进阶式培训方式在麻醉学医师气管插管技能培训中的应用  

Application of a step-by-step training model in endotracheal intubation skills for residents training

作　　者：贾茜茜[1] 吴长毅[1] 王军[1] 李民[1] 徐懋[1] 郭向阳[1] Jia Xixi;Wu Changyi;Wang Jun;Li Min;Xu Mao;Guo Xiangyang(Department of Anesthesiology,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学第三医院麻醉科,100191

出　　处：《中华医学教育杂志》2019年第12期962-965,共4页Chinese Journal of Medical Education

摘　　要：目的 采取进阶式培训方式对麻醉学医师进行气管插管技能培训,探讨其与传统气管插管技能培训方式相比是否具有优越性,为进一步优化气管插管技能培训方式提供经验和依据.方法 选择2016年8月至2017年8月在北京大学第三医院麻醉科进行气管插管技能培训的42名医师为研究对象,将其随机分为实验组和对照组,每组21名医师.实验组医师采用进阶式培训方式进行气管插管技能培训,对照组医师采用传统培训方式进行气管插管技能培训.培训1年后,对两组医师进行气管插管技能考核并比较其成绩;同时,对两组医师进行问卷调查,以了解其对各自培训方式的满意度等.结果 培训前,实验组医师气管插管技能考核成绩[(52.8±10.7)分]与对照组医师[(53.1±11.2)分]相比,其差异无统计学意义(t=0.092,P>0.05);培训后,实验组医师气管插管技能考核成绩[(89.4±3.7)分]高于对照组医师[(77.1±6.5)分],其差异具有统计学意义(t=-7.526,P<0.05).问卷调查结果显示,实验组受训医师认为进阶式培训方式对提高教学效果更为有利.结论 采用进阶式培训方式培训的麻醉学医师的气管插管技能掌握得更好,该培训方式得到受训医师的更多认可,值得在麻醉学医师技能培训中进一步推广.Objective To explore the effective model to improve the skill of tracheal intubation and solve the trainees' skill heterogeneity. Methods Fourty-two trainees who scheduled for training in endotracheal intubation skills at Department of Anesthesiology, Peking University Third Hospital, during August 2016 to August 2017 were randomly divided into step-by-step training model group ( n=21) and the traditional training model group ( n=21) . The endotracheal intubation skill of the two groups of trainees were assessed before and after the one year study. A questionnaire survey was conducted to obtain the satisfaction degree of the trainees in the two groups. Results The endotracheal intubation assessment score of step-by-step training model group and traditional training model group before the study were ( 52. 8 ± 10. 7,53. 1 ± 11. 2,t=0. 092,P>0. 05), after the different model training, the score were (89. 4±3. 7, 77. 1 ± 6. 5,t=-7. 526,P<0. 05) , the questionnaire survey showed that the trainees in the step-by-step training model group consider that the step-by-step training model is more favorable than the traditional training model in improving the teaching effect of endotracheal intubation. Conclusions The step-by-step training model can improve the trainees skill of tracheal intubation and solve the skill heterogeneity due to the different trainees source and ability.

关 键 词：进阶式培训 麻醉学 气管插管 均质化 

分 类 号：R-05[医药卫生]