快速循环刻意练习在护士超声引导下动静脉内瘘穿刺技能培训中的应用

doi:10.3761/j.issn.1672-9234.2025.09.013

摘要/Abstract

摘要：

目的探讨快速循环刻意练习在护士超声引导下动静脉内瘘穿刺技能培训中的应用效果。方法选取2023年12月—2024年6月超声引导下动静脉内瘘穿刺培训班的60名学员为研究对象，2024年4月—6月培训的30名学员为试验组，采用快速循环刻意练习的培训方法；2023年12月—2024年3月培训的30名学员为对照组，采用常规的培训方法。比较两组培训后超声引导穿刺技能考核成绩、动静脉内瘘评估的掌握程度、培训满意度。结果试验组超声引导穿刺技能考核成绩、动静脉内瘘评估技能考核各项掌握率均高于对照组（P<0.05）。两组培训满意度差异无统计学意义（P>0.05）。结论在超声引导穿刺培训中应用快速循环刻意练习提高了护士评估动静脉内瘘的能力，提升了护士超声引导的穿刺技能。

关键词: 快速循环刻意练习, 在职培训, 超声引导, 动静脉内瘘, 血液透析

Abstract:

Objective To explore the application effect of rapid circulation deliberate practice in the skills training of arteriovenous fistula puncture under ultrasound guidance. Methods From December 2023 to June 2024，a total of 60 trainees from the ultrasound-guided arteriovenous fistula puncture training course were selected as the research participants，which 30 trainees recruited from April 2024 to June 2024 were selected as the experimental group. Skills training was conducted using the training method of rapid cyclic deliberate practice. Another 30 trainees who were trained from December 2023 to March 2024 served as the control group and received skills training of conventional methods. The assessment results of ultrasound-guided puncture skills after training，the mastery degree of arteriovenous fistula assessment，the satisfaction of training，and the clinical practice effect at three months after training were collected and compared between the two groups. Results The assessment scores of ultrasound-guided puncture skills，and the mastery rates of each item in the assessment of arteriovenous fistula skills in the experimental group were all higher than those in the control group（P<0.05）. Meanwhile，there was no statistically significant difference in training satisfaction between the two groups（P>0.05）. Conclusion The rapid cycle deliberate practice training program can enhance the ability of hemodialysis nurses to evaluate arteriovenous fistulas and improve their ultrasound-guided puncture skills in the ultrasound-guided puncture training.

Key words: Rapid cycling deliberate practice, In-service training, Ultrasound guidance, Arteriovenous endovascular fistula, Hemodialysis

王瑞敏, 薛小玲, 王炎, 贾亚娟, 岳晓红, 王沛. 快速循环刻意练习在护士超声引导下动静脉内瘘穿刺技能培训中的应用[J]. 中华护理教育, 2025, 22(9): 1108-1113.

WANG Ruimin, XUE Xiaoling, WANG Yan, JIA Yajuan, YUE Xiaohong, WANG Pei. The application of rapid cycle deliberate practice in the skills training of arteriovenous fistula puncture under ultrasound guidance[J]. Chinese Journal of Nursing Education, 2025, 22(9): 1108-1113.

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