医学生心肺复苏考试成绩预测模型的建立  

Development of a prediction model of cardiopulmonary resuscitation skill performance for medical students

作　　者：茅海峰[1] 李敏[1] 朱永城[1] 莫均荣[1] 叶显智[1] 林珮仪[1] 陈晓辉[1] 江慧琳[1] 李艳玲[1] Mao Haifeng;Li Min;Zhu Yongcheng;Mo Junrong;Ye Xianzhi;Lin Peiyi;Chen Xiaohui;Jiang Huilin;Li Yanling(Emergency Department,The Second Affiliated Hospital of Guangzhou Medical University,Guangzhou Guangdong 510260,China)

机构地区：[1]广州医科大学附属第二医院急诊科,广东广州510260

出　　处：《中华临床实验室管理电子杂志》2021年第2期121-124,共4页Chinese Journal of Clinical Laboratory Management(Electronic Edition）

基　　金：2018年度广东省临床教学基地教学改革研究项目(2018JD031);2017年广州医科大学教育科学规划课题项目(201728)。

摘　　要：目的利用临床医学系学生的实习数据建立心肺复苏考试成绩预测模型。方法回顾性收集2016年1月至2018年12月在广州医科大学第二临床学院实习的临床医学系实习生数据。学生数据包括学生实习期间各科考试成绩、性别及客观结构化临床考试的心肺复苏考站成绩,通过逻辑回归分析,建立心肺复苏考试成绩预测模型。结果对382例医学生实习数据进行逻辑回归分析,最终纳入模型的变量包括5项:外科病例、外科理论、妇产理论、儿科理论、性别。变量“性别为女”的OR为0.58(95%CI:0.36~0.92),其余变量的OR介于0.90至1。成绩预测模型的AUC值为64.8%(95%CI:0.59~0.71)。结论性别可能是心肺复苏考试成绩的影响因素;心肺复苏考试成绩预测模型的预测价值仍有待提高。Objective To establish a prediction model of cardiopulmonary resuscitation skill performance for medical students based on internship data.Methods A retrospective study among interns in the Second Affiliated Hospital of Guangzhou Medical University was conducted from Jan 2016 to Dec 2018.Data including students'test scores during internship,gender,and CPR skill performance of objective structured clinical examination of graduation was collected.Logistic regression analysis was used to develop the prediction model of cardiopulmonary resuscitation skill performance.Results 382 cases of medical students'data were analyzed.A prediction model was developed and consisted of five parameters:surgery case score,surgical theory test score,obstetrics theory test score,pediatric theory test score,gender.Odds ratio of"gender is female"was 0.58(95%CI:0.36-0.92),and Odds ratios of the other variables were between 0.90 and 1.The AUC of the prediction model was 64.8%(95%CI:0.59-0.71)Conclusion Gender might be an influencing factor of CPR skill performance.The predictive performance of the CPR skill performance prediction model still needs to be improved.

关 键 词：心肺复苏 学生成绩 预测模型 客观结构化临床考试 

分 类 号：R-4[医药卫生] G642[文化科学—高等教育学]