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基于美国心脏学会的高级心血管生命支持培训课程理论考核成绩和试卷分析
Analysis of theoretical examination scores and test paper based on the American Heart Association advanced cardiovascular life support training course
- 中华医学教育探索杂志 2026年25卷第2期 页码：224-229
- 作者机构：
北京大学第三医院麻醉科，北京 100191
- 作者简介：
韩永正，Email：hanyongzheng@bjmu.edu.cn
- 基金信息：北京大学医学部教育教学研究课题(2021YB38);北京大学第三医院教学研究课题(2023BYSYJXKT02)
DOI：10.3760/cma.j.cn116021-20241022-02184
中图分类号： R-05收稿：2024-10-22，
纸质出版：2026-02-20
- 稿件说明：
移动端阅览
魏滨, 徐懋, 郭向阳, 等. 基于美国心脏学会的高级心血管生命支持培训课程理论考核成绩和试卷分析[J]. 中华医学教育探索杂志, 2026, 25(2): 224-229.
Wei Bin, Xu Mao, Guo Xiangyang, et al. Analysis of theoretical examination scores and test paper based on the American Heart Association advanced cardiovascular life support training course[J]. Chinese Journal of Medical Education Research, 2026, 25(2): 224-229.
魏滨, 徐懋, 郭向阳, 等. 基于美国心脏学会的高级心血管生命支持培训课程理论考核成绩和试卷分析[J]. 中华医学教育探索杂志, 2026, 25(2): 224-229. DOI： 10.3760/cma.j.cn116021-20241022-02184.
Wei Bin, Xu Mao, Guo Xiangyang, et al. Analysis of theoretical examination scores and test paper based on the American Heart Association advanced cardiovascular life support training course[J]. Chinese Journal of Medical Education Research, 2026, 25(2): 224-229. DOI： 10.3760/cma.j.cn116021-20241022-02184.
摘要
目的
2
评价住院医师参与美国心脏协会（American Heart Association，AHA）的高级心血管生命支持（advanced cardiovascular life support，ACLS）培训课程的理论考试成绩和试卷分析结果，探讨影响理论考试成绩的因素，为建立科学的ACLS教学培训体系提供依据。
方法
2
选取2018年1月至2022年12月间在北京大学第三医院参加ACLS培训的60名住院医师，分别记录其理论考试成绩。ACLS理论考核总分100，考试成绩84分及以上视为合格。采用难度系数、区分度及其等级等指标评价理论试卷质量，并采用多因素方差分析探讨影响理论考试成绩的因素。采用SPSS 25.0软件进行统计学分析。采用难度系数、区分度和等级等指标评价试题质量。采用多因素方差分析探讨影响学生考试成绩的因素。
结果
2
所有住院医师的平均成绩为（88.77±5.78）分，最低为74分，最高为100分，考试总体合格率为83.33%。ACLS试卷难度系数为0.15，区分度系数为0.20，试卷整体难度、区分度均适中，但各分项考核内容的试题难度、区分度欠均衡。多因素方差分析结果显示理论考试成绩与临床专业和既往ACLS培训经历密切相关（
P
<
0.05）。
结论
2
ACLS理论试卷基本满足考试要求，在今后的培训过程中建议对不同专业医师宜采取个体化的培训方案。
Abstract
Objective
2
To evaluate the theoretical examination scores and test paper analysis results for residents at Peking University Third Hospital who participated in the advanced cardiovascular life support (ACLS) training course of American Heart Association
explore the factors affecting the theoretical examination scores
and provide a basis for the establishment of a scientific ACLS teaching and training system.
Methods
2
A total of 60 resident physicians who participated in ACLS training between January 2018 and December 2022 were selected to record their theoretical examination scores. The total score of the ACLS theoretical examination was 100 points
and a score of 84 or above was considered qualified. The quality of the theoretical test paper was evaluated by difficulty coefficient
discrimination coefficient
and classification. The factors affecting the theoretical examination scores were determined using multivariable analysis of variance. Statistical analysis was performed using SPSS 25.0.
Results
2
The average score of all residents was (88.77±5.78) points
the lowest score was 74 points
the highest score was 100 points
and the overall qualified rate was 83.33%. The difficulty coefficient of ACLS test paper was 0.15
and the discrimination coefficient was 0.20. The overall difficulty and discrimination of the test paper were moderate
but the difficulty and differentiation of individual test items were unbalanced
. The results of multivariable analysis of variance showed that the score of theoretical examination was closely related to clinical specialty and previous ACLS training experience (
P
<
0.05).
Conclusions
2
The ACLS theoretical test paper basically met the examination requirements. In future training programs
it is recommended to implement individualized training plans tailored to physicians from different specialties.
关键词
Keywords
references
Dilley SJ , Weiland TJ , O'Brien R , et al . Use of a checklist during observation of a simulated cardiac arrest scenario does not improve time to CPR and defibrillation over observation alone for subsequent scenarios [J ] . Teach Learn Med , 2015 , 27 ( 1 ): 71 - 79 . DOI: 10.1080/10401334.2014.979182 http://dx.doi.org/10.1080/10401334.2014.979182 .
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 .
Neumar RW , Shuster M , Callaway CW , et al . Part 1: executive summary: 2015 American heart association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care [J ] . Circulation , 2015 , 132 (18 Suppl 2 ): S315 - S367 . DOI: 10.1161/CIR.0000000000000252 http://dx.doi.org/10.1161/CIR.0000000000000252 .
闫平 ， 王荣付 ， 张春丽 ， 等 . 八年制临床医学专业核医学课程考试成绩和试卷分析的评价和思考 [J ] . 中华医学教育杂志 ， 2017 ， 37 （ 1 ）： 134 - 138 . DOI: 10.3760/cma.j.issn.1673-677X.2017.01.029 http://dx.doi.org/10.3760/cma.j.issn.1673-677X.2017.01.029 .
王玮 ， 李海潮 ， 余奇志 ， 等 . 八年制临床医学专业学生临床基础综合课程考试成绩和试卷分析的评价与思考 [J ] . 中华医学教育杂志 ， 2018 ， 38 （ 2 ）： 299 - 303 . DOI: 10.3760/cma.j.issn.1673-677X.2018.02.030 http://dx.doi.org/10.3760/cma.j.issn.1673-677X.2018.02.030 .
Panchal AR , Berg KM , Hirsch KG , et al . 2019 American heart association focused update on advanced cardiovascular life support: use of advanced airways, vasopressors, and extracorporeal cardiopulmonary resuscitation during cardiac arrest: an update to the American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care [J ] . Circulation , 2019 , 140 ( 24 ): e881 - e894 . DOI: 10.1161/CIR.0000000000000732 http://dx.doi.org/10.1161/CIR.0000000000000732 .
Nallamothu BK , Guetterman TC , Harrod M , et al . How do resuscitation teams at top-performing hospitals for in-hospital cardiac arrest succeed? A qualitative study [J ] . Circulation , 2018 , 138 ( 2 ): 154 - 163 . DOI: 10.1161/CIRCULATIONAHA.118.033674 http://dx.doi.org/10.1161/CIRCULATIONAHA.118.033674 .
Urushibata N , Murata K , Endo H , et al . Evaluation of manual chest compressions according to the updated cardiopulmonary resuscitation guidelines and the impact of feedback devices in an educational resuscitation course [J ] . BMC Emerg Med , 2020 , 20 ( 1 ): 49 . DOI: 10.1186/s12873-020-00345-8 http://dx.doi.org/10.1186/s12873-020-00345-8 .
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