CBL结合高仿真电脑模拟人在急救培训中的应用  

The use of CBL with high fidelity human patient simulator in training of first aid skills

作　　者：王长远[1] 曹涛[1] 秦俭[1] 孙长怡[1] 

机构地区：[1]首都医科大学宣武医院急诊科,北京100053

出　　处：《中国急救复苏与灾害医学杂志》2016年第4期350-352,共3页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：首都医科大学校长研究基金（2015JYY110）

摘　　要：目的研究以案例为基础的教学（Case—Basedlearning，CBL）结合高仿真电脑模拟人在急救技能非技术能力培训中的应用效果。方法对128名我院急诊科医生和在急诊轮转的医生进行急救技能培训，内容包括团队心肺复苏，创伤急救等，所有医生随机分成观察组67例和对照组61例，对照组应用教师讲授和简单模拟的传统方法进行培训，观察组应用CBL结合高仿真电脑模拟人进行培训，重点培训学员的非技术能力（决策制定，团队合作，应变能力，医患沟通，组织协调等）。分别比较2组培训前后成绩的差异和2组间的差异。对观察组发放调查问卷，分析急诊医生对CBL结合高仿真电脑模拟人在急救技能非技术能力培训的评价。结果培训后2组学员非技术能力都显著提高（P〈0．05），但观察组提高更明显，显著大于对照组（e=-0．001）；100％的急诊医生喜欢CBL结合高仿真电脑模拟人进行教学，96．3％认为该教学法可以提高学生的非技术能力。结论CBL结合高仿真模拟人培训可以提高急救技能非技术能力，增加学习兴趣和团队合作能力。Objective To study the application effect of case-based learning （CBL） with high fidelity human patient simulator in non-technical skills training of first aid skills. Methods The first aid skills training were given to 128 doctors in the emergency department, including team cardiopulmonary resuscitation （CPR）, trauma, etc. The doctors were randomly divided into observation group （n=67） and control group （n=61）. While the control group were trained with the conventional method of teaching and simple simulation, observation group was provided with CBL with high fidelity Human Patient Simulator in its training. The training focus on the students＇ non-technical skills, such as decision-making, teamwork, strain capacity, communication between doctor and patient, organization and coordination, and etc. The difference of non-technical ability scores before and after the training between the two groups were compared. A questionnaire was completed by the observation in evaluating the high fidelity human patient simulator teaching method. Results Both groups＇ non-technical skills significantly increased after training in （P 〈0.01）. Yet, the score of the observation group was significantly higher than that of the control group （P =0.001）; 100% of the emergency doctors preferred CBL with high fidelity human patient simulator, and 96.3% of them believed that the teaching method might improve the students＇ non-technical abilities. Conclusion CBL with high fidelity human patient simulator is considered being effective in improving students＇ the non-technical skills of first aid skills. Furthermore, it may stimulate students＇ learning interest and team cooperation ability.

关 键 词：以案例为基础的学习 高仿真电脑模拟人 非技术能力 

分 类 号：R459.7[医药卫生—急诊医学]