目的 评价基于培训迁移模型的社区伤口护士培训方案对提升社区伤口专科护理能力的应用效果。 方法 构建基于培训迁移模型的社区伤口护士培训方案，并通过柯氏四级评估模型，于2020年7月至2021年7月对24名杨浦区社区卫生服务中心的伤口护士开展培训，分别从学员反应、学习、行为和结果等四个层面综合评价培训效果。 结果 培训后24名学员学习迁移目录量表各维度及条目上的平均得分均高于培训前，差异均具有统计学意义（均P＜0.05）。此外，学员在理论知识、技能操作、技能自评等方面得分均高于培训前，差异具有统计学意义（均P＜0.05）。培训后1年内，学员所在单位的伤口护理服务人次得到增长（门诊39.06%，病房28.31%），患者满意度提高74.36%，伤口愈合率增加31.12%且愈合时间缩短33.33%。 结论 基于培训迁移模型的社区伤口护士培训方案能有效地提高受训者的知识、技能、态度和水平，使其将所学应用于临床，从而提高工作绩效及专业水平。

Objective To evaluate the application effects of a training program based on training transfer model for community wound nurses on improving the community nursing ability in wound specialty. Methods The training program for community wound nurses was constructed based on the training transfer model.A total of 24 wound nurses from the community health service center in Yangpu District were trained from July,2020 to July,2021.The Kirkpatrick’s four-level evaluation model was used to comprehensively evaluate the training effects from the levels of trainees’ response,learning,behavior and outcome. Results The average scores of each dimension and item of the Learning Transfer System Inventory after training among the 24 trainees were higher than those before training,with the differences statistically significant（all P＜0.05).Additionally,the scores of theoretical knowledge,skill operation and skill self-evaluation after training among the trainees were higher than those before training,with the differences statistically significant（all P＜0.05).Within one year after training,the number of wound care services in the trainees’ units increased,with the increase rate in the outpatient clinic of 39.06%,and the rate in ward of 28.31%.The patient satisfaction increased by 74.36%,the wound healing rate increased by 31.32%,and the healing time shortened by 33.33%. Conclusions The training program based on training transfer model for community wound nurses can effectively improve the trainees’ levels of knowledge,skills and attitudes.It can help trainees apply what they have learned in clinical practice,so as to improve their work performance and professional level.

R47

上海市杨浦区2019-2022年度医学重点项目 （YP19ZC08）