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基于ADDIE模型的情境模拟教学课程在儿科住院医师感染控制学培训中的应用
Application of ADDIE model-based situational simulation teaching curricula in pediatric residency training for infection control
- 中华医学教育探索杂志 2026年25卷第1期 页码：71-77
- 作者机构：
湖南省儿童医院感染科，长沙 410007
- 作者简介：
刘静，Email：ljhunancs@126.com
- 基金信息：湖南省自然科学基金(2023JJ60279)
DOI：10.3760/cma.j.cn116021-20250909-02201
中图分类号： R-05收稿：2025-09-09，
纸质出版：2026-01-20
- 稿件说明：
移动端阅览
姚婷新, 肖耿吉, 马烨, 等. 基于ADDIE模型的情境模拟教学课程在儿科住院医师感染控制学培训中的应用[J]. 中华医学教育探索杂志, 2026, 25(1): 71-77.
Yao Tingxin, Xiao Gengji, Ma Ye, et al. Application of ADDIE model-based situational simulation teaching curricula in pediatric residency training for infection control[J]. Chinese Journal of Medical Education Research, 2026, 25(1): 71-77.
姚婷新, 肖耿吉, 马烨, 等. 基于ADDIE模型的情境模拟教学课程在儿科住院医师感染控制学培训中的应用[J]. 中华医学教育探索杂志, 2026, 25(1): 71-77. DOI： 10.3760/cma.j.cn116021-20250909-02201.
Yao Tingxin, Xiao Gengji, Ma Ye, et al. Application of ADDIE model-based situational simulation teaching curricula in pediatric residency training for infection control[J]. Chinese Journal of Medical Education Research, 2026, 25(1): 71-77. DOI： 10.3760/cma.j.cn116021-20250909-02201.
摘要
目的
2
探讨基于分析、设计、开发、实施、评估（analysis，design，development，implementation，evaluation，ADDIE）教学模型的情境模拟教学课程在儿科住院医师感染控制学培训中的应用效果。
方法
2
选取2023年5月至12月在湖南省儿童医院感染科进行规范化培训的儿科住院医师为研究对象。将2021级住院医师23人设为传统教学组，采用传统教学方法；2022级住院医师22人设为情境模拟教学组，采用基于ADDIE模型的情境模拟教学。通过模拟反馈评估表评估模拟教学效果，并基于Kirkpatrick评估模型，比较2组住院医师培训后的反应、知识技能改变及行为改变等效果。采用SPSS 27.0进行统计分析。计量资料采用独立样本
t
检验和 Mann-Whitney
U
检验进行组间比较，计数资料组间比较采用卡方检验或Fisher确切概率法检验。
结果
2
情境模拟教学反馈表结果显示，参与者对模拟培训的内容、组织及实用性高度认可。情境模拟教学组的培训课后满意度[33.50（32.00，35.00）分 vs. 30.00（28.00，31.00）分
]
高于传统教学组，差异具有统计学意义（
P
<
0.01）。情境模拟教学组的出科理论成绩[（89.55±3.31）分 vs.（84.65±4.55）分
]
、出科技能成绩[92.00（91.00，94.00）分 vs. 85.00（81.50，88.50）分
]
、临床实践能力考核评分[（85.27±2.88）分 vs. （80.74±4.16）分
]
高于传统教学组，差异具有统计学意义（
P
<
0.01）。在行为预期结果方面，情境模拟教学组个人防护装置技能穿戴（personal protective equipment，PPE）正确率[98.33%（59/60） vs. 83.33%（50/60）
]
高于传统教学组；院感发生率[0.50%（1/200） vs. 4.00%（8/200）
]
低于传统教学组，差异均具有统计学意义（
P
<
0.05）；但手卫生执行率差异无统计学意义（
P
>
0.05）。
结论
2
ADDIE模型与情境认知理论的创新整合，构建了一套科学性强、效果显著且可推广的儿童感染控制培训课程体系。
Abstract
Objective
2
To explore the application effectiveness of analysis
design
development
implementation
and evaluation (ADDIE) model-based situational simulation teaching curricula in pediatric residency training for infection control.
Methods
2
Pediatric residents undergoing standardized training in the Department of Infectious Diseases at Hunan Children's Hospital from May to December 2023 were selected as participants. The 2021 cohort (
n
=23) was assigned to conventional teaching group to receive conventional training
while the 2022 cohort (
n
=22) was assigned to situational simulation teaching group to receive ADDIE-based situational simulation training. Teaching effectiveness was evaluated using simulation feedback
forms. Additionally
the Kirkpatrick evaluation model was used to compare post-training reactions
knowledge and skill changes
and behavioral changes between the two groups. Continuous data were analyzed using the independent samples
t
-test or Mann-Whitney
U
test
and categorical data were analyzed using the chi-square test or Fisher's exact test.
Results
2
Situational simulation teaching feedback indicated high participant satisfaction with the simulation content
organization
and practicality. The situational simulation teaching group showed significantly higher post-training satisfaction scores [33.50(32.00
35.00) vs. 30.00(28.00
31.00)
P
<
0.01
]
theoretical exam scores (89.55±3.31 vs. 84.65±4.55
P
<
0.01)
practical skill scores [92.00 (91.00
94.00) vs. 85.00(81.50
88.50)
P
<
0.01
]
and clinical performance scores (85.27±2.88 vs. 80.74±4.16
P
<
0.01). Behavioral outcomes revealed significantly higher accuracy in personal protective equipment donning and doffing [98.33%(59/60) vs. 83.33% (50/60)
P
<
0.05
]
and a significantly lower hospital-acquired infection rate [0.50%(1/200) vs. 4.00% (8/200)
P
<
0.05
]
in the situational simulation teaching group compared to the conventional group
but no difference in hand hygiene compliance between the two groups (
P
>
0.05).
Conclusions
2
The innovative integration of the ADDIE model with situational cognitive theory establishes a scientifically robust
effective
and scalable pediatric infection control training curriculum system.
关键词
Keywords
references
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