引用本文:姚珊珊 杨林 李云芳 邱玉贞.采用高仿真综合模拟人进行心肺复苏技能培训的效果研究[J].中华医学教育探索杂志,2014,13(1):34~37
采用高仿真综合模拟人进行心肺复苏技能培训的效果研究
Effect of applying emergency care simulator on cardiopulmonary resuscitation skill training
DOI:
中文关键词:  高仿真综合模拟人  心肺复苏  临床技能
英文关键词:Emergency care simulator  Cardiopulmonary resuscitation  Clinical skill
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作者单位
姚珊珊 杨林 李云芳 邱玉贞 Science and Clinical Educating Department the Affiliated Hospital of Medical College Qindao University 
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中文摘要:
      目的 评价采用高仿真综合模拟人进行心肺复苏技能培训的效果。方法 针对临床专业医护人员1 472人,分别使用简易心肺复苏模拟人(共667人)和高仿真综合模拟人(共805人)进行徒手心肺复苏、电除颤、气管插管的技能培训。培训结束后进行考核并发放反馈问卷,比较两组人员完成各项操作的时间、成绩、首次合格率以及对培训方式的评价。采用SPSS 19.0对数据进行分析,两组间比较采用t(t')检验或卡方检验。结果 与使用简易心肺复苏模拟人相比,采用高级模拟人培训的医护人员完成徒手心肺复苏、电除颤、气管插管三项操作的时间更短[分别为(309±125) s vs. (242±61) s,t'=12.65,P=0.00;(87±36) s vs. (55±31) s,t'=20.28,P=0.00;(239±87) s vs. (145±53),t'=24.4,P=0.00];考核分数显著提升[分别为(83.5±14.8) vs. (90.2±17.6),t'=7.93,P=0.00;(84.7±19.3) vs. (92.1±21.5),t'=6.95,P=0.00;(81.6±15.3) vs. (89.6±13.5),t'=10.53,P=0.00];首次合格率更高[分别为84.1%(561/667) vs. 92.5%(745/805), χ2=25.96,P<0.01;82.2%(548/667) vs. 91.2%(734/805), χ2=26.41,P<0.01;80.8%(539/667) vs. 91.4%(736/805), χ2=35.48,P<0.01];并且对培训效果的认可程度与评价更高。结论 高仿真综合模拟人的应用明显提高了心肺复苏培训效果,可在急诊医学技能的教学与培训中推广。
英文摘要:
      Objective To evaluate the effect of applying emergency care simulator(ECS) on cardiopulmonary resuscitation skill training. Methods Clinical doctors and nurses(n=1 472) received the skill training of unarmed cardiopulmonary resuscitation(CPR), electric defibrillation and tracheal intubation by using simple CPR simulator (n=667) or ECS (n=805) respectively. After training, the examination was carried out and questionnaires were handed out. The completion time of operations, the scores and pass rates of examinations, the evaluations of training methods were compared between the two groups. The statistical data were analyzed by t(t')-test or Chi-square test with SPSS 19.0 and P <0.05 was considered as the criterion of significance. Results Compared with those of group using simple CPR simulator, the group using ECS showed obviously shortened completion time((309±125) s vs. (242±61) s, t'=12.65, P=0.00;(87±36) s vs. (55±31) s, t'=20.28, P=0.00;(239±87) s vs. (145±53), t'=24.4, P=0.00), significantly increased scores ((83.5±14.8) vs. (90.2±17.6), t'=7.93, P=0.00; (84.7±19.3) vs. (92.1±21.5), t'=6.95, P=0.00; (81.6±15.3) vs. (89.6±13.5), t'=10.53, P=0.00) and pass rates of examinations (84.1%(561/667) vs. 92.5%(745/805), χ2=25.96,P<0.01; 82.2%(548/667) vs. 91.2%(734/805), χ2=26.41, P<0.01; 80.8%(539/667) vs. 91.4%(736/805), χ2=35.48,P<0.01) as well as higher evaluation of training methods. Conclusions Application of ECS can obviously improve the training effect of CPR and it can be widely popularized in the edu-cation and training of emergency medicine skills.
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