模拟培训对在职医师心电图理论和操作学习效果的影响  

Effects of simulated training for on-the-job physicians＇ electrocardiogram theory and operational learning effect

作　　者：冯军强[1] 朱靓[4] 牛晓琳[2] 安琦[3] 邹乐[3] 马飞燕[3] 余咏[3] 

机构地区：[1]第四军医大学唐都医院教务科,西安710038 [2]第四军医大学唐都医院心血管内科,西安710038 [3]第四军医大学唐都医院临床技能培训中心,西安710038 [4]第四军医大学医学教育教研室,西安710038

出　　处：《中华医学教育探索杂志》2014年第11期1174-1177,共4页Chinese Journal of Medical Education Research

基　　金：基金项目：全军军事科学研究计划课题（13QJ003-036）

摘　　要：目的 评价模拟培训对在职医师心电图理论和操作学习效果的影响。方法 选取工作1年医师60人为研究对象，随机分为实验组和对照组，各30人。实验组采用授课＋模拟训练方式实施心电图理论和操作继续教育，对照组采用传统培训方式。对两组医师培训前后心电图理论和操作水平进行考核，并在培训结束后发放调查问卷；用t检验和p检验分析两组考核和问卷调查结果。结果 培训后实验组和对照组医师心电图理论考核成绩分别为（90．87±6．67）分和（85．83±5．5）分，差异有统计学意义（t=3．201，P=O．003）；操作考核成绩分别为（93．40±4．31）分和（77．03±7．96）分，差异有统计学意义（t=10．204，P=O．000）。实验组医师对心电图模拟培训在增强学习兴趣、提高理论知识水平、提高动手操作能力、强化人文关怀理念等方面的满意度高于对照组（X^2=34．737，6．405，42．088，41．713，P=-0．000，0．011，0．000，0．000）。结论 模拟培训应用于心电图理论和操作学习中，其效果明显优于传统培训方式。有助于医师综合素养的提升。Objective To evaluate the effect of simulated training on in-service physicians electrocardiogram （ecg） theory and operational learning effect. Methods Sixty resident doctors were randomly divided into experiment group（n=30） and control group（n=30）. The experimental group adopted teaching ＋ simulation training mode to implement the theory and operation of ECG in continuing while the control group were taught only by lectures. Training effect of both groups was assessed by electrocardiogram theory and operation examination before and after training respectively, and by questionnaires at the end of the training as well. Data of the examination and questionnaires were analyzed by t test or X^2 test. P〈0.05 was considered statistically significant. Results After training, the score of theory examination was （90.87 ± 6.67） points in experiment group and was （85.83± 5.5） points in control group, with statistical difference between these two groups（t=3.201, P=-0.003）. Score of operation examination was （93.40± 4.31 ） points in experiment group and was （77.03 ±7.96） points in control group, with significant differences（t=10.204, P=0.000）. The satisfaction degree of enhancing learning interest, theoretical knowledge and operation skill, and strengthening the concept of hu- manistic care were significantly better in the experiment group than in the control group （x^2=34.737, 6.405, 42.088, 41.713, P=0.000, 0.011, 0.000, 0.000）. Conclusions Application of simulated training in the study of electrocardiogram is obviously superior in effect to the traditional teaching model. It can improve the theoretical knowledge and operation skill, which is helpful in elevating the inservice physicians＇ comprehensive capability.

关 键 词：模拟培训 心电图学习 在职医师 

分 类 号：R540.41[医药卫生—心血管疾病]