Abstract:

Objective　To construct a homogeneous training program for comprehensive geriatric assessment (CGA) based on the CDIO (conceive-design-implement-operate) mode, and to explore its application effect. Methods　One hundred and eight nursing staff were selected from Hunan medical institutes from April to May 2024 as the study objects by the convenient sampling method, including 11 males and 97 females who were (38.41±5.33) years old. The self-designed Knowledge-Attitude-Practice Questionnaire of CGA and Training Satisfaction Survey Questionnaire were used to evaluated the training effects. SPSS 26.0 was used to perform paired t test and one-way analysis of variance. Results　The standard scores of knowledge, attitude, and behavior after the training were 81.91±8.89, 71.02±11.76, and 56.88±13.44, and the scores before the training 77.16±9.35, 79.58±12.31, and 51.79±15.27 (all P<0.05). The univariate analysis found that the standard score of attitude of the nurses with undergraduate degree or above and the associate chief nurses or chief nurses were higher than those of the nurses with junior college education or below and the nurses-in-charge (80.42±12.24 vs. 72.92±11.17 and 56.11±16.51 vs. 49.63±14.24; P=0.046 and 0.037). After the training, there were no statistical differences in the standard scores of knowledge-attitude-practice of CGA between the nurses of different ages, professional titles, education levels, and work times (all P>0.05). The students' satisfaction rate with training duration was 84.69% (94/111), and the satisfaction rates with the other items were >98.0%. Conclusions　The construction and application of the homogeneous training program for CGA based on the CDIO mode can improve the nursing staff's comprehensive geriatric assessment ability. Nursing staff of all educational levels can participate in the training and implementation of CGA.

Key words:

Comprehensive geriatric assessment, CDIO, Homogeneous, Clinical nurses, Training program

摘要：

目的　构建基于CDIO（构思、设计、实施、运作）模式的老年综合评估（CGA）同质化培训方案，并探讨其应用效果。方法　采用便利抽样法，选取2021年4月至5月湖南省医疗机构的护理人员108例作为研究对象，其中男11例、女97例，年龄（38.41±5.33）岁。通过自行编制的CGA知信行问卷和培训满意度调查问卷评估其培训效果。采用SPSS 26.0进行配对样本t检验和单因素方差分析。结果　护士培训后知识及行为标准得分均高于培训前［（81.91±8.89）分比（77.16±9.35）分、（56.88±13.44）分比（51.79±15.27）分］，态度标准得分低于培训前［（71.02±11.76）分比（79.58±12.31）分］，差异均有统计学意义（均P<0.05）。单因素分析显示，培训前本科及以上学历护士的CGA态度标准得分高于大专及以下学历护士［（80.42±12.24）分比（72.92±11.17）分，P=0.046］，副主任护师及以上职称护士的行为标准得分高于职称为主管护师的护士［（56.11±16.51）分比（49.63±14.24）分，P=0.037］；培训后不同年龄、职称、学历、工作年限的护士对CGA的知信行标准得分差异均无统计学意义（均P>0.05）；学员对培训时长的满意率为84.69%（94/111），其余各项满意度均>98.0%。结论　CDIO模式的CGA同质化培训方案构建和应用，有助于提高护理人员的老年综合评估能力，各学历层次的护理人员均适于参加CGA培训和实施。

关键词:

老年综合评估, CDIO, 同质化, 临床护士, 培训方案