住院医师规范化培训中心肺复苏技能实践与考核  

Practice and evaluation of cardiopulmonary resuscitation （CPR） resident standardization training skills

作　　者：崔渺[1] 黄馨莹[2] 

机构地区：[1]重庆医科大学附属大学城医院医护科,401331 [2]重庆医科大学黄水康复医院综合办公室,400050

出　　处：《中华医学教育探索杂志》2016年第4期415-418,共4页Chinese Journal of Medical Education Research

摘　　要：目的以住院医师规范化培训心肺复苏技能实践为例，探讨如何提高住院医师临床技能操作能力。方法选取医院规范化培训住院医师58人，通过开展心肺复苏技能的培训、考核，比较培训成绩，对总体通过率、培训前后操作成绩、操作点通过率进行统计学分析。数据对比采用t检验，考试通过率采用卡方检验。结果本次培训考核通过人数48人，通过率82．76％；培训前后规培学员培训操作考试成绩得分为：全科医学（78．5±6．44）V8．（89．2±6．12）、妇产科（74．3±6．54）VS．（87．0±6．34）、儿科（70．6±6．78）VS．（87．3±6．31）、康复医学（70．2±6．81）VS．（85．6±6．77）、口腔科（69．8±7．07）vs．（82．8±6．89）、精神科（69．4±7．19）VS．（80．4±6．91）、医学影像科（69．3±7．20）vs．（78．8±6．94）、检验科（64．0±7．25）vs．（76．5±6．99），差异均有统计学意义。培训后，全科专业规培学员平均得分89．2，得分最高，检验科专业规培学员平均得分76．5分，得分最低。胸外心脏按压、人工呼吸、安装电极板项目操作情况最差，学员按压80次／min增加到90s完成；人工呼吸方面，学员需延长30s以上；安装电极板项目操作方面，延长25s以上。结论不同规培专业通过率、不同专业培训前后操作成绩均有差异，需理论与实践相结合，开展科学化、合理化的培训，有效提高规培学员临床技能操作水平。Objective By taking cardiopulmonary resuscitation （CPR） resident standardization training skills practice as an example, to explore how to improve the ability of resident operating on the clinical skills. Methods 58 resident physicians in the hospital standardized training were selected, and through training and assessment of cardiopulmonary resuscitation skill training, the result was compared, and statistical analysis was made on the overall pass rate, the performance after the training, and the pass rate of operation. Result Comparison of the data was done by the t test, and pass rate by chi square result 48 people passed the training and examination, and the pass rate was 82.76%. The operation scores before and after training were： General （78.5 ± 6.44） vs. （89.2± 6.12）, Department of gynecology and Obstetrics （74.3 ± 6.54） vs. （87.0 ±6.34） of （70.6± 6.78） vs. （87.3 ± 6.31）, rehabilitation medicine （70.2 ±6.81） vs. （85.6 ± 6.77）, Department of Stomatology （69.80 ±7.07） vs. （82.80 ± 6.89）, psychiatric （69.4 ± 7.19） vs. （80.4 ± 6.91）, Department of medical imaging （69.30 ± 7.20） vs. （78.80 ± 6.94）, （64.00± 7.25 test vs.） （76.5 ± 6.99）, and the differences were statistically significant. After the training, the average score of the general profes- sional training was 89.2, the highest score, while the average score of students trained in professional inspection department was 76.5 points, the lowest score. Chest compressions and artificial respiration,electrode plate installation project operation were the worst. Students pressed 80 times/min before but now increased to 90 seconds; as for artificial respiration, students often extended more than 30 seconds; the electrode plate installation project operation, extended more than 25 seconds. Conclusion The pass rate of different professional training and the performance before and after professional training have differences, so theory and practice need to be combined to carry out

关 键 词：住院医师规范化培训 心肺复苏 临床技能培训 

分 类 号：R-05[医药卫生]