原位模拟联合遗忘曲线培训模式在创伤护士培训中的应用

李璇璇; 刘增粮; 杨宏; 彭郁慧; 吴传芳

doi:10.3760/cma.j.cn116021-20231008-01990

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原位模拟联合遗忘曲线培训模式在创伤护士培训中的应用

医学模拟教育 | 更新时间：2025-09-22

- 原位模拟联合遗忘曲线培训模式在创伤护士培训中的应用
- Application of in situ simulation combined with the forgetting curve in trauma nurse training
- 中华医学教育探索杂志 2025年24卷第9期页码：1181-1187
- 作者机构：
  
  1.南华大学附属长沙市中心医院急诊科，长沙 430100
  2.南华大学附属长沙市中心医院护理部，长沙 430100
- 作者简介：
  
  吴传芳，Email：465385022@qq.com
- 基金信息：
- DOI：10.3760/cma.j.cn116021-20231008-01990
  中图分类号： R472.2
- 收稿日期：2023-10-08，
  
  纸质出版日期：2025-09-20
- 稿件说明：
移动端阅览
李璇璇, 刘增粮, 杨宏, 等. 原位模拟联合遗忘曲线培训模式在创伤护士培训中的应用[J]. 中华医学教育探索杂志, 2025, 24(9): 1181-1187.

Li Xuanxuan, Liu Zengliang, Yang Hong, et al. Application of in situ simulation combined with the forgetting curve in trauma nurse training[J]. Chinese journal of medical education research, 2025, 24(9): 1181-1187.
李璇璇, 刘增粮, 杨宏, 等. 原位模拟联合遗忘曲线培训模式在创伤护士培训中的应用[J]. 中华医学教育探索杂志, 2025, 24(9): 1181-1187. DOI： 10.3760/cma.j.cn116021-20231008-01990.

Li Xuanxuan, Liu Zengliang, Yang Hong, et al. Application of in situ simulation combined with the forgetting curve in trauma nurse training[J]. Chinese journal of medical education research, 2025, 24(9): 1181-1187. DOI： 10.3760/cma.j.cn116021-20231008-01990.

摘要

目的

评价原位模拟（in situ simulation，ISS）联合遗忘曲线的培训模式在创伤护士培训中的应用效果及长期收益，为进一步促进创伤护士培训的发展提供依据。

方法

2022年6月至2022年9月，采用目的抽样法选取长沙市某三级甲等医院创伤中心的78名护士作为研究对象，按照随机数字表法分为试验组与对照组。对照组采用传统的教学方法进行理论授课和技能操作培训，试验组则采用原位模拟联合遗忘曲线的教学方法进行培训。采用重复测量方差分析比较2组在培训前（T1）、培训后1天（T2）、培训后第1个月（T3）、培训后第6个月（T4）的理论及操作技能评分，并采用

检验比较2组培训前后的创伤专科护士核心能力评分。

结果

培训前，2组在理论、操作评分及创伤专科护士核心能力评分上差异无统计学意义（

0.05）。重复测量方差分析结果显示，2组在理论、操作技能考核分数上的时间效应、组间效应及交互效应差异均具有统计学意义（

0.001）。单因素重复测量方差分析结果表明，2组的理论、操作评分随时间变化呈先升后降趋势。多变量方差分析结果显示，在观察点T1，2组的理论及操作评分差异无统计学意义（

0.05）；而在观察时间点T2、T3、T4，试验组的理论及操作考核评分均高于对照组，差异具有统计学意义（

0.001）。独立样本

检验结果显示，培训后创伤专科护士核心能力评分方面，试验组高于对照组，差异具有统计学意义（

0.05）。

结论

原位模拟联合遗忘曲线培训模式相较于传统培训模式更为有效，有助于提升创伤护士的专业技能水平，并带来长期的培训效果收益。

Abstract

Objective

To evaluate the application effect and long-term benefits of in situ simulation combined with the forgetting curve training mode in trauma nurse training

and to provide a basis for further promoting the development of trauma nurse training.

Methods

From June to September 2022

a total of 78 nurses in the Trauma Center of a grade A tertiary hospital in Changsha

China were selected by the purposive sampling method as the research objects. The nurses were divided into an experimental group and a control group according

to the random number table method. The control group received theoretical teaching and skill operation training by traditional teaching methods. The experimental group was trained by the teaching method of in-situ simulation combined with the forgetting curve. The scores of theoretical and operational skills of the two groups were compared by the repeated measures analysis of variance (ANOVA) before training (T1)

1 day after training (T2)

1 month after training (T3)

and 6 months after training (T4). The scores of core competence of trauma nurses before and after training were compared between the two groups by the

test.

Results

There was no significant difference in theoretical

operational

and core competence scores between the two groups before training (

0.05). The results of repeated measures ANOVA showed significant differences in the time effect

inter-group effect

and interaction effect of theoretical and operational scores between the two groups (

0.001). The results of one-way repeated measures ANOVA showed that the theoretical and operational scores of the two groups increased first and then decreased with time. The results of multivariate ANOVA showed no significant difference in theoretical and operational scores between the two groups at observation time point T1 (

0.05)

but significant differences at observation time points T2

and T4

at which the scores in the experimental group were higher than those in the control group (

0.001). The results of independent samples

test showed that the core competence score of trauma nurses in the experimental group was significantly higher than that in the control group after training (

0.05).

Conclusions

The training mode of in situ simulation combined with the forgetting curve is more effective than traditional training mode in improving the professional skill level of trauma nurses and brings long-term training effect and benefits.

关键词

Keywords

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