Application of Battlefield First⁃aid Simulated Training System in the non-academic education training for health sergeants

Li Kaiyue; Gui Li; Zhang Tianshuai; Wang Yixin

doi:10.3760/cma.j.cn116021-20231011-01991

您当前的位置：

首页 >

文章列表页 >

Application of Battlefield First⁃aid Simulated Training System in the non-academic education training for health sergeants

Teaching Reform | 更新时间：2025-08-08

- Application of Battlefield First⁃aid Simulated Training System in the non-academic education training for health sergeants
- Chinese Journal of Medical Education Research Vol. 24, Issue 7, Pages: 962-968(2025)
- 作者机构：
  
  1.海军军医大学护理系，上海 200433
  2.海军军医大学第一附属医院（长海医院）肛肠外科，上海 200433
- 作者简介：
  
  Wang Yixin, Email: wangyixin_smmu@126.com
- 基金信息：
  
  Innovation and Generation Special Project for Military Medical Support Capability(21WQ016)
- DOI：10.3760/cma.j.cn116021-20231011-01991
  CLC： R826.1
- Received：11 October 2023，
  
  Published：20 July 2025
- 稿件说明：
移动端阅览
李凯跃, 桂莉, 张天帅, 等. 战现场急救模拟训练系统在卫生军士非学历教育培训中的应用研究[J]. 中华医学教育探索杂志, 2025, 24(7): 962-968.

Li Kaiyue, Gui Li, Zhang Tianshuai, et al. Application of Battlefield First⁃aid Simulated Training System in the non-academic education training for health sergeants[J]. Chinese journal of medical education research, 2025, 24(7): 962-968.
李凯跃, 桂莉, 张天帅, 等. 战现场急救模拟训练系统在卫生军士非学历教育培训中的应用研究[J]. 中华医学教育探索杂志, 2025, 24(7): 962-968. DOI： 10.3760/cma.j.cn116021-20231011-01991.

Li Kaiyue, Gui Li, Zhang Tianshuai, et al. Application of Battlefield First⁃aid Simulated Training System in the non-academic education training for health sergeants[J]. Chinese journal of medical education research, 2025, 24(7): 962-968. DOI： 10.3760/cma.j.cn116021-20231011-01991.

摘要

目的

设计与开发战现场急救模拟训练系统，通过类实验对照研究评价该系统的应用效果，为增强我军一线救治能力建设提供训练手段支撑。

方法

以“体验式学习环”理论为指导，设计与开发战现场急救模拟训练系统。2023年3月至6月，招募某军医大学参加非学历教育培训的卫生军士108名，进行类实验对照研究。这些军士被随机分为对照组和试验组，每组54人。对照组采用传统的面对面模拟训练进行培训，而试验组则采用战现场急救模拟训练系统进行培训。研究旨在比较电脑模拟训练与传统面对面模拟训练的效果差异。主要评价指标包括战现场急救知识水平和救护推理能力，次要评价指标则为自我感知和训练满意度。采用SPSS 26.0软件进行

检验、卡方检验或Fisher’s确切概率检验及非参数检验。

结果

108名受试者均完成培训后，两组在知识水平、自我感知、救护推理能力方面相较培训前均有提升（

0.001）。其中，试验组的知识水平提升程度（19.93±8.98）、自我感知提升程度[10.50（7.00，13.25）

]

与对照组（16.55±10.10）、 [10.00（7.00，12.50）

]

相比，差异无统计学意义（

0.05）；但试验组的救护推理能力提升程度[6.00（5.00，9.25）

]

低于对照组[8.00（7.00，11.00）

]

，差异有统计学意义（

0.05）。此外，两组在训练满意度得分上差异无统计学意义（

0.05）。

结论

该系统具有与传统面对面模拟训练相似的培训效果，但在救护推理能力的提升方面略有欠缺。它可作为从战现场急救理论学习到实践应用过程中值得推荐的训练资源与形式。未来，该系统仍需在功能性、仿真度、智能化等方面进行优化和改进。

Abstract

Objective

To design and develop a battlefield first-aid simulated training system

to evaluate the application effect of the system through a quasi-experimental controlled trial

and to provide training means to support the enhancement of Chinese army's first-line treatment capability.

Methods

A battlefield first-aid simulated training system was designed and developed with the guidance of the theory of "experiential learning cycle". From March to June 2023

108 health sergeants who participated in non-academic education training from a military medical university were recruited to a quasi-experimental controlled trial and randomly divided into a control group and an experimental group

with 54 sergeants each. The control group was trained using traditional face-to-face simulation training

and the experim

ental group was trained using the Battlefield First⁃aid Simulated Training System. The differences in effects of computer simulation training and traditional face-to-face simulation training were compared

with the primary evaluation indices being the first-aid knowledge level and inferential capability of rescue on the battlefield

and the secondary evaluation indices being the self-perception and training satisfaction. The SPSS 26.0 software was used for conducting the

test

chi-square test or Fisher's exact probability test

and non-parametric test.

Results

All 108 subjects completed the training and had an improvement in the knowledge level

self-perception

and inferential capability of rescue after the training (

0.001). The difference in the degree of improvement in the knowledge level [(19.93±8.98) vs. (16.55±10.10)

]

and self-perception [10.50 (7.00

13.25) vs. 10.00 (7.00

12.50)

]

was not statistically significant between the experimental group and the control group (

0.05)

but the degree of improvement in the inferential capability of rescue of the experimental group [6.00 (5.00

9.25)

]

was significantly lower than that of the control group [8.00 (7.00

11.00)

]

(

0.05). There was no significant difference in the training satisfaction scores between the two groups (

0.05).

Conclusions

The system has a similar training effect to traditional face-to-face simulation training

but shows a slight deficiency in the improvement in the inferential capability of rescue. It serves as a recommended training resource and format from battlefield first-aid theory learning to practical application. The system still needs to be optimized and improved in the aspects of functionality

simulation

and intellectualization in the future.

关键词

Keywords

references

D'Souza E , Wing V , Zouris J , et al . Multi-injury casualty stream simulation in a shipboard combat environment [J ] . Mil Med , 2016 , 181 ( 1 ): 70 - 75 . DOI: 10.7205/MILMED-D-15-00002 http://dx.doi.org/10.7205/MILMED-D-15-00002 .

郭栋，黎檀实，潘菲，等 . 现代战现场急救培训现状及技术清单构建研究 [J ] . 军事医学， 2019 ， 43 （ 4 ）： 241 - 244 . DOI: 10.7644/j.issn.1674-9960.2019.04.001 http://dx.doi.org/10.7644/j.issn.1674-9960.2019.04.001 .

马宇，陈千，李秀娟，等 . 战伤疼痛一线救治研究进展 [J ] . 人民军医， 2021 ， 64 （ 5 ）： 410 - 412， 417 . DOI: 10.3969/j.issn.1000-9736.2021.05.007 http://dx.doi.org/10.3969/j.issn.1000-9736.2021.05.007 .

郭栋，何伟华，闫铁成，等 . 我军普通官兵自救互救培训现状问卷调查 [J ] . 军事医学， 2019 ， 43 （ 8 ）： 570 - 574 . DOI: 10.7644/j.issn.1674-9960.2019.08.003 http://dx.doi.org/10.7644/j.issn.1674-9960.2019.08.003 .

王毅欣，桂莉，刘晶晶 . 基于战术战伤救治的野战救护实践教学模式在护理本科生《野战护理学》课程中的应用 [J ] . 解放军护理杂志， 2017 ， 34 （ 11 ）： 51 - 53， 59 . DOI: 10.3969/j.issn.1008-9993.2017.11.014 http://dx.doi.org/10.3969/j.issn.1008-9993.2017.11.014 .

徐书贤 . 模拟医学教育：医学教学发展的时代必然 [J ] . 中国医院院长， 2023 ， 19 （ 3 ）： 22 - 23 .

黄四碧，胡春媚，肖乔枫，等 . 高仿真模拟技术在医学生临床技能实训教学中的应用 [J ] . 中国中医药现代远程教育， 2021 ， 19 （ 18 ）： 31 - 33 . DOI: 10.3969/j.issn.1672-2779.2021.18.013 http://dx.doi.org/10.3969/j.issn.1672-2779.2021.18.013 .

杨健，王春来，秦晓丽，等 . 伊拉克阿富汗战伤数据分析及急救器材配置和设计的思考 [J ] . 中国急救复苏与灾害医学杂志， 2018 ， 13 （ 3 ）： 213 - 216 . DOI: 10.3969/j.issn.1673-6966.2018.03.005 http://dx.doi.org/10.3969/j.issn.1673-6966.2018.03.005 .

Military trauma care's learning health system:the importance of data-driven decision making [EB/OL ] . ( 2022-05-08 )[ 2023-10-25 ] . http://www.nationalacademies.org/ http://www.nationalacademies.org/ .

宗兆文，张连阳，秦昊，等 . 我军战伤伤情评估和诊断方法的专家共识 [J ] . 解放军医学杂志， 2018 ， 43 （ 3 ）： 181 - 188 . DOI: 10.11855/j.issn.0577-7402.2018.03.01 http://dx.doi.org/10.11855/j.issn.0577-7402.2018.03.01 .

CoTCCC . Tactical Combat Casualty Care (TCCC) guidelines [EB/OL ] . ( 2022-06-08 ) [ 2024-10-25 ] . https://www.deployedmedicine.com/market/31/content/40 https://www.deployedmedicine.com/market/31/content/40 .

王毅欣，刘可心，桂莉 . 战术战伤救护知识与能力测验的编制与分析 [J ] . 解放军护理杂志， 2019 ， 36 （ 1 ）： 77 - 79 . DOI: 10.3969/j.issn.1008-9993.2019.01.00 http://dx.doi.org/10.3969/j.issn.1008-9993.2019.01.00 .

路坤，陈金梦，顿士娟，等 . 高级模拟人替代方案在急危重症情景模拟教学中的应用效果 [J ] . 中国继续医学教育， 2023 ， 15 （ 14 ）： 150 - 155 . DOI: 10.3969/j.issn.1674-9308.2023.14.034 http://dx.doi.org/10.3969/j.issn.1674-9308.2023.14.034 .

Planchon J , Vacher A , Comblet J , et al . Serious game training improves performance in combat life-saving interventions [J ] . Injury , 2018 , 49 ( 1 ): 86 - 92 . DOI: 10.1016/j.injury.2017.10.025 http://dx.doi.org/10.1016/j.injury.2017.10.025 .

王宪 . 缺血性心脑血管急症院前急救模拟训练软件开发和验证研究 [D ] . 上海：第二军医大学， 2016 .

邱志明，李恒，周玉芳，等 . 模拟仿真技术及其在训练领域的应用综述 [J ] . 系统仿真学报， 2023 ， 35 （ 6 ）： 1131 - 1143 . DOI: 10.16182/j.issn1004731x.joss.23-0351 http://dx.doi.org/10.16182/j.issn1004731x.joss.23-0351 .

郭栋，黎檀实，潘菲，等 . 战术一线救治模拟训练系统的设计与实现 [J ] . 中华灾害救援医学， 2021 ， 9 （ 1 ）： 723 - 727 . DOI: 10.13919/j.issn.2095-6274.2021.01.001 http://dx.doi.org/10.13919/j.issn.2095-6274.2021.01.001 .

刘晶晶，师文文，黄燕，等 . 基于Web的野战救护模拟训练系统的开发及初步应用 [J ] . 军事医学， 2023 ， 47 （ 6 ）： 407 - 411 . DOI: 10.7644/j.issn.1674-9960.2023.06.002 http://dx.doi.org/10.7644/j.issn.1674-9960.2023.06.002 .

刘伟，陈婷，李佳，等 . 美军医学模拟训练发展现状及其启示 [J ] . 军事医学， 2014 ， 38 （ 7 ）： 554 - 556 . DOI: 10.7644/j.issn.1674-9960.2014.07.021 http://dx.doi.org/10.7644/j.issn.1674-9960.2014.07.021 .

Feron H , Hofmann M . Tactical combat casualty care: strategic issues of a serious simulation game development [C ] // Proceedings of the 2012 Winter Simulation Conference (WSC) . December 9-12, 2012 , Berlin, Germany . IEEE , 2012 : 1 - 12 . DOI: 10.1109/WSC.2012.6465005 http://dx.doi.org/10.1109/WSC.2012.6465005 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Investigation and reflection on the teaching effects of high altitude military hygiene protection

Construction of experience-based individual development interpretation (EBIDI) and its application in the course of growth and development for children

Related Author

Wang Yixin

周思敏田怀军张钢李鹏

侯晓静1

Related Institution

上海师范大学教育学院

上海杉达学院国际医学技术学院

⁰