目的 探讨在低年资外科住院医师心肺复苏(CPR)培训中应用情景模拟教学法的效果。 方法 选取笔者医院心外科学习的低年资(工作年限< 3 年)住院医师133 名
纳入对照组65人和观察组68人;对照组采用传统课堂授课法:教师讲解-示范-学员练习-教师辅导
观察组采用情景模拟教学法:教师讲解-示范-学员练习-教师辅导-情景模拟。两组培训前后进行CPR理论及双人操作考核
比较培训前后组内及组间考核得分差异。 结果 入组对象人口学特征无统计学差异。培训后两组的CPR理论和操作成绩均提高
且培训前、后两组组内理论及CPR操作成绩比较
差异均有显著统计学差异(P=0.000<0.01)。培训前两组间理论及CPR操作成绩比较
差异均无显著统计学差异(P >0.05);培训后两组间 CPR操作成绩比较
观察组[(84.62±3.94)分]明显高于对照组[(79.68±5.45)分]
有显著统计学差异(P=0.000<0.01)
而两组间理论成绩比较无统计学差异(P >0.05)。 结论 传统课堂授课和情景模拟教学两种教学方法均能提高外科低年资住院医师CPR理论及技能水平
但情景模拟教学法在改进学员CPR操作表现方面比传统课堂授课教学法更佳
Objective To explore the effect of scenario simulation teaching method in the training of cardiopulmonary resuscitation (CPR) for junior surgical residents. Methods 133 junior residents(working life <3 years) in the author's hospital rotating Cardiac Surgery department were chosen and separated into control group(n= 65) and the observation group(n=68); the control group adopted the traditional classroom teaching method: Teacher explanation-Demonstration-student practice-teacher counseling
the observation group adopted scenario simulation teaching method: Teacher explanation-Demonstration-student practice-teacher counseling- scenario simulation. Before and after training
two groups both received the CPR theory and the two-person operation assessment
comparing the assessment score differences before and after the training
in group and between groups. Results There was no statistically significant difference in the demographic characteristics of the two groups.The assessment scores of CPR theory and operation were improved in both groups after training
and there were significant differences of the pre and post training scores in group also(p=0.000<0.01). There were no statistically significant differences between the CPR theory and operation assessment scores between the two groups before training (P >0.05); compared with the scores of CPR operation between the two groups after training
the observation group [(84.62±3.94)] was significantly higher than the control group [(79.68±5.45)]
there were significant statistical differences (p= 0.000<0.01)
while there was no statistically significant difference in CPR theory assessment scores between the two groups (P >0.05). Conclusions Both traditional classroom teaching and scenario simulation teaching methods can improve the CPR theory and skill level of the surgical junior resident
but the scenario simulation teaching method is better than the traditional classroom teaching method in improving the CPR performance of trainees.
情景模拟教学法心肺复苏外科低年资住院医师培训模式
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