原位情境模拟在临床医学八年制学生ACLS培训中的应用  

Application of In Situ Scenario Simulation in Advanced Cardiac Life Support Training for Eight⁃year Medicinal Students

作　　者：梅琦敏 张挺 柴晶晶[1,2] 刘安雷 刘业成[1,2] 朱华栋 MEI Qimin;ZHANG Ting;CHAI Jingjing;LIU Anlei;LIU Yecheng;ZHU Huadong(Department of Emergency,Peking Union Medical College Hospital,Chinese Academy of Medical Science&Peking Union Medical College,Beijing 100730,China;State Key Laboratory of Complex Severe and Rare Diseases,Peking Union Medical College Hospital,Chinese Academy of Medical Science&Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医院急诊科,北京100730 [2]中国医学科学院北京协和医院疑难重症及罕见病国家重点实验室,北京100730

出　　处：《协和医学杂志》2023年第3期660-664,共5页Medical Journal of Peking Union Medical College Hospital

基　　金：北京协和医学院本科生教育教学改革项目(2021zlgc0102)。

摘　　要：目的探讨原位情境模拟(in situ scenario simulation,ISS)在临床医学八年制专业学生高级生命支持(advanced cardiac life support,ACLS)培训中的应用效果。方法以2021年9月—2022年9月于北京协和医院急诊科见习的临床医学八年制学生为研究对象,随机分为ISS教学组与传统教学组进行ACLS培训。培训结束后,分别对两组学员进行理论知识及实践操作考核,对比分析两组考核成绩。以调查问卷形式收集ISS教学组对培训课程的满意度及建议。结果共89名学员参与ACLS培训并完成考核,其中ISS教学组44名,传统教学组45名,两组学员性别差异无统计学意义(P=0.462);ISS教学组理论知识、实践操作考核平均成绩均显著高于传统教学组[(80.36±6.46)比(65.33±10.43)分,P=0.000;(67.84±11.27)比(46.33±18.75)分,P=0.000]。ISS教学组所有学员均表示ISS教学对于提高理论知识掌握程度、实践操作能力及团队协作能力有效并希望下次继续开展,90.9%的学员对教学环境及设施满意。结论ISS法较传统教学法可有效提高临床医学八年制学生对ACLS理论知识的掌握程度及运用,学员满意度较高,具有一定的应用价值。Objective To explore the application effect of in situ scenario simulation(ISS)method in advanced cardiac life support(ACLS)training for eight⁃year clinical medicine students.Methods Eight⁃year clinical medicine students who underwent clinical internship in Peking Union Medical College Hospital from September 2021 to September 2022 were randomly divided into ISS group and traditional training group.After the training,assessment on the theoretical knowledge and practical operation was conducted.The training effect of the ISS group was evaluated by comparing and analyzing the results of theoretical knowledge and operation skill of ACLS.Results A total of 89 trainees participated in ACLS training and completed the assessment,in⁃cluding 44 in the ISS group and 45 in the traditional training group,with no statistically significant difference in gender between the two groups(P=0.462).The theoretical and operation skill test scores of ISS group were better than those of the traditional training group[(80.36±6.46)vs.(65.33±10.43),(67.84±11.27)vs.(46.33±18.75)],both with significant statistical differences(both P=0.000).According to the students of the ISS group,through ISS training,the identification of critically ill patients,the mas⁃tery of ACLS process,and the awareness of teamwork significantly improved.Conclusion The teaching method of ISS can effectively improve the skill operation ability of ACLS and crisis response,and enhance the quality of recovery to some extent.

关 键 词：高级生命支持 原位情境模拟 模拟教学 医学生 

分 类 号：G642.0[文化科学—高等教育学] R4[文化科学—教育学]