Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.66224/jrums
fa
jalali
1401
2
1
gregorian
2022
5
1
21
2
online
1
fulltext
fa
تأثیر آموزش تریاژ از طریق تلفن همراه هوشمند بر میزان دانش و تصمیمگیری پرستاران اورژانس
The Effect of Smartphone-based Training of Triage the Knowledge and Decision Making of Emergency Nurses
پرستاري
Nursing
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">زمینه و هدف:</span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">تریاژ سریع و دقیق بیماران کلید موفقیت در مراقبت از بیمار است و </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">شناسایی </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">بیمارانی که نیاز به مراقبت­های اورژانسی دارند را ممکن سازد.</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> لذا این مطالعه با هدف تعیین تأثیر آموزش تریاژ از طریق تلفن همراه هوشمند بر میزان دانش و</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">تصمیم</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">گیری پرستاران انجام شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">مواد و روش­ها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> این مطالعه نیمه ­تجربی با یک گروه پیش­آزمون و پس­آزمون در سال 1399 انجام شد که در آن 25 پرستار تریاژ بخش اورژانس بیمارستان­های دانشکده علوم پزشکی خوی، انتخاب شدند. روش آموزش، از طریق تلفن همراه هوشمند بود. برای جمع­آوری داده­ها از پرسشنامه حاوی اطلاعات جمعیت­شناسی و فرم تریاژ بر اساس الگوریتم تریاژ استفاده شد. </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">جهت تشخیص خطای تریاژ، تعداد </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">350</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> پرونده بیمار قبل و بعد از آموزش توسط پژوهش­گر بررسی و تعیین سطح تریاژ شد و میزان خطای تریاژ بررسی شد و هم­چنین دانش پرستاران اورژانس قبل و یک ماه بعد از مداخله بررسی شد و سپس </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">داده­ها با استفاده از آزمون­های مجذور کای و </span></span></span>McNemar<span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> و </span></span></span>t<span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> زوجی تجزیه­ و­ تحلیل شدند.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">یافته­ها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> یافته­ها بیان</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">گر این بود که خطای تریاژ از 28 درصد قبل از مداخله به 1/19 درصد کاهش یافت و آزمون آماری </span></span></span>McNemar<span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">، تفاوت آماری معنی­داری را نشان داد (001/0></span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">). در ارتباط با میزان دانش پرستاران تریاژ، آزمون </span></span></span>t<span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> زوجی نشان داد</span></span></span> <span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">که میزان دانش پرستاران بعد از مداخله افزایش یافت (001/0></span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">).</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">نتیجه­گیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> نتایج مطالعه حاضر نشان داد که ارتقاء مهارت و دانش پرستاران می­تواند باعث افزایش دقت پرستاران اورژانس در تریاژ صحیح بیماران شود. بنابراین، برنامه­ریزی براساس آموزش تریاژ صحیح برای پرستاران اورژانس پیشنهاد می­گردد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman","serif""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">واژه­های کلیدی:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> تریاژ، خطای تریاژ، آموزش، تلفن همراه هوشمند، پرستاران اورژانس</span></span></span><span dir="LTR" style="font-size:4.0pt"><span style="line-height:120%"></span></span></span></span></span></span></span>
<span style="font-size:10pt"><span style="line-height:145%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:145%">Background and Objectives: </span></b><span style="line-height:145%">The rapid and accurate triage of patients is the key to success in patient care and to enable the identification of patients in need of emergency care. Therefore, this study was conducted to determine the effect of smart triage training on nurses' knowledge and decision making.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:145%">Materials and Methods:</span></b><span style="line-height:145%"> This quasi-experimental study was conducted with a pre-test and post-test group in 2020 which 25 triage nurses of the emergency department of Khoy University of Medical Sciences hospitals were selected. The training method was via smart phone. A questionnaire containing demographic information and a triage form based on the triage algorithm were used to collect data. In order to diagnose triage error, 350 patient records were reviewed by the researcher before and after the training. Then, the level of triage was determined and the amount of triage error was assessed. The knowledge of emergency nurses was also examined before and one year after the intervention. The data were analyzed using chi-square, McNemar, and paired t-test.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:145%">Results:</span></b><span style="line-height:145%"> The results showed that the triage error decreased from 28% before the intervention to 19.1%, and McNemar test showed a statistically significant difference (p<0.001). Regarding the knowledge of triage nurses, paired t-test showed that the knowledge of nurses increased after the intervention (p<0.001).</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:145%">Conclusion: </span></b><span style="line-height:145%">The results of the present study showed that improving the skills and knowledge of nurses can increase the accuracy of emergency nurses in the correct triage of patients. Therefore, planning based on proper triage training is strongly recommended for emergency nurses. </span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:145%">Key words:</span></b><span style="line-height:145%"> Triage, Triage error, Training, Smart phone, Emergency nurses</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><span style="font-size:3.0pt"><span style="line-height:145%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:145%">Funding:</span></b><span style="line-height:145%"> This study was funded by Khoy University of Medical Sciences.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:145%">Conflict of interest:</span></b><span style="line-height:145%"> None declared.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:145%">Ethical approval:</span></b><span style="line-height:145%"> The Ethics Committee of Khoy University of Medical Sciences approved the study (IR.KHOY.REC.1399.010).</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:145%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman","serif""><b><span dir="RTL" lang="FA" style="font-size:4.0pt"><span style="line-height:145%"></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:107%"><span style="font-family:"Times New Roman","serif""><b><span style="line-height:107%">How to cite this article:</span></b><span style="font-size:9.0pt"><span style="line-height:107%"> Motaarefi Hossein, Sakhaei Shahriar, Ashrafi Mahsa, Zinalpoor Sorayya, Gholizadgougjehyaran Hamed. </span></span><span style="font-size:9.0pt"><span style="line-height:107%">The Effect of Smartphone-based Training of Triage the Knowledge and Decision Making of Emergency Nurses.</span></span><span style="font-size:9.0pt"><span style="line-height:107%"> <i>J Rafsanjan</i></span></span><span style="font-size:9.0pt"><span style="line-height:107%"> <i>Univ Med Sci</i> 2022; 21 (02): 137-48. [Farsi]</span></span><b><span dir="RTL" lang="FA" style="font-size:9.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin""></span></span></span></b></span></span></span>
تریاژ, خطای تریاژ, آموزش, تلفن همراه هوشمند, پر
Triage, Triage error, Training, Smart phone, Emergency nurses
137
148
http://journal.rums.ac.ir/browse.php?a_code=A-10-5558-1&slc_lang=fa&sid=1
Hossein
Motaarefi
حسین
متعارفی
6900319475328460049485
6900319475328460049485
Yes
دانشکده علوم پزشکی ارومیه
Shahriar
Sakhaei
شهربار
سخایی
6900319475328460049486
6900319475328460049486
No
دانشکده علوم پزشکی خوی
Mahsa
Ashrafi
مهسا
اشرفی
6900319475328460049487
6900319475328460049487
No
دانشکده علوم پزشکی خوی
Sorayya
Zinalpoor
ثریا
زینل پور
6900319475328460049488
6900319475328460049488
No
دانشکده علوم پزشکی ارومیه
Hamed
Gholizadgougjehyaran
حامد
قلیزاد گوگجه یاران
6900319475328460049489
6900319475328460049489
No
دانشکده علوم پزشکی خوی