急救情景模拟训练与急救技能单项训练在临床护士急救配合技能培训中的应用效果比较

Comparison of the Effects Between the Emergency Scenario Simulation Training and Single Emergency Skill Training in Clinical Nurse's Emergency Co-operation

目的：比较急救情景模拟训练与急救技能单项训练在临床护士急救配合技能培训中的应用效果。方法由工作满8年的护师或主管护师40名（小组长）与工作满2～7年的护士或护师80名组成40个培训小组，随机分成单项培训组和情景模拟培训组（各含20个培训小组），对单项培训组采用各项急救技能单项培训的模式进行培训，对情景模拟培训组采用模拟急救配合情景的模式进行培训，培训前、后分别按同一评分标准对40个小组成员各进行一次急救配合技能考核，比较两种不同培训模式的培训效果。结果单项培训组与情景模拟培训组培训前考核成绩的差异无统计学意义（t=0.08，P=0.94），培训后两组考核成绩较培训前均有显著提高（t=19.96， P ＜0.01；t=20.02，P ＜0.01），但培训后情景模拟培训组考核成绩明显高于单项培训组的考核成绩（t=8.30，P ＜0.01）。结论急救情景模拟训练的培训效果优于急救技能单项训练。

Objective To compare the effects of the emergency scenario simulation training and single emergency skill training in clinical nurse’s emergency co-operation. Methods Randomly picked out 40 nurses from nurse-in-charge or primary nurses who had worked for more than 8 years （including 8 years） as the leaders of emergency cooperation training teams, and 80 nurses who had worked for 2 to 7 years, to constitute 40 training teams. Then the 40 teams were randomized into single training group and scenario simulation training group （each contains 20 training teams）. Single training group adopted single training mode to train, while scenario simulation training group adopted the emergency scenario simulation training mode. According to a same evaluation standard, emergency co-operation skills of all training members will be examined, and the scores will be recorded before training. According to the same evaluation standard, their emergency co-operation skills will be examined again after training. Finally the comparison of effects of these two different training modes will be provided. Results There was no significant difference of the scores between single training group and scenario simulation training group before training （t=0.08, P=0.94）, while all significantly improved after training （t=19.96, P〈0.01, t=20.02, P〈0.01）. But the scenario simulation training group scored significantly higher than single training group after training （t=8.30, P〈0.01）. Conclusion Emergency scenario simulation training may do better than single training..