妇产科住院医师规范化培训学员接受围术期安全文化教育的效果调查

doi:10.3760/cma.j.cn115259-20250321-00311

摘要/Abstract

摘要： 目的分析妇产科住院医师规范化培训(简称住培)学员接受围术期安全文化教育的效果。方法 2024年12月,广州医科大学附属第三医院麻醉科研究团队参照患者安全文化量表,设计围术期安全文化教育调查问卷,采用随机抽样方法,通过问卷星对在本院麻醉科完成轮转或正在轮转的104名妇产科住培学员进行线上调查,采用描述性统计分析相关数据。结果共回收有效问卷91份。住培学员安全文化教育的完全参与率为95.6%(87/91),98.9%(90/91)的住培学员认为其对自身有帮助,96.7%(88/91)的住培学员认为可以提高自身对麻醉风险的认识,97.8%(89/91)的住培学员能够更好地向患者解释麻醉过程和风险;94.5%(86/91)的住培学员更加注重患者的术后监护,92.3%(84/91)的住培学员认为患者术后恢复更快、住院时间缩短;98.9%(90/91)的住培学员在日常医疗活动中更加注重细节和操作规范;96.7%(88/91)的住培学员认为增强了自身的沟通协作能力,改善了与麻醉医师的配合顺畅程度;98.9%(90/91)的住培学员认为可以增强自我责任感和职业道德意识,96.7%(88/91)的住培学员表示愿意参加医疗质量控制活动并认为提升了职业认同感。结论围术期安全文化教育有助于提升妇产科住培学员的安全文化意识,有助于提升其临床实践能力、团队协作能力和职业素养,从而进一步提高医疗质量。

关键词: 安全文化教育, 麻醉科, 妇产科, 住院医师规范化培训

Abstract: Objective To evaluate the impact of perioperative safety culture education in anesthesiology on standardized residency trainees in obstetrics and gynecology.Methods In December 2024, the Department of Anesthesiology at Guangzhou Medical University Affiliated Third Hospital conducted a cross-sectional study using random sampling. A validated questionnaire adapted from the patient safety culture scale was administered via questionnaire star platform to 104 obstetrics-gynecology resident trainees who had completed or were currently undertaking anesthesia rotations. Descriptive statistics were used for data analysis.Results Among the questionnaires, 91 valid responses were obtained. The full participation rate in safety culture education reached 95.6% (87/91). Key outcomes demonstrated that 98.9% (90/91) found the education highly beneficial personally, while 96.7% (88/91) reported enhanced anesthesia risk awareness. Trainees showed significant improvements in patient communication[ 97.8% (89/91) ], postoperative monitoring focus[94.5% (86/91)], and attention to clinical details[98.9% (90/91) ]. Additionally, 92.3% (84/91) observed accelerated patient recovery, 96.7% (88/91) noted better interdisciplinary collaboration with anesthesiologists, and 98.9% (90/91) developed stronger professional responsibility. Crucially, 96.7% (88/91) expressed increased willingness to participate in quality control activities with enhanced professional identity.Conclusions Perioperative safety culture education effectively elevates safety awareness, clinical competencies, teamwork capabilities, and professionalism among obstetrics-gynecology resident trainees, ultimately improving healthcare quality.

Key words: Safety culture education, Anesthesia department, Obstetrics and gynecology department, Standardized residency training

中图分类号:

李晓燕, 陈伟明, 李浩, 王寿平. 妇产科住院医师规范化培训学员接受围术期安全文化教育的效果调查[J]. 中华医学教育杂志, 2025, 45(10): 778-782.

Li Xiaoyan, Chen Weiming, Li Hao, Wang Shouping. Effectiveness of perioperative safety culture education for standardized residency trainees in obstetrics and gynecology[J]. Chinese Journal of Medical Education, 2025, 45(10): 778-782.

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