目的 探讨情景模拟方法在三年制临床医学专业实习学生无菌术培训中的应用效果。方法 选取河南医学高等专科学校2014级120名采用传统无菌术培训方法的学生为对照组;2015级135名采用情景模拟无菌术培训方法的学生为实验组。运用“柯氏模型”的4个层级,即反应层、学习层、行为层对无菌术的培训效果进行评价。结果 反应层,实验组学生对无菌术培训效果评分高于对照组学生,差异有统计学意义(P<0.05);学习层,实验组学生的理论与操作成绩均高于对照组学生,差异均具有统计学意义(均P<0.05);行为层,带教教师对实验组学生无菌术的评分高于对照组,差异具有统计学意义(P<0.05)。结论 将情景模拟方法应用于无菌术培训中有利于提高培训效果,强化学生的无菌观念,规范无菌操作。运用“柯氏模型”评估无菌术培训效果,客观合理,为临床技能培训效果的评价提供新思路。
Objective To discuss the application of situational simulation in the training of aseptic technique for medical students. Methods Totally 255 interns who were clinical medicine in Henan Medical Technical College wereselected. 120 interns from grade 2014 who accepted the traditional training as the control group; 135 interns from grade 2015 who accepted the situational simulation training as the experimental group. The Kirkpatrick model was used to assess the effects of the training. Results The scores of the four levels of Kirkpatrick model including reaction, learning and behavior in the experimental group were all significantly higher than those of the control group,and there were statistical difference (P<0.05). Conclusions The training of aseptic technique by using situational simulation to medical interns is helpful to improve the learning effects, to strengthen the aseptic concept and to make the aseptic behaviors be more standard.
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