基于OBE理念的高级生命支持核心技能课程设置与培训效果研究

蒋琰; 杨之涛; 李杰; 陈尔真; 陈影

doi:10.3760/cma.j.cn116021-20250610-02341

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基于OBE理念的高级生命支持核心技能课程设置与培训效果研究

更新时间：2026-07-31

- 基于OBE理念的高级生命支持核心技能课程设置与培训效果研究
- Curriculum design and training effectiveness of courses for advanced life support core skills based on the OBE concept
- 中华医学教育探索杂志 2026年页码：1-8
- 作者机构：
  
  1.上海交通大学医学院附属瑞金医院急诊科，上海 200025
  2.上海交通大学医学院附属瑞金医院海南医院（海南博鳌研究型医院）心内科，海南 571437
- 作者简介：
  
  陈影，Email：bichatlion@163.com
- 基金信息：
  
  2021年度上海交通大学医学院护理科研重中之重项目(Jyhz2104);上海申康医院发展中心临床科技创新项目(SHDC22024316;SHDC22023218);西藏自治区自然科学基金组团式援藏医学项目（XZ2023ZR-ZY35[Z]）;日喀则市自然科学基金（联合）项目（RKZ2023ZR-013[Z;RKZ2023ZR-017[Z]
- DOI：10.3760/cma.j.cn116021-20250610-02341
  中图分类号： R-0;R-4
- 收稿：2025-06-10，
  
  网络首发：2026-07-31，
- 稿件说明：
移动端阅览
蒋琰, 杨之涛, 李杰, 等. 基于OBE理念的高级生命支持核心技能课程设置与培训效果研究[J/OL]. 中华医学教育探索杂志, 2026,1-8.

Jiang Yan, Yang Zhitao, Li Jie, et al. Curriculum design and training effectiveness of courses for advanced life support core skills based on the OBE concept[J/OL]. Chinese Journal of Medical Education Research, 2026, 1-8.
蒋琰, 杨之涛, 李杰, 等. 基于OBE理念的高级生命支持核心技能课程设置与培训效果研究[J/OL]. 中华医学教育探索杂志, 2026,1-8. DOI： 10.3760/cma.j.cn116021-20250610-02341.

Jiang Yan, Yang Zhitao, Li Jie, et al. Curriculum design and training effectiveness of courses for advanced life support core skills based on the OBE concept[J/OL]. Chinese Journal of Medical Education Research, 2026, 1-8. DOI： 10.3760/cma.j.cn116021-20250610-02341.

摘要

目的

了解基于以结果为基础教育（outcome-based education，OBE）理念的高级生命支持核心技能培训课程培训效果，为进一步完善急救专项培训提供参考和依据。

方法

通过文献检索及专家论证构建培训课程。在2021年7月和2025年3月间，选取了共计98名医生作为研究对象开展培训，包括上海30家市级医院的医师73名、西藏7家医院的医师8名和海南7家医院的医师17名。开展为期2周的线上理论课和1天的线下实训课，记录学员的理论成绩、操作考试的合格率，以及培训效果自评结果。采用Empower Stats XYS 4.2软件进行

检验和卡方检验。

结果

培训后，学员理论考试成绩为（135.10±14.70）分，优秀率为67.30%，操作考核合格率为86.70%。单因素回归分析显示，年龄、学历、工作年限、职称、地域均与理论成绩相关（

0.05）；进一步纳入多因素线性回归分析，结果显示仅工作年限是理论成绩的独立影响因素（

=6.9，95%CI=0.30~13.50），性别、年龄、学历、职称及地域均无独立关联（

0.05）。地域差异分析显示，上海地区学员理论成绩（141.10±12.30）分和优秀率（76.70%）均高于海南（132.00±16.60）分、52.90%）和西藏（121.50±12.20）分、12.50%）地区学员（

0.001）。自评方面，课程总体满意度评分为（4.65±0.54）分，95.90%的学员愿意向同事推荐本课程，98.60%愿意继续参与高级培训；其中上海地区学员在知识掌握与团队协作维度的评分均高于海南及西藏地区学员（

0.05）。

结论

基于OBE理念的高级生命支持核心技能培训能够提升医护人员的重症医学技能水平，且年龄、学历、职称、地域均非理论成绩的独立影响因素，具有稳定可靠的效果。为今后开展综合急重症医学核心技能培训提供理论依据及实践经验，建议在临床继续教育培训中推广应用。

Abstract

Objective

To investigate the effectiveness of training advanced life support core skills based on the outcome-based education (OBE) concept

and provide a reference and basis for further improving specialized emergency training.

Methods

The training courses were constructed through literature review and expert validation. Between July 2021 and March 2025

a total of 98 doctors were selected for training

including 73 doctors from 30 municipal hospitals in Shanghai

8 doctors from 7 hospitals in Xizang

and 17 doctors from 7 hospitals in Hainan. A 2-week online theoretical course and a 1-day offline practical training course were conducted. The theoretical exam scores

the operational exam pass rates

and the self-evaluation results of training effectiveness were recorded.

Results

Following training in the Advanced Life Support Core Skills course based on the OBE philosophy

trainees'theoretical exam scores averaged (135.10±14.70) points

with an "excellent" rate of 67.3% and a practical assessment pass rate of 86.7%. Univariate regression analysis showed that age

educational level

years of service

professional title

and region were all associated with theoretical scores (

0.05); Further analysis using multivariate linear regression revealed that only years of work experience

was an independent predictor of theoretical scores (

= 6.9

95% CI: 0.30–13.50)

while gender

age

educational level

professional title

and region showed no independent association (

0.05). Analysis of regional differences showed that the theoretical scores (141.10±12.30) and the percentage of students achieving excellent grades (76.70%) for participants in Shanghai were both higher than those in Hainan (132.00±16.60

52.90%) and Tibet (121.50±12.20

12.50%) (

0.001). In terms of self-assessment

the overall course satisfaction score was (4.65±0.54) points; 95.90% of participants were willing to recommend the course to colleagues

and 98.60% were willing to continue participating in advanced training. Among them

participants from Shanghai scored higher than those from Hainan and Tibet on both the knowledge mastery and teamwork dimensions (

0.05).

Conclusions

Advanced life support core skills training based on the OBE philosophy can enhance healthcare professionals' critical care skills. Age

educational background

professional title

and geographic location are not independent factors influencing theoretical test scores

and the training yields consistent and reliable results. This approach provides both a theoretical foundation and practical experience for future comprehensive critical care medicine core skills training

and its implementation in clinical continuing education programs is recommended.

关键词

Keywords

references

吕传柱，罗善军，袁素平，等 . 急诊医学学科发展与急诊急救大平台建设：也谈对急危重症护理的启发 [J ] . 中华急危重症护理杂志， 2023 ， 4 （ 1 ）： 10 - 16 . DOI: 10.3761/j.issn.2096-7446.2023.01.001 http://dx.doi.org/10.3761/j.issn.2096-7446.2023.01.001 .

中华人民共和国中央人民政府 . 关于印发2019年深入落实进一步改善医疗服务行动计划重点工作方案的通知 [EB/OL ] . ( 2019-10-08 )[ 2021-05-15 ] . http://www.gov.cn/zhengce/content/2019-10/08/content_5436879.htm http://www.gov.cn/zhengce/content/2019-10/08/content_5436879.htm .

SPADY W G . Outcome-based education: critical issues and answers [M ] . Arlington, VA : American Association of School Administrators , 1994 .

李亚平，欧阳洋，张霓妮，等 . 基于塔巴模式的医院感染预防与控制课程设计研究：来自10所院校师生的数据分析 [J ] . 中国感染控制杂志， 2022 ， 21 （ 9 ）： 877 - 884 . DOI: 10.12138/j.issn.1671-9638.20223332 http://dx.doi.org/10.12138/j.issn.1671-9638.20223332 .

宫梅，苏芮，王丽霞，等 . 2022年内蒙古自治区重症医学科发展现状调查 [J ] . 中华危重病急救医学， 2023 ， 35 ( 9 ): 984 - 990 . DOI: 10.3760/cma.j.cn121430-20230508-00351 http://dx.doi.org/10.3760/cma.j.cn121430-20230508-00351 .

王爽，赵雨欣，陈炜，等 . 三级公立医院高质量发展背景下急危重症医学中心建设及其对护理的启发 [J ] . 中华急危重症护理杂志， 2024 ， 5 （ 6 ）： 499 - 505 . DOI: 10.3761/j.issn.2096-7446.2024.06.003 http://dx.doi.org/10.3761/j.issn.2096-7446.2024.06.003 .

于凯江 . 讲好重症医学故事 [J ] . 中国急救医学， 2021 ， 41 （ 7 ）： 555 - 557 . DOI: 10.3969/j.issn.1002-1949.2021.07.002 http://dx.doi.org/10.3969/j.issn.1002-1949.2021.07.002 .

SPADY W G , MARSHALL K J . Beyond traditional outcome-based education [J ] . Educational Leadership , 1991 , 49 ( 2 ): 67 - 72 .

周慧勤，陈沛 . 新型冠状病毒肺炎疫情期间运用“互联网+”全程信息化模式开展护士培训的效果观察 [J ] . 中西医结合护理（中英文）， 2020 ， 6 （ 4 ）： 144 - 146 .

全慧君，周艳辉，陈双琴，等 . 线上线下混合式教学模式在神经内科临床护理教学中的应用 [J ] . 齐鲁护理杂志， 2022 ， 28 （ 13 ）： 163 - 165 . DOI: 10.3969/j.issn.1006-7256.2022.13.055 http://dx.doi.org/10.3969/j.issn.1006-7256.2022.13.055 .

魏银丽，严红燕，杨平玉，等 . 碎片化时间管理培训在外科护士理论学习中的应用价值 [J ] . 护理实践与研究， 2022 ， 19 （ 22 ）： 3450 - 3454 . DOI: 10.3969/j.issn.1672-9676.2022.22.028 http://dx.doi.org/10.3969/j.issn.1672-9676.2022.22.028 .

Wieckowski AT , Thomas RP , Chen CA , et al . Effect of brief training to identify autism spectrum disorder during toddler well-child care visits [J ] . J Dev Behav Pediatr , 2021 , 42 ( 8 ): 666 - 671 . DOI: 10.1097/DBP.0000000000000938 http://dx.doi.org/10.1097/DBP.0000000000000938 .

Swanson AR , Warren ZE , Stone WL , et al . The diagnosis of autism in community pediatric settings: does advanced training facilitate practice change? [J ] . Autism , 2014 , 18 ( 5 ): 555 - 561 . DOI: 10.1177/1362361313481507 http://dx.doi.org/10.1177/1362361313481507 .

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