2017 年 11 巻 4 号 p. 181-185
Purpose: In recent years, shortening the time from onset to recanalization has been shown to markedly affect the outcome of acute ischemic stroke. In our hospital, in order to shorten the time to recanalization at night hours with staff shortage, stroke care unit (SCU) nurses supported the outpatient clinic nurses during endovascular treatment from preparation to introduction. We hereby report the contents and results of the training we conducted toward the SCU staff.
Materials and Methods: The following methods were used to educate 12 SCU nurses with the knowledge and skills necessary to provide support in acute-phase cerebral endovascular treatment: 1) training in the catheterization laboratory, 2) manual production for acute-phase recanalization therapy, 3) simulation training, and 4) production of a digital video disc (DVD) as an audiovisual teaching material. The effects of these methods were evaluated using a questionnaire.
Results: By the end of the training, 11 of the 12 SCU nurses were able to perform the procedures of cerebral endovascular treatment from preparation to introduction. Results of the questionnaire showed that these educational methods reduced SCU nurses' anxiety, and the knowledge provided by these methods could be utilized in clinical setting. Following the given training methods, the time from the patient's arrival at the hospital to acupuncture could be reduced by 22 minutes.
Conclusion: The nurses were able to acquire the knowledge and skills necessary to participate in acute-phase cerebral endovascular treatment by gaining experience through training in the catheterization laboratory, simulation training, and repeated image training using the manual and DVD. As a result, their anxiety decreased and the nurses became able to participate in the actual operation. The results suggest the usefulness of these educational methods.