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应用改良德尔菲法构建住院医师心肺复苏分层培训指标体系的研究
A study on constructing a stratified training indicator system for resident physicians in cardiopulmonary resuscitation using modified Delphi method
- 中华医学教育探索杂志 2025年24卷第8期 页码：1097-1103
- 作者机构：
1.北京大学第三医院急诊科，北京 100191
2.分子心血管学教育部重点实验室，北京 100191
3.北京大学第三医院临床流行病学研究中心，北京 100191
- 作者简介：
郑康，Email：zhengkang@bjmu.edu.cn
- 基金信息：北京市卫生健康委员会2022年住院医师规范化培训质量提高项目;国家临床重点专科建设项目（2022）专项资金
DOI：10.3760/cma.j.cn116021-20231223-02044
中图分类号： R4收稿日期：2023-12-23，
纸质出版日期：2025-08-20
- 稿件说明：
移动端阅览
付源伟, 薛帅, 李辉, 等. 应用改良德尔菲法构建住院医师心肺复苏分层培训指标体系的研究[J]. 中华医学教育探索杂志, 2025, 24(8): 1097-1103.
Fu Yuanwei, Xue Shuai, Li Hui, et al. A study on constructing a stratified training indicator system for resident physicians in cardiopulmonary resuscitation using modified Delphi method[J]. Chinese journal of medical education research, 2025, 24(8): 1097-1103.
付源伟, 薛帅, 李辉, 等. 应用改良德尔菲法构建住院医师心肺复苏分层培训指标体系的研究[J]. 中华医学教育探索杂志, 2025, 24(8): 1097-1103. DOI： 10.3760/cma.j.cn116021-20231223-02044.
Fu Yuanwei, Xue Shuai, Li Hui, et al. A study on constructing a stratified training indicator system for resident physicians in cardiopulmonary resuscitation using modified Delphi method[J]. Chinese journal of medical education research, 2025, 24(8): 1097-1103. DOI： 10.3760/cma.j.cn116021-20231223-02044.
摘要
目的
2
目前，我国住院医师心肺复苏培训缺乏针对性的培训方案。本研究旨在构建符合中国医疗现状的住院医师心肺复苏分层培训指标体系。
方法
2
通过文献检索、小组讨论、问卷调研，设计了专家咨询问卷。采用改良德尔菲法进行了两轮专家咨询，最终形成住院医师心肺复苏分层培训指标体系。运用SPSS 26.0软件进行统计分析，并使用肯德尔协调系数进行一致性检验。
结果
2
共有15名专家进行了两轮问卷咨询，专家的积极系数均为100.00%，专家权威程度为0.91。这表明专家的积极性和权威程度都很高，因此研究结果可信。在第一轮问卷咨询中，专家评分的变异系数为0~0.40，协调系数为0.22，
P
<
0.001；在第二轮问卷咨询中，专家评分的变异系数为0~0.24，协调系数为0.25，
P
<
0.001。两轮问卷咨询后，专家意见的肯德尔协调系数差异均具有统计学意义，说明专家意见具有一致性，结果可靠。该指标体系由6项一级指标和32项二级指标构成。
结论
2
本研究基于改良的德尔菲法构建了住院医师心肺复苏分层培训指标体系。未来，将根据研究成果，制定与中国医疗现状相适应的心肺复苏培训方案，并进行推广，以验证其科学性和应用价值。
Abstract
Objective
2
Currently
there is a lack of targeted training programs for resident physicians in cardiopulmonary resuscitation (CPR) in China. This study aims to establish a stratified training indicator system for resident physicians in CPR that is in line with the medical realities in China.
Methods
2
Expert consultation questionnaires were designed through literature review
group discussions
and surveys. Two rounds of expert consultation were conducted using the modified Delphi method to develop the stratified training indicator system for resident physicians in CPR. Statistical analysis was performed using SPSS 26.0 software and Kendall's coefficient of concordance was used to assess the consistency of expert opinions.
Results
2
A total of 15 experts participated in two rounds of questionnaire consultation
with a positive coefficient of 100.00% and an authority coefficient of 0.91
indicating high expert engagement and authority
thus ensuring the credibility of the results. The coefficient of variation for expert ratings in the first round of questionnaire consultation ranged from 0 to 0.40
with a concordance coefficient of 0.22 (
P
<
0.001). In the second round of quest
ionnaire consultation
the coefficient of variation for expert ratings ranged from 0 to 0.24
with a concordance coefficient of 0.25 (
P
<
0.001). The Kendall's coefficient of concordance for expert opinions showed statistically significant differences in both rounds of questionnaire consultation
indicating consensus among experts and reliable results. This system consisted of 6 primary indicators and 32 secondary indicators.
Conclusions
2
Based on the modified Delphi method
this study established a stratified training indicator system for resident physicians in CPR. In the future
based on the research findings
CPR training programs adapted to the medical realities in China will be developed and promoted to validate their scientific and practical value.
关键词
Keywords
references
Zheng J , Lv C , Zheng W , et al . Incidence, process of care, and outcomes of out-of-hospital cardiac arrest in China: a prospective study of the BASIC-OHCA registry [J ] . Lancet Public Health , 2023 , 8 ( 12 ): e923 - e932 . DOI: 10.1016/S2468-2667(23)00173-1 http://dx.doi.org/10.1016/S2468-2667(23)00173-1 .
Shao F , Li CS , Liang LR , et al . Incidence and outcome of adult in-hospital cardiac arrest in Beijing, China [J ] . Resuscitation , 2016 , 102 : 51 - 56 . DOI: 10.1016/j.resuscitation.2016.02.002 http://dx.doi.org/10.1016/j.resuscitation.2016.02.002 .
郑康 ， 马青变 . 住院医师心肺复苏培训和考核新模式探讨 [J ] . 中华医学教育探索杂志 ， 2021 （ 2 ）： 213 - 216 . DOI: 10.3760/cma.j.cn116021-20191224-00407 http://dx.doi.org/10.3760/cma.j.cn116021-20191224-00407 .
Cheng A , Magid DJ , Auerbach M , et al . Part 6: resuscitation education science: 2020 American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care [J ] . Circulation , 2020 , 142 ( 16_suppl _2): S551 - S579 . DOI: 10.1161/CIR.0000000000000903 http://dx.doi.org/10.1161/CIR.0000000000000903 .
郑康 ， 李辉 ， 马青变 . 借鉴美国心脏协会基础生命支持课程推进我国医务人员的心肺复苏培训 [J ] . 中华医学教育杂志 ， 2021 ， 41 （ 11 ）： 1046 - 1049 . DOI: 10.3760/cma.j.cn115259-20210513-00633 http://dx.doi.org/10.3760/cma.j.cn115259-20210513-00633 .
李姝 ， 张华 ， 马青变 ， 等 . 应用改良德尔菲法构建急诊医学专业型研究生课程体系的研究 [J ] . 中华医学教育探索杂志 ， 2021 ， 20 （ 2 ）： 138 - 142 . DOI: 10.3760/cma.j.cn116021-20200223-00386 http://dx.doi.org/10.3760/cma.j.cn116021-20200223-00386 .
陈震 ， 谷宝鑫 ， 汤玉芳 ， 等 . 应用Delphi法构建下颌阻生第三磨牙拔除难度评分量表 [J ] . 北京大学学报（医学版） ， 2022 ， 54 （ 1 ）： 100 - 104 . DOI: 10.19723/j.issn.1671-167X.2022.01.016 http://dx.doi.org/10.19723/j.issn.1671-167X.2022.01.016 .
Wu C , Wu P , Li P , et al . Construction of an index system of core competence assessment for infectious disease specialist nurse in China: a Delphi study [J ] . BMC Infect Dis , 2021 , 21 ( 1 ): 791 . DOI: 10.1186/s12879-021-06402-2 http://dx.doi.org/10.1186/s12879-021-06402-2 .
何宇 ， 杨小丽 . 基于德尔菲法的精神卫生服务可及性评价指标体系研究 [J ] . 中国全科医学 ， 2018 ， 21 （ 3 ）： 322 - 329 . DOI: 10.3969/j.issn.1007-9572.2017.00.091 http://dx.doi.org/10.3969/j.issn.1007-9572.2017.00.091 .
Panchal AR , Bartos JA , Cabañas JG , et al . Part 3: adult basic and advanced life support: 2020 American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care [J ] . Circulation , 2020 , 142 ( 16_suppl _2): S366 - S468 . DOI: 10.1161/CIR.0000000000000916 http://dx.doi.org/10.1161/CIR.0000000000000916 .
Girotra S , Jones PG , Peberdy MA , et al . Association of rapid response teams with hospital mortality in medicare patients [J ] . Circ Cardiovasc Qual Outcomes , 2022 , 15 ( 9 ): e008901 . DOI: 10.1161/CIRCOUTCOMES.122.008901 http://dx.doi.org/10.1161/CIRCOUTCOMES.122.008901 .
Derkenne C , Jost D , Roquet F , et al . Assessment of emergency physicians' performance in identifying shockable rhythm in out-of-hospital cardiac arrest: an observational simulation study [J ] . Emerg Med J , 2022 , 39 ( 5 ): 347 - 352 . DOI: 10.1136/emermed-2021-211417 http://dx.doi.org/10.1136/emermed-2021-211417 .
Cheskes S , Hillier M , Byers A , et al . The association between manual mode defibrillation, pre-shock pause duration and appropriate shock delivery when employed by basic life support paramedics during out-of-hospital cardiac arrest [J ] . Resuscitation , 2015 , 90 : 61 - 66 . DOI: 10.1016/j.resuscitation.2015.02.022 http://dx.doi.org/10.1016/j.resuscitation.2015.02.022 .
Moriwaki K , Watanabe T , Yasuda M , et al . An outcome study of adult in-hospital cardiac arrests in non-monitored areas with resuscitation attempted using AED [J ] . Am J Emerg Med , 2020 , 38 ( 12 ): 2524 - 2530 . DOI: 10.1016/j.ajem.2019.12.025 http://dx.doi.org/10.1016/j.ajem.2019.12.025 .
Cheng A , Nadkarni VM , Mancini MB , et al . Resuscitation education science: educational strategies to improve outcomes from cardiac arrest: a scientific statement from the American heart association [J ] . Circulation , 2018 , 138 ( 6 ): e82 - e122 . DOI: 10.1161/CIR.0000000000000583 http://dx.doi.org/10.1161/CIR.0000000000000583 .
方雅琴 ， 逯林欣 ， 李晶 ， 等 . 基于艾宾浩斯遗忘曲线利用微信平台开展心肺复苏急救培训的研究 [J ] . 临床医药实践 ， 2022 ， 31 （ 6 ）： 409 - 412 . DOI: 10.16047/j.cnki.cn14-1300/r.2022.06.021 http://dx.doi.org/10.16047/j.cnki.cn14-1300/r.2022.06.021 .
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