基于突发公共卫生救治实践的模拟教学在医护人员应急能力培训中的应用  

Application of simulation teaching based on the practice of public health emergency treatment in the training of medical personnel emergency ability

作　　者：夏建妹 邓康 陈德健 张明敏 潘洁 XIA Jianmei;DENG Kang;CHEN Dejian(Department of Pain Management,The First Hospital of Jiaxing,Affiliated Hospital of Jiaxing University,Jiaxing 314000,China)

机构地区：[1]嘉兴市第一医院疼痛科,浙江嘉兴314000

出　　处：《全科医学临床与教育》2023年第11期1025-1028,共4页Clinical Education of General Practice

基　　金：2020年高校直属附属医院抗疫专项项目(Y202043776);嘉兴市医学重点学科-护理学(支撑学科)(2023-Zc-007)。

摘　　要：目的 探讨突发公共卫生救治实践的情景模拟教学在医护人员应急能力培训中的应用效果。方法 选取嘉兴市第一医院参与应急救治及后备救治梯队医护人员40名作为培训对象,随机分为对照组与观察组,每组20名。对照组采用传统教学模式进行培训,观察组采用情景模拟教学法进行培训。在培训结束时、培训结束后1个月、3个月、6个月比较两组学员的穿脱防护服、吸痰的理论及操作考核成绩,同时测评岗位胜任力。结果 在培训结束时、培训结束后3个月、6个月,观察组的穿脱防护服的理论、操作考核成绩均高于对照组,差异均有统计学意义(t分别=-7.05、-5.43、-3.70;-5.12、-2.38、-2.25,P均<0.05)。在培训结束时、培训结束后3个月,观察组的吸痰理论考核成绩和操作考核成绩均高于对照组,差异均有统计学意义(t分别=-6.20、-2.44、-2.43、-2.39,P均<0.05)。观察组在培训结束时、培训结束后1个月、3个月、6个月的个人特质评分和临床护理能力评分均高于对照组,差异均有统计学意义(t分别=-3.40、-13.65、-14.66、-10.20、-11.33、-22.28、-23.97、-18.96,P均<0.05)。在培训结束时、培训结束后1个月、3个月,观察组支持和人际沟通评分与批判性临床思维评分均高于对照组,差异均有统计学意义(t分别=-4.86、-2.17、-3.32、-6.93、-2.28、-2.66,P均<0.05)。在培训结束后1个月、培训结束后3个月、6个月,观察组专业建设及发展能力评分高于对照组,差异均有统计学意义(t分别=-40.01、-22.52、-31.34,P均<0.05)。结论 采用基于突发公共卫生救治实践的模拟教学,能够为学员模拟出真实的公共卫生救治环境,引导其掌握正规的救治流程和形成正确的救治理念,进而更好地提高学员的岗位胜任能力。Objective To explore the application of situational simulation teaching besed on public health emergency treatment practice in the training of medical staff's emergency response ability.Methods A total of 40 medical staff of Jiaxing First Hospital who participating in emergency treatment and reserve treatment echelon were selected and random-ly divided into control group and observation group,20 cases in each.The control group was trained by traditional teach-ing mode,and the observation group was trained by situational simulation teaching method.At the end of the training,1 month,3 months and 6 months after the training,the theoretical and operational assessment of wearing and taking off protective clothing and sputum aspiration,and the scores of the post competency between two groups were compared.Results At the end of the training,1 month after the training,3 months after the training and 6 months after the train-ing,the theoretical test score of the observation group were higher than those of the control group,the differences were statistically significant(t=7.05,-10.89,-5.43,-3.70,P<0.05).At the end of the training,3 months and 6 months after the training,the test scores of wearing and taking off protective clothing in the observation group were higher than those in the control group(t=-5.12,-2.38,-2.25,P<0.05).At the end of the training and 3 months after the training,the sputum aspira-tion theoretical and operational scores of the obser-vation group were higher than those of the control group(t=-6.20,-2.44,-2.43,-2.39,P<0.05).At the end of the training,1 month,3 months and 6 months after the train-ing,the personal trait score and clinical nursing ability scores of the observation group were higher than those of the con-trol group(t=-3.40,-13.65,-14.66,-10.20,-11.33,-22.28,-23.97,-18.96,P<0.05).Support and interpersonal com-munication score and critical clinical thinking score of the observation group were higher than those of the control group at the end of the training,1 month after the training and 3 mon

关 键 词：公共卫生 救治实践 模拟教学 医护人员 应急培训 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]