anxiety and decreased confidence.
Methods: This quality improvement project aimed to implement a modified simulation-based mastery learning (SBML) curriculum to improve confidence in home monitoring skills and decrease caregiver anxiety. The State Trait Anxiety Index for Adults short form Y was used to assess the impact.
Interventions: The SBML intervention allowed caregivers to learn and demonstrate all home monitoring program skills in a simulated environment.
Results: All participants met the minimum passing standards during the simulation. State anxiety decreased in 9 of 10 measures, and caregiver confidence increased.
Conclusions: The modified SBML intervention effectively decreased caregiver anxiety and increased confidence in home monitoring skills. This is the first intervention of its kind and may improve patient outcomes during this tenuous stage.
期刊介绍：
The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.
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