采用医学模拟教学提高医务人员临床技能的有效性与局限性  

The availability and limitation of medical simulation teaching to improve medical staffs＇ clinical skills

作　　者：徐学虎[1] 邹钧 宋亭[1] 丘敏仪[1] 梁波 罗冰 

机构地区：[1]广州医学院第三附属医院,510150 [2]教学科 [3]内科学教研室

出　　处：《中华医学教育杂志》2011年第6期915-916,921,共3页Chinese Journal of Medical Education

基　　金：广州市高等学校第二批教育教学改革重点资助项目“医学模拟培训中心在附属医院技能培训作用的综合研究”（穗教高教[2009]8号）;广州医学院2008年教育教学研究重点资助项目“开放式网络平台中临床学院PBL教学质量评估模型研究”（广医教2009[8]号）’

摘　　要：目的探讨医学模拟教学提高医务人员临床技能的有效性与局限性。方法采用医学模拟教学方法与传统授课方法分别对医务人员开展徒手心肺复苏（cardiopulmonary resuscitation，CPR）、胸腹（膜）腔穿刺术、骨髓腔穿刺术、中心静脉置管术、气管插管、呼吸机使用6项专项临床技能的培训和考核，比较两种教学方法下两组医务人员的成绩，以评价模拟培训教学的效果。结果两组医务人员的骨髓腔穿刺术、中心静脉置管术、气管插管3项成绩比较，其差异无统计学意义；而徒手心肺复苏、胸腹（膜）腔穿刺术、呼吸机使用3项成绩比较，其采用医学模拟教学方法的医务人员成绩高于传统授课方法的医务人员成绩，差异有统计学意义，P〈0．05。结论医学模拟教学对提高医务人员临床技能水平具有一定效果，有一定推广价值，但是也有其局限性。Objective To explore the availability and limitation of medical simulation teaching to improve medical staffs＇ clinical skills. Methods The medical staffs were randomly distributed to the tra- ditional team and simulation teaching team. The teaching effect was estimated by the monomial manipula- tion of cardiopulmonary resuscitation, thoracoeentesis, abdominocentesis, bone marrow puncture, indwell- ing central veins catheters, trachea cannula and using breathing machine through statistical analysis. Results There was no statistical significance in bone marrowy puncture, indwelling central veins catheters and trachea cannula between the control and simulation teaching teams. However, the achievement of car- diopulmonary resuscitation, thoracocentesis, abdominoeentesis and using breathing machine in simulation teaching teams were significantly higher than the control. Conclusions Medical simulation teaching takes a certain extent effect on elevating the medical staffs＇ clinical skills. There is value to spread, but has lim- itation.

关 键 词：医学模拟教学 临床技能 教学效果 

分 类 号：R-4[医药卫生]