中华医学教育杂志

中华医学教育杂志 ›› 2019, Vol. 39 ›› Issue (11): 860-863.DOI: 10.3760/cma.j.issn.1673-677X.2019.11.014

• 住院医师规范化培训 • 上一篇    下一篇

以情景病例为基础的模拟教学在住院医师机械通气培训中的应用

赵慧颖1, 梁书静2, 杜安琪1, 吕姗1, 朱凤雪1, 姜冠潮2, 安友仲1   

  1. 1北京大学人民医院重症医学科 100044;
    2北京大学人民医院临床能力培训中心100044
  • 收稿日期:2019-02-20 出版日期:2019-11-01 发布日期:2020-12-09
  • 通讯作者: 安友仲,Email:bjicu@163.0com,电话:010-88324486
  • 基金资助:
    中华医学会医学教育分会和中国高等教育学会医学教育专业委员会2016年医学教育研究立项课题(2016B-JJ015)

The application of scenario cases based simulation teaching of mechanical ventilation in the residents

Zhao Huiying1, Liang Shujing2, Du Anqi1, Lyu Shan1, Zhu Fengxue1, Jiang Guanchao2, An Youzhong1   

  1. 1Department of Intensive Care Unit,Peking University People's Hospital,Beijing 100044,China;
    2Department of Clinical Competence Center,Peking University People's Hospital,Beijing 100044,China
  • Received:2019-02-20 Online:2019-11-01 Published:2020-12-09
  • Contact: An Youzhong,Email:bjicu@163.com,Tel:0086-10-88324486

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摘要： 目的 评价以情景病例为基础的模拟教学在住院医师机械通气培训中的应用效果。方法 以建构主义理论为基础构建情景病例和模拟培训系统。选择2016年1月~2018年5月在北京大学人民医院重症医学科轮转的86名住院医师为研究对象,采用随机数字表法将其平均分为实验组和对照组,每组43名医师。实验组采用情景病例模拟教学,对照组采用传统理论教学。培训前后,采用该培训规定的理论和操作评估体系对两组医师进行考核,并在轮转结束后进行培训满意度调查。结果 培训后所有医师考核总成绩为(80.5±8.3)分,高于培训前的(53.0±5.3)分,差异具有统计学意义(P<0.01);培训后实验组医师考核总成绩高于对照组医师[(87.1±5.8)分比(73.8±4.1)分],差异具有统计学意义(P<0.01)。实验组医师满意度评分为(44.5±1.9)分,高于对照组医师的(32.9±2.7)分,差异具有统计学意义(P<0.01)。结论 在机械通气教学中应用以情景病例为基础的模拟培训取得了较好的效果,获得了较高的满意度。

关键词: 情景病例, 模拟教学, 住院医师, 机械通气

Abstract: Objective To evaluate the effectiveness and satisfaction of scenario cases based simulation teaching in the training of mechanical ventilation.Methods The scenario cases and simulation courses based on constructionism were developed in the residents.Eighty-six residents who rotated to intensive care unit from January 2016 to May 2018 were randomized to experimental group and control group.Forty-three experimental group residents were trained using scenario cases based simulation teaching,and the other forty-three control group residents were trained using traditional teaching.Theory and operation assessment were compared between two groups before and after training.Training satisfaction was also compared between two groups after rotation in the department of Critical Care Medicine.Results Total test score of post-training was significantly higher than that of pre-training in all the residents (80.5±8.3 vs 53.0±5.3,P<0.01).After training,total test score was significantly higher in the experimental group than control group (87.1± 5.8 vs 73.8± 4.1,P<0.01).Training satisfaction was also significantly higher in the experimental group than that in control group (44.5± 1.9 vs 32.9± 2.7,P<0.01).Conclusions The application of scenario cases based simulation teaching in mechanical ventilation training had achieved good results and high satisfaction.

Key words: Scenario case, Simulation teaching, Residents, Mechanical ventilation

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