情景模拟演练培训在腹主动脉瘤破裂急救手术中的应用效果  

Application Effect of Scenario Simulation Training in Emergency Operation of Ruptured Abdominal Aortic Aneurysm

作　　者：罗彩霞[1] 戴红霞[2] 周楠[1] 常后婵[1] 别逢桂[1] 王琼 LUO Cai⁃xia;DAI Hong⁃xia;ZHOU Nan;CHANG Hou⁃chan;BIE Feng⁃gui;WANG Qiong(Operating Theatre,Guangdong Provincial People's Hospital,Guangdong Academy of Medical Sciences,Guangzhou 510080,China;Macao Polytechnic Institute,School of Health Sciences and Sports,Macao 999078)

机构地区：[1]广东省人民医院手术室、广东省医学科学院,广州510080 [2]澳门理工学院健康科学及体育高等学校,澳门999078

出　　处：《循证医学》2019年第6期364-367,共4页The Journal of Evidence-Based Medicine

基　　金：广东省自然科学基金资助项目（2018A030313654）

摘　　要：目的探讨情景模拟演练培训在腹主动脉瘤破裂急救手术中的应用效果。方法107名手术团队医护人员参加研究,采用自身前后对照研究的方法。对医护人员进行腹主动脉瘤破裂手术的急救知识及流程的培训,包括腹主动脉瘤理论知识、急救技能的培训与考核,并实施情景模拟演练培训。比较培训前后手术室护士术前物品准备时间、急救理论知识和操作考核分数。结果与培训之前比较,洗手护士(t=4.623,P=0.04)和巡回护士(t=5.053,P=0.02)术前准备物品时间均明显缩短,差异有统计学意义;专科应急理论知识(t=10.259,P=0.02)、胸外心脏按压技术(t=5.856,P=0.04)、呼吸囊使用(t=5.587,P=0.03)、除颤仪使用(t=8.506,P=0.03)的考核分数均较培训前显著提高,差异有统计学意义。结论情景模拟演练培训能有效提高腹主动脉瘤破裂急救手术团队的急救理论、技能与协作能力,为患者争取急救时间。Objective To explore the application effect of scenario simulation training in emergency surgery for ruptured abdominal aortic aneurysm.Methods 107 surgical members were included in a self⁃controlled study.First aid knowledge and procedures of abdominal aortic aneurysm rupture surgery were trained,including theoretical knowledge of abdominal aortic aneurysm,training and assessment of first aid skills,and the implementation of scenario simulation training.Compare the preoperative preparation time,first aid theoretical knowledge and assessment score before and after the training.Results Compared with before training,the average preoperative preparation time were significantly shortened in the hand washing nurses(t=4.623,P=0.04)and the tour nurses(t=5.053,P=0.02)after training.The average score of first aid theoretical knowledge(t=10.259,P=0.02),chest compression technique(t=5.856,P=0.04),use of breathing sacs(t=5.587,P=0.03),use of defibrillator(t=8.506,P=0.03)were significantly increased after training.Conclusion Scenario simulation training can effectively improve the emergency theory,skills and cooperation ability of emergency operation team for ruptured abdominal aortic aneurysm,and strive for emergency time for patients.

关 键 词：情景模拟演练培训 腹主动脉瘤破裂 应用效果 

分 类 号：R472.3[医药卫生—护理学]