目的 对比原位模拟与常规模拟培训方法在医护团队临床急救综合能力培训中的应用效果。方法 采用试验对照研究方法,选取2021年1至12月在浙江医院参与临床急救综合能力培训的学员240人,采用随机数字表法分成由1名医生加3名护士组成的临床急救团队60个,同时分为原位模拟组与常规模拟组,每组30个团队,分别给予原位模拟培训与常规模拟培训,培训后对2组进行团队临床急救综合能力测试,测试成绩组间比较采用t检验或秩和检验。结果 原位模拟组团队临床急救综合能力测试总得分高于常规模拟组[(93.9±1.9)分比(82.85±4.79)分],原位模拟组的技术性能力得分和非技术性能力得分也均高于常规模拟组[(68.1±1.3)分比(64.1±3.0)分,(25.8±1.6)分比(18.8±3.4)分],差异均具有统计学意义(均P<0.05)。结论 原位模拟培训在提高医护团队临床急救综合能力、技术性能力和非技术性能力方面优于常规模拟培训,临床技能模拟培训可以考虑采用原位模拟培训方法。
Objective To compare the efficiency of in situ simulation and conventional simulation training methods on enhancing the comprehensive clinical emergency response capabilities of medical teams. Methods Controlled experiment design was used. Two hundred and forty trainees who participated in comprehensive clinical emergency response training from January to December 2021 were randomly assigned into 60 clinical emergency teams through random number table method, with each consisting of one doctor and three nurses. The teams were then randomly assigned into the in situ simulation group and conventional simulation group equally through random number table method. In situ simulation training and conventional simulation training were provided separately. After training, comprehensive clinical emergency response capability tests were given and scores were compared by t-tests or rank sum tests between groups. Results The total test scores of the comprehensive clinical emergency response capabilities were significantly higher in the in situ simulation group than in the conventional simulation one [(93.9±1.9) vs. (82.85±4.79), P<0.05] with better technical [(68.1±1.3) vs. (64.1±3.0), P<0.05] and non-technical [ (25.8±1.6) vs. (18.8±3.4), P<0.05 ] performance scores. Conclusions In situ simulation training had brought better performance both on technical and non-technical performance capabilities of medical teams in clinical emergency response than conventional simulation training. Thus, in situ simulation training could be considered as an better approach for clinical skill simulation training.
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