刻意练习联合强化培训在规培护士心肺复苏教学中的效果评价

王伟平; 邓秋迎; 凌传仁; 陈维生; 房海辉; 黄丽群

doi:10.3760/cma.j.cn116021-20230523-01599

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刻意练习联合强化培训在规培护士心肺复苏教学中的效果评价

护理教育研究 | 更新时间：2024-02-27

- 刻意练习联合强化培训在规培护士心肺复苏教学中的效果评价
- Effect of deliberate practice combined with intensive training in cardiopulmonary resuscitation teaching for nurses receiving standardized training
- 中华医学教育探索杂志 2024年23卷第1期页码：123-127
- 作者机构：
  
  广州中医药大学第二附属医院急诊科，广东省中医院急诊科，广东省中医急症研究重点实验室，广州　510120
- 作者简介：
  
  邓秋迎，Email：jilitu_z@163.com
- 基金信息：
  
  广州市科技计划项目(201803010030);广东省中医急症研究重点实验室(2023B121206;0062)
- DOI：10.3760/cma.j.cn116021-20230523-01599
  中图分类号： R-05
- 纸质出版日期：2024-01-20，
  
  收稿日期：2023-05-23，
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王伟平, 邓秋迎, 凌传仁, 等. 刻意练习联合强化培训在规培护士心肺复苏教学中的效果评价[J]. 中华医学教育探索杂志, 2024, 23(1): 123-127.

Wang Weiping, Deng Qiuying, Ling Chuanren, et al. Effect of deliberate practice combined with intensive training in cardiopulmonary resuscitation teaching for nurses receiving standardized training[J]. Chinese Journal of Medical Education Research, 2024,23(1):123-127.
王伟平, 邓秋迎, 凌传仁, 等. 刻意练习联合强化培训在规培护士心肺复苏教学中的效果评价[J]. 中华医学教育探索杂志, 2024, 23(1): 123-127. DOI： 10.3760/cma.j.cn116021-20230523-01599.

Wang Weiping, Deng Qiuying, Ling Chuanren, et al. Effect of deliberate practice combined with intensive training in cardiopulmonary resuscitation teaching for nurses receiving standardized training[J]. Chinese Journal of Medical Education Research, 2024,23(1):123-127. DOI： 10.3760/cma.j.cn116021-20230523-01599.

摘要

目的

探讨刻意练习联合强化培训在规培护士心肺复苏教学的中远期训练效果。

方法

选择于2020年7-2021年3月期间在广东省中医院的第一年规培护士为研究对象，随机分为试验组及对照组（各80例）进行心肺复苏培训，对照组采用单次的刻意练习模式，试验组在第0、3、6个月进行刻意练习联合强化培训。两组学员分别在培训前后进行考核，考核标准由客观评分及主观评分组成。客观评分由复苏安妮自带的QCPR模型电子显示器提供即时客观反馈；主观评分由同一组考官对学员的心肺复苏进行评价，包括评估环境、判断意识、判断呼吸、启动应急急救系统、复苏后再评估、总体评价等6个环节。采用SPSS 18.0进行独立样本

检验或非参数检验、

检验。

结果

培训后两组学员的客观指标对比，试验组的正确按压比例与对照组比较，差异有统计学意义[85.50%（77.50，93.00） vs. 81.00%（71.75，89.00）；

=-2.49，

=0.013]，试验组的正确通气比例与对照组比较，差异存在统计学意义[84.00%（75.00，92.75） vs. 80.00%（64.00，90.25）；

Z=-

2.15

，P

=0.031]。两组学员培训后的客观指标与主观指标，均较培训前有提高，差异均有统计学意义（均

0.05）。

结论

刻意练习后

联合3月间隔的强化培训可有效有助于提高规培护士中远期的CPR技能，更适用于高层级的肌肉记忆训练中。

Abstract

Objective

To investigate the mid- and long-term training effect of deliberate practice combined with intensive training in cardiopulmonary resuscitation (CPR) teaching for nurses receiving standardized training.

Methods

A total of 160 nurses who received the first year of standardized training in Guangdong Provincial Hospital of Traditional Chinese Medicine from July 2020 to March 2021 were enrolled as subjects

and they were randomly divided into experimental group and control group

with 80 nurses in each group. The nurses in the control group received the mode of single deliberate practice

and those in the experimental group received deliberate practice combined with intensive training at months 0

and 6. Assessment was performed for the two groups before and after training

with objective indicators and subjective evaluation as the assessment criteria. Objective score was determined by the immediate objective feedback provided by the electronic display of Resusci Anne

QCPR

and subjective score was determined by the same group of examiners based on the evaluation of cardiopulmonary resuscitation performed by trainees

including environment evaluation

judgment of consciousness

judgment of respiration

initiation of emergency treatment system

re-evaluation after resuscitation

and overall evaluation. SPSS 18.0 was used for the independent samples

-test

the non-parametric test

and the chi-squares test.

Results

After training

there were significant differences between the experimental group and the control group in the objective indicators of the percentage of correct compression (CC%) [85.500 (77.50

93.00) vs. 81.00 (71.75

89.00)

=-2.49

=0.013] and the proportion of correct ventilation (V%) [84.00 (75.00

92.75) vs. 80.00 (64.00

90.25)

=-2.15

=0.031]. Both groups had significant improvements in objective and subjective indicators after training (all

0.05).

Conclusions

Deliberate practice combined with intensive training at an interval of 3 months can effectively improve the mid- and long-term CPR skills of nurses receiving standardized training and is more suitable for high-level muscle memory training.

关键词

护士规范化培训心肺复苏培训刻意练习强化培训

Keywords

Standardized training of nursesCardiopulmonary resuscitationTraining courseDeliberate practiceIntensive training

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