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[目的]探讨家庭医生制度下IMPACT培训模式对居家长期照护者照护知识和技能的影响。[方法]采用IMPACT培训模式对200名居家照护者进行为期4周的培训,培训前后评价居家照护者对老年人照护常识的自评情况,对老年保健知识、安全知识、疾病知识、护理知识4个模块护理专业知识的考核情况和培训后护理操作技能的合格率,并分析其居家照护知识掌握情况的主要影响因素。[结果]实施IMPACT培训模式后,居家照护者对大多数老年人照护常识的自评高于培训前(P<0.01);培训后保健知识、安全知识、疾病知识、护理知识4个模块的考核成绩高于培训前(P<0.01),护理操作技能合格率达96.5%;高中以上学历的照护者护理知识的得分高于初中以下学历者(P<0.05),有过培训经历的照护者保健知识、安全知识和护理知识的得分高于无培训经历者(P<0.05)。[结论]家庭医生制度下的全科团队利用IMPACT培训模式可有效提高居家照护者对老年人照护常识的知晓度、居家照护专业知识和照护技能。
[Objective] To explore the impact of IMPACT training mode on the care of home long-term caregivers under the family doctor system. [Methods] The 200 home caregivers were trained by IMPACT for 4 weeks. Before and after training, home caregivers’ self-assessment on the common sense of care for the elderly were evaluated. The health care knowledge, safety knowledge, disease knowledge and nursing knowledge 4 A module nursing professional knowledge assessment and post-training nursing operation skill pass rate, and analyze the main factors affecting home-based care knowledge. [Results] After implementing IMPACT training mode, the home caregivers’ self-evaluation on the common sense of care for most seniors was higher than that before training (P <0.01); after training, the assessment of health care module, safety module, disease module and nursing module (P <0.01). The passing rate of nursing operation skills was 96.5%. The score of nursing knowledge of caregivers with senior high school education or above was higher than those with junior high school education (P <0.05). Caregivers who had training experience in health care Knowledge, safety knowledge and nursing knowledge score higher than those without training experience (P <0.05). [Conclusion] The GPT team under family doctor system using IMPACT training model can effectively improve the awareness of home caregivers on the common sense of elderly care, home care professional knowledge and care skills.