آموزش و اخلاق در پرستاری
Education and Ethics In Nursing ISSN: 2322-5300

بررسی مقایسه ای دو روش آموزشی آبشاری و آموزش مبتنی بر سمینار بر دانش و عملکرد مدیریت پرفشاری خون در پرسنل اورژانس پیش بیمارستانی

10.22034/ethic.2026.2083974.1223
دوره 15، شماره 1
فروردین 1405
صفحه 31-42
آموزش و اخلاق در پرستاری

نوع مقاله : مقاله پژوهشی اصیل

نویسندگان

یعقوب حاتمی 1
مریم السادات هاشمی 2
محمدصادق ابوطالبی 3
مریم اقبالی بابادی 4

1 کارشناس ارشد پرستاری اورژانس، مرکز تحقیقات مراقبت های پرستاری و مامایی، گروه پرستاری مراقبت ویژه، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 دانشیار پرستاری، مرکز تحقیقات مراقبت های پرستاری و مامایی، گروه پرستاری مراقبت ویژه، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

3 مربی، دانشجوی دکترای پرستاری، گروه پرستاری مراقبت های ویژه، مرکز تحقیقات مراقبت های پرستاری و مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران.

4 دانشیارآموزش بهداشت و ارتقاء سلامت ، مرکز تحقیقات مراقبت های پرستاری و مامایی، گروه پرستاری مراقبت ویژه، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده
مقدمه و هدف: پرسنل اورژانس پیش بیمارستانی نقش مهمی در مراقبت از بیماران مبتلابه فشارخون بالا ایفا می‌کنند، زیرا تشخیص زودهنگام و درمان به موقع، کلید بقای بیمار است.از طرفی دانش ضعیف و عملکرد نامطلوب در مدیریت پرفشاری خون می تواند به عنوان یک چالش مراقبتی نیازمند مداخلات آموزشی موثری باشد این مطالعه باهدف مقایسه تأثیر دو روش آموزشی مدل آبشاری و مبتنی بر سمینار بر دانش و عملکرد مدیریت پرفشاری خون درپرسنل اورژانس پیش بیمارستانی انجام شد.
مواد و روش‌: در این مطالعه نیمه تجربی، 66 پرسنل اورژانس پیش بیمارستانی شهر اصفهان در سال 1404 به روش تصادفی در دو گروه 33 نفره دریافت‌کننده آموزش آبشاری و دریافت‌کننده آموزش مبتنی بر سمینار مشارکت داشتند. داده‌ها با پرسشنامه‌های محقق ساخته، قبل و پس از مداخله جمع‌آوری شد و توسط نرم‌افزار SPSS16 با آزمون‌های آماری توصیفی و تحلیلی (فیشر، کای اسکوئر، تی مستقل، تی زوجی) تحلیل شدند (سطح معناداری 05/0>P).
یافته‎ ها: نتایج این مطالعه نشان دادکه بین دو گروه از نظر ویژگی‌های دموگرافیک تفاوت معنی داری وجود نداشت. میانگین و انحراف معیار نمره دانش در دو گروه آموزش آبشاری و مبتنی بر سمینار قبل از مداخله بترتیب 2.09±03/22 و2.08±21.82و بعد از مداخله بترتیب 16/2±25.57 و14/1±84/27 بود و میانگین و انحراف معیارنمره عملکرد در دو گروه قبل از مداخله بترتیب 92/3±54/43 و27/2±96/43 و بعد از مداخله بترتیب 52/3±66/50 و17/2±30/55 بود و قبل از مداخله تفاوت بین دوگروه از نظر دانش و عملکرد معنی دار نبود ولی بعد از مداخله از نظر اماری تفاوت معنی داری بین دو گروه وجود داشت همچنین میانگین تغییرات نمره دانش و عملکرد در گروه سمینار به‌طور معناداری بالاتر از گروه آبشاری بود.
نتیجه‌گیری: هر دو روش آموزشی در ارتقا دانش و عملکرد موثر بوده اند هر چند در مقایسه آنها اثربخشی روش آموزش مبتنی بر سمینار بیشتر از روش آبشاری بود و به نظر می‌رسد که برای آموزش پرسنل اورژانس پیش‌بیمارستانی هنوز روش آموزش آبشاری رویکرد مؤثری است و با توانمند نمودن مسیولین پایگاه های اورژانس می توان پرسنل تواانمندی تربیت نمود.

کلیدواژه‌ها

پرفشاری خون
اورژانس پیش بیمارستانی
آموزش آبشاری
سمینار
دانش
عملکرد
موضوعات

عنوان مقاله English

Comparative Effectiveness of Cascade versus Seminar-Based Training on Hypertension Management Knowledge and Performance among Pre-hospital Emergency Personnel

نویسندگان English

Yaghoob Hatami 1
Ma ryam alsadat Hashemi 2
Mohammad Sadegh Abutalebi 3
maryam eghbali babadi 4
1 Master of Emergency Nursing, Nursing & Midwifery Care Research Center, and Department of critical care, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
2 Associate Professor of Nursing, Nursing & Midwifery Care Research Center, Department of critical care, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
3 Senior Lecturer, PhD student, Critical Care Nursing Department, Nursing and Midwifery Care research center, Isfahan University of Medical Sciences, Isfahan, Iran
4 Associate Professor of Health Education and Promotion, Nursing & Midwifery Care Research Center, Department of critical care, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده English

Introduction and Objective
Prehospital emergency personnel play a crucial role in the care of patients with hypertension, as early detection and timely therapeutic intervention are pivotal to patient survival. Conversely, inadequate knowledge and suboptimal performance in hypertension management can constitute a significant healthcare challenge, necessitating the implementation of effective educational interventions. The present study was conducted to compare the efficacy of two training approaches—the cascade model versus seminar-based training—on the knowledge and performance of prehospital emergency personnel regarding hypertension management.

Results
The findings revealed no statistically significant differences in demographic characteristics between the two groups. The mean ± standard deviation (SD) knowledge scores in the cascade and seminar groups were 22.03 ± 2.09 and 21.82 ± 2.08 before the intervention, and 25.57 ± 2.16 and 27.84 ± 1.14 after the intervention, respectively. Furthermore, the mean ± SD performance scores in the cascade and seminar groups were 43.54 ± 3.92 and 43.96 ± 2.27 before the intervention, and 50.66 ± 3.52 and 55.30 ± 2.17 after the intervention, respectively. Although no significant intergroup differences were observed in knowledge and performance scores prior to the intervention, a statistically significant difference was noted between the groups following the intervention. Additionally, the mean changes in knowledge and performance scores were significantly higher in the seminar group compared to the cascade group.

Conclusion
Both educational modalities proved effective in enhancing knowledge and performance; however, the seminar-based approach demonstrated significantly greater efficacy than the cascade model. Nevertheless, the cascade training method still appears to remain a viable and effective strategy for the education of prehospital emergency personnel. Moreover, empowering emergency base supervisors through this model can facilitate the training of competent and highly skilled sta

کلیدواژه‌ها English

  • Hypertension
  • Pre-hospital emergency
  • Cascade education
  • Seminar
  • Knowledge
  • performance
 
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