آموزش و اخلاق در پرستاری

مقایسۀ دانش کارورزان طب اورژانس در مدیریت تندتپشی‌های شایع قبل و بعد از آموزش به روش مدل محور و سخنرانی: یک مطالعۀ نیمه تجربی قبل و بعد از مداخله

نوع مقاله : مقاله پژوهشی

نویسندگان

1 استادیار گروه طب اورژانس، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

2 استادآموزش پرستاری، مرکزتحقیقات مراقبت های پرستاری و مامائی، دانشگاه علوم پزشکی مشهد، مشهد،ایران

3 دانشیار گروه طب اورژانس، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

4 استادیار گروه طب اورژانس، دانشکده پزشکی، دانشگاه علوم پزشکی بیرجند، بیرجند، ایران.

5 کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: امروزه، بیماری ­های قلب و عروق، شایع­ترین علل مرگ و میر است. تاکی­ کاردی، معمولاً یک اورژانس طبی است که نشان دهندۀ دیس ­ریتمی قلب، می­ باشد. هدف از انجام این مطالعه، مقایسۀ دانش کارورزان طب اورژانس در مدیریت تند تپشی­ های شایع قبل و بعد از آموزش، به روش مدل محور و سخنرانی می ­باشد.
روش کار: ‏در این پژوهش نیمه تجربی، قبل و بعد از مداخله، تعداد 122 کارورز طب اورژانس (1399)، وارد مطالعه شدند. دانشجویان، به صورت تصادفی در دو گروه، کارگاه آموزشی مدل محور (60 نفر) و سخنرانی(62 نفر)، تقسیم شدند. ابزار جمع آوری اطلاعات در این تحقیق، بر اساس پرسشنامۀ محقق ساخته بود، که روایی و پایایی آن (آلفای کرونباخ=85%) مورد تأیید واقع شده بود. پرسشنامه، توسط هر دو گروه از دانشجویان، به صورت قبل از شروع و بعد از اتمام مداخله، تکمیل گشت. تجزیه و تحلیل اطلاعات، با استفاده از نرم افزار SPSS نسخۀ 20، آمارهای توصیفی (درصد، میانگین و انحراف معیار) و آزمون ­های استنباطی ( من ویتنی و ویلکاکسون)، صورت گرفته است؛ آن­ گونه­ که در تمامی محاسبات، مقدار 0.05 ، به ­عنوان سطح معنادار، در نظر گرفته شد.
یافته‌ها: میانگین نمرۀ آزمون مدیریت تندتپشی ­ها، پس از آموزش در گروه سخنرانی، برابر با 1.9±6.8 (از 13 نمره) و میانگین نمرۀ آزمون مدیریت تندتپشی­ ها، پس از آموزش در گروه کارگاه آموزشی مدل محور، برابر 1.5±6.9 (از 13 نمره)، بود. طبق آزمون ناپارامتریک من ویتنی، تفاوت آماری معناداری، از نظر میانگین نمرۀ آزمون مدیریت تندتپشی­ ها، پس از آموزش میان دو گروه کارگاه آموزشی مدل محور و گروه سخنرانی، وجود داشت(p=0.001)؛ همچنین حد وسط  نمرۀ آزمون مدیریت تندتپشی ­ها، پس از آموزش در گروه کارگاه آموزشی مدل محور، بالاتر بود.
نتیجه ­گیری: به­ نظر می ­رسد که استفاده از روش مدل محور (کارگاه عملی با مولاژ، و استفاده از سناریوی بالینی)، می ­تواند بر دانش کارورزان طب اورژانس، در مدیریت تندتپشی­ های شایع، قبل و بعد از آموزش، نسبت به روش سخنرانی، اثربخشی بیشتری داشته باشد؛ بنابراین استفاده از روش مدل محور، می ­تواند سبب افزایش دانش کارورزان طب اورژانس گردد.

کلیدواژه‌ها

عنوان مقاله [English]

The Comparison of the Knowledge of Emergency Medicine Interns in Management of common tachycardia before and after Model-Based training and Lecture: a semi-experimental study before and after the intervention

نویسندگان [English]

  • Seyed Reza Habibzadeh 1
  • Hossein Karimi Moonaghi 2
  • Elnaz Vafadar Moradi 1
  • Ehsan Bolvardi 3
  • Fatemeh Maleki 4
  • Amir Teimouri 5
  • Mahdi Foroughian 3

1 Assistant Professor, Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

2 Professor of Nursing Education, Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

3 Associated Professor, Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

4 Department of Emergency Medicine, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran

5 Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran

چکیده [English]

Introduction: Cardiovascular disease is the most common cause of death, today. Tachycardia is usually a medical
emergency that indicates cardiac dysrhythmia. The aim of this study was to compare the knowledge of emergency medicine interns in the management of common rapid heartbeats before and after training by model-based and lecture methods.
Materials and Methods: In this semi-experimental study, before and after the intervention, 122 emergency medicine interns were included in the study (2019). Students were randomly divided into two groups: model-based workshop (60 people) and lecture (62 people). The data collection tool in this study was a researcher-made questionnaire whose validity and reliability (Cronbach's alpha = 85%) were confirmed. The questionnaire was completed by both groups of students before the intervention and after the intervention. Data analysis was done using SPSS version 20 software and descriptive statistics (percentage, mean and standard deviation) and inferential tests (Mann-Whitney and Wilcoxon). In all calculations, the value of 0.05 was considered as a significant level.
Results: The mean score of the tachycardia management test after training in the lecture group was 8.6± 9.1 points (out of 13 points). And the mean score of the management test of tachycardia, after training in the model-based workshop group, is equal to 5. It was 6.9±1.00 points (out of 13 marks).
According to Mann-Whitney non-parametric test, there was a statistically significant difference in terms of the mean score of the pulse management test after training between the two groups of model-based workshop and lecture group (P = 0.001). Also, the mean score of the rapid-fire management test after training was higher in the model-oriented workshop group.
Conclusion: It seems that the use of model-based method (practical workshop with modeling and clinical scenario) can be more effective on the knowledge of emergency medicine practitioners in the management of common tachycardia before and after training than the lecture method. Therefore, using the model-based method can increase the knowledge of emergency medicine students.

کلیدواژه‌ها [English]

  • Lecture
  • Model Oriented Education
  • Training
  • Students
  • Emergency Medicine
  • Tachycardia
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آموزش و اخلاق در پرستاری
دوره 11، 3-4
مهر 1401
صفحه 42-49