情景模拟方法在三年制临床医学专业学生无菌术培训中的应用  

The application of situational simulation in the training of aseptic technique for medical students

作　　者：董吉 朱豫[2] 刘畅[3] 孙立群[3] 王培松[3] 王湛 李文萃[3] 李胜云[3] Dong Ji;Zhu Yu;Liu Chang;Sun Liqun;Wang Peisong;Wang Zhan;Li Wencui;Li Shengyun(Department of Medicine,Henan Medical Technical College,Zhengzhou 451191,China（Dong J,Wang Z;Research Department,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450001,China（Zhu Y;Clinical Skills Training Center,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450001,China（Liu C,Sun LQ,Wang PS,Li WC,Li SY)

机构地区：[1]河南医学高等专科学校医学系,郑州451191 [2]郑州大学第一附属医院科研处,450001 [3]郑州大学第一附属医院临床技能培训中心,450001

出　　处：《中华医学教育杂志》2018年第5期730-733,共4页Chinese Journal of Medical Education

基　　金：2015年河南省医学教育研究项目（Wjlx2015059）;河南省青年骨干教师资助计划项目（2015GGJS-225）;河南省医学科技攻关计划项目（201503201）

摘　　要：目的探讨情景模拟方法在三年制临床医学专业实习学生无菌术培训中的应用效果。方法选取河南医学高等专科学校2014级120名采用传统无菌术培训方法的学生为对照组；2015级135名采用情景模拟无菌术培训方法的学生为实验组。运用“柯氏模型”的4个层级，即反应层、学习层、行为层对无菌术的培训效果进行评价。结果反应层，实验组学生对无菌术培训效果评分高于对照组学生，差异有统计学意义（P〈0．05）；学习层，实验组学生的理论与操作成绩均高于对照组学生，差异均具有统计学意义（均P〈0．05）；行为层，带教教师对实验组学生无菌术的评分高于对照组，差异具有统计学意义（P〈0．05）。结论将情景模拟方法应用于无菌术培训中有利于提高培训效果，强化学生的无菌观念，规范无菌操作。运用“柯氏模型”评估无菌术培训效果，客观合理，为临床技能培训效果的评价提供新思路。Objective To discuss the application of situational simulation in the training of aseptic technique for medical students. Methods Totally 255 interns who were clinical medicine in Henan Medical Technical College were selected. 120 interns from grade 2014 who accepted the traditional training as the control group ; 135 interns from grade 2015 who accepted the situational simulation training as the experimental group. The Kirkpatrick model was used to assess the effects of the training. Results The scores of the four levels of Kirkpatrick model including reaction, learning and behavior in the experimental group were all significantly higher than those of the control group, and there were statistical difference （ P 〈 0. 05）. Conclusions The training of aseptic technique by using situational simulation to medical interns is helpful to improve the learning effects, to strengthen the aseptic concept and to make the aseptic behaviors be more standard.

关 键 词：情景模拟 柯氏模型 医学生 无菌术培训 效果评价 

分 类 号：R-4[医药卫生] G642[文化科学—高等教育学]