新形势下麻醉危机事件情景模拟教学方式的转变效果分析  

The transformation of situational simulation teaching method in crisis management of anesthesia in the new era

作　　者：李文媛[1] 陆志强[1] 纪木火 马翔[1] 何勇[1] 丁颖[1] 张浩[1] 李燕平[1] LI Wen-yuan;LU Zhi-qiang;JI Mu-huo(The Second Affiliated Hospital of Nanjing Medical University,Nanjing 210003,Jiangsu)

机构地区：[1]南京医科大学第二附属医院,江苏南京210003

出　　处：《安徽医专学报》2024年第1期102-105,共4页Journal of Anhui Medical College

基　　金：南京医科大学2021年度校级教育研究课题(编号:2021LX035,2021LX036)。

摘　　要：目的:探讨麻醉危机事件情景模拟教学在危急重症模拟培训课程中对医学生在麻醉科实习期间临床思维能力和危机事件应急处理能力的影响。方法:由某院麻醉科高年资主任医师兼南京医科大学临床老师组成培训师资队伍,将2022年麻醉专业本科实习医生随机分为对照组和观察组,分别进行传统麻醉危机知识教学和麻醉危机事件情景模拟教学。并进行问卷调查和成绩考评。结果:接受麻醉危机事件情景模拟教学的学生满意度较高,培训后成绩及年终理论考核成绩均优于对照组。结论:通过建构良好的模拟培训和调整模拟设施及课程形式,采取“线上-线下”结合的模式,全面地模拟麻醉危机事件,可以有效地提高医学生的临床思维能力和危机事件应急能力,从而提高麻醉教学效果。Objective:To explore the impact of situational simulation teaching method on the clinical decision-making and emergency response skills of medical students during their anesthesiology internship.Methods:A team of simulation instructors,comprising anesthesiologists from our hospital with substantial clinical expertise who also hold clinical professorships more than five yeas at Nanjing Medical University,was established.Medical students studing in anesthesiology department in 2022 were randomly assigned to either a control group,where they received traditional lectures on anesthesia crisis management,or an intervention group,where they were engaged in immersive simulation training for anesthesia crisis scenarios.We used questionnaire surveys and exam scores to measure the outcomes.Results:Students who underwent immersive simulation training for anesthesia crisis scenarios reported a higher level of satisfaction.Additionally,their post-training examination scores and end-of-year theoretical examination scores were significantly better than those of the control group.Conclusions:By enhancing simulation facilities,refining curriculum design,and integrating an"online-offline"approach to simulate anesthesia crisis scenarios thoroughly,our immersive training program has effectively bolstered the clinical decision-making and emergency response skills of medical students in handling crises.The findings from our study highlight the pressing need for a significant transformation of anesthesia education,from its content to its delivery method.

关 键 词：麻醉危机 情景模拟 麻醉教学 实习教学 

分 类 号：R614[医药卫生—麻醉学]