Construction and application of scenario simulation based on advanced simulator in training for emergency and critical care

Zheng Liangjie; Chen Chao; Ma Chuzhou; Fang Zengqiang; Zeng Zhe; Lin Zixia; Cai Shaoyan; Huang Liheng

doi:10.3760/cma.j.cn116021-20250111-02232

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Construction and application of scenario simulation based on advanced simulator in training for emergency and critical care

Standardized Residency Training | 更新时间：2026-05-02

- Construction and application of scenario simulation based on advanced simulator in training for emergency and critical care
- Chinese Journal of Medical Education Research Vol. 25, Issue 4, Pages: 465-474(2026)
- 作者机构：
  
  暨南大学汕头临床医学院/汕头市中心医院麻醉科，汕头 515821
- 作者简介：
  
  Zheng Liangjie, Email: 842709740@qq.com
- 基金信息：
  
  2021 Guangdong Provincial Science and Technology Special Fund Project(210713176903514);2024 Shantou City Medical and Health Science and Technology Plan Project (SFK [2024] No. 72-23)(汕府科[2024]72号-23)
- DOI：10.3760/cma.j.cn116021-20250111-02232
  CLC： R614
- Received：11 January 2025，
  
  Published：20 April 2026
- 稿件说明：
移动端阅览
郑良杰, 陈超, 马楚洲, 等. 基于高级模拟人的情景模拟在急危重症救治模拟培训中的构建及应用[J]. 中华医学教育探索杂志, 2026, 25(4): 465-474.

Zheng Liangjie, Chen Chao, Ma Chuzhou, et al. Construction and application of scenario simulation based on advanced simulator in training for emergency and critical care[J]. Chinese Journal of Medical Education Research, 2026, 25(4): 465-474.
郑良杰, 陈超, 马楚洲, 等. 基于高级模拟人的情景模拟在急危重症救治模拟培训中的构建及应用[J]. 中华医学教育探索杂志, 2026, 25(4): 465-474. DOI： 10.3760/cma.j.cn116021-20250111-02232.

Zheng Liangjie, Chen Chao, Ma Chuzhou, et al. Construction and application of scenario simulation based on advanced simulator in training for emergency and critical care[J]. Chinese Journal of Medical Education Research, 2026, 25(4): 465-474. DOI： 10.3760/cma.j.cn116021-20250111-02232.

摘要

目的

构建基于高级模拟人的急危重症情景模拟教学模式，探讨其应用效果。

方法

选取2021年10月至2023年10月轮转的60名住院医师，试验组与对照组各30人。试验组接受基于高级模拟人的情景模拟教学；对照组采用传统模式。教学前后分别评估理论掌握度（百分制笔试）、技能规范性（标准化操作评分表）及综合临床胜任力（改良版Mini-CEX量表，涵盖危机识别、临床决策等6维度），并收集教学满意度与自我效能感问卷数据。使用SPSS 26.0进行独立

检验或Mann-Whitney

检验。

结果

试验组理论考核总分[（86.67±3.54）vs.（82.23±4.55），

0.001

]

、技能操作总分[（16.53±1.46） vs. （15.43±1.50），

=0.006

]

、Mini-CEX总分[36（34，39） vs. 30（28，33），

0.001

]

均高于对照组。试验组在危机识别、临床判断与决策、诊治操作、组织效能与团队协作等维度得分更高，且完成模拟抢救任务耗时更短[268（240，295） vs. 312（285，345） s，

=0.002

]

。教学满意度总分[18（17，20） vs. 15（14，16），

0.001

]

与自我效能感提升[（7.85±2.62）vs.（5.43±2.98），

0.001

]

亦优于对照组。

结论

基于高级模拟人的情景模拟教学能显著提升住院医师的急危重症救治理论、技能与综合临床能力，具备良好的实践价值与区域推广潜力。

Abstract

Objective

To construct an emergency and critical care scenario simulation teaching model based on advanced simulators and explore its application effect.

Method

Sixty resident physicians who rotated from October 2021 to October 2023 were selected

with 30 in the experimental group and 30 in the control group. The experimental group received scenario simulation teaching based on advanced simulators; The control group adopts the traditional mode. Evaluate theoretical mastery (written test on a percentage scale)

skill standardization (standardized operational scoring scale)

and comprehensive clinical competence (improved Mini CEX scale

covering six dimensions such as crisis identification and clinical decision-making) before and after teaching

and collect data on teaching satisfaction and self-efficacy questionnaires. Perform independent

-test or Mann Whitney

test using SPSS 26.0.

Results

The total score of theoretical assessment in the experimental group was (86.67±3.54) vs. (82.23±4.55)

0.001

]

. The total scores of skill operation [(16.53±1.46) vs. (15.43±1.50)

=0.006

]

and Mini CEX [36(34

39) vs. 30(28

33)

0.001

]

were higher than those of the control group. The experimental group scored higher in crisis identification

clinical judgment and decision-making

diagnosis and treatment operations

organizational effectiveness

and team collaboration

and completed simulated rescue tasks in a shorter time [268 (240

295) vs. 312 (285

345) seconds

=0.002

]

. The total score of teaching satisfaction [18 (17

20) vs. 15 (14

16)

0.001

]

and the improvement of self-efficacy [(7.85±2.62) vs. (5.43±2.98)

0.001

]

were also better than the control group.

Conclusions

Scenario simulation teaching based on advanced simulators can significantly improve the theoretical

technical

and comprehensive clinical abilities of resident physicians in emergency and critical care

and has good practical value and regional promotion potential.

关键词

Keywords

references

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