目的 探讨联合教学模式在医护人员体外膜氧合技术(extracorporeal membrane oxygenation,ECMO)培训中的应用效果。方法 2020年2月底,采用传统教学与高仿真模拟(high fidelity simulation)教学融合的方式,对中山大学附属第一医院37名医护人员分批进行为期3天的ECMO课程培训。培训结束后,对学员进行理论考核、团队联合演练考核和问卷调查,对培训效果进行综合评估。结果 所有学员均通过了理论考核;培训后,91.9%(34/37)的学员认为在整个培训过程中的主动学习投入更多;59.5%(22/37)的学员技术测评能够达到良好水平;管路预冲方面,67.6%(25/37)的学员都显示出了比较好的自信心;43.2%(16/27)的学员认为自己在ECMO全程管理的总体胜任力方面仍需要加强。结论 传统教学与高仿真模拟教学联合的ECMO教学模式,有效地提高了医护人员的ECMO监测水平和管理技能。但是,这种培训模式下的学员能否顺利承担临床重症患者ECMO的救治任务,则还需要进一步研究。
Objective To explore the training effects of Integration teaching model for extra-corporeal membrane oxygenation(ECMO). Methods In February 2020, 37 novice medical staff from the First Affiliated Hospital of Sun Yat-sen University were trained in ECMO course for 3 days in batches, and the teaching results were evaluated by the written test for the didactic course and the questionnaire for the practical course. Results All trainees passed the didactic course. After the 3-day training programme, 91.9% (34/37) of them thought that they invested more in active learning during the whole course; 59.5% (22/37) of them achieved a good level of technical evaluation. On the other hand, 67.6% (25/37) of the trainees have shown a good self-confidence in the priming course; however, 43.2% (16/27) of the trainees believe that they still need to strengthen their occupational competence in ECMO management. Conclusions The integration of traditional teaching and high fidelity simulation teaching can effectively improve the ECMO monitoring level and management skills of novice medical staff, but whether this training mode can be successfully transferred to the clinical field needs further research and confirmation.
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