团队学习结合反转教学法对提高CPR按压质量的随机对照研究  

Team based learning combined with flipped learning improves the quality of compressions during cardiopulmonary resuscitation a randomized controlled study

作　　者：赵丽新[1] 崔灏 王涛[1,2,3] 邵菲 张艳慧[1] 左冬晶[1] 唐子人 赵燊[4] Zhao Lixin;Cui Hao;Wang Tao;Shao Fei;Zhang Yanhui;Zuo Dongjing;Tang Ziren;Zhao Shen(Department of Emergency,Beijing Chao-yang Hospital,Capital Medical University,Beijing 100020,China;Emergency Medicine Clinical Research Center,Beijing Chao-yang Hospital,Capital Medical University,Bejing 100020,China;Bejing Key Laboratoryof Cardiopulmonary Cerebral Resuscitation,Beijing Chao-yang Hospital,Capital Medical University,Beijing 100020,China;Department of Critical Care Medicine,Beijing Friendship Hospital,Capital Medical University,1050,Beijing,China)

机构地区：[1]首都医科大学附属北京朝阳医院急诊科,北京100020 [2]首都医科大学附属北京朝阳医院急诊医学临床研究中心,北京100020 [3]首都医科大学附属北京朝阳医院心肺脑复苏北京市重点实验室,北京100020 [4]首都医科大学附属北京友谊医院重症医学科,北京100050

出　　处：《中国中西医结合急救杂志》2022年第3期356-359,共4页Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care

基　　金：首都卫生发展科研专项项目(首发2022-1-2032)。

摘　　要：目的 分析团队学习(TBL)结合反转教学法对提高心肺复苏(CPR)按压质量的效果.方法 采用前瞻性随机对照研究方法,纳入2021至2022年北京朝阳医院和北京友谊医院未接受CPR实践培训的118名护理学生作为研究对象,将学员随机分为TBL结合反转教学法组(58名)和普通教学法组(60名),并对按压通气质量的按压分数(CCF)及循环次数、平均按压中断时间、累计按压总数、平均按压深度、平均按压频率等因素进行记录和评估.结果 两组基线特征比较差异无统计学意义.与普通教学法组比较,在培训结束后TBL结合反转教学法组CCF(60%比55%)、按压频率正确比例(12%比0%)、通气量正确比例(78%比60%)明显增加,平均按压中断时间明显缩短(s:9.0比10.0)、平均按压频率明显减少(次/min:133比144),两组比较差异均有统计学意义(均P<0.05).结论 TBL结合反转教学法可能通过提高正确按压频率比例和正确通气量比例来提高CPR按压质量.Objective To investigate the effect of team based leaming(TBL)combined with lipped leamning on improving the quality of compressions during cardiopulmonary resuscitation(CPR).Methods_This prospective randomized contrlled study enrolled 118 nursing students who did not trained with CPR in a period from 2021 to 2022 in Beijing Chao-yang Hospial and Bejing Friendship Hospial,and they were randomly divided into a TBL-lipped learning group(58 students)and a traditional classroom instruction group(60 students).During the training course,he factors of compresion ventilation quality were recorded and evaluated in the two groups,such as chest compression fraction(CCF),number of cycles,average compression interruption time,otal numbers of cumulative compressions,average compression depth,average compression frequency,etc.Results There were no statistically significant diferences in the comparisons ofthe baseline characteristics between the two groups.Compared with the tradional classroom instruction group,the proportions of CCF(60%vs.55%),correct compression frequency(12%vs.0%)and correct ventilation capacity(78%vs.60%)were higher.while the mean compression interuption time(s:9.0 vs.10.0)and mean compression frequency(times/min:133 vs.144)were lower in TBL-flipped learning group at the end of the training,the differences being statistically significant between the two groups(ll P<0.05),Conclusion The TBL-fipped learming can improve the quality of CPR compression possibly by increasing the proportion of correct compression frequency and the proportion of the correct ventilation capacity.

关 键 词：心搏骤停 心肺复苏 反转教学 团队学习 教学质量 

分 类 号：R459.7[医药卫生—急诊医学]